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Submitted URL: http://emailmk.imb.org/MjMxLVJSVy0yODIAAAGWZ7xJixt5Xrug07oLegkaGJ7Ykmtb6PfqOesqpo6mfvSrXzFNFuqmiL9xuwtSGPuA6FB1uGI=
Effective URL: https://www.imb.org/generosity/become-a-member/?utm_campaign=rgc24&utm_source=housefile&utm_medium=email&utm_content...
Submission: On October 30 via manual from US — Scanned from DE
Effective URL: https://www.imb.org/generosity/become-a-member/?utm_campaign=rgc24&utm_source=housefile&utm_medium=email&utm_content...
Submission: On October 30 via manual from US — Scanned from DE
Form analysis 2 forms found in the DOM
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<div class="give_form_header">
<div class="header_title text-center">
<div class="panel_0_header panel_header_text" style="">
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<p>Choose an amount to give <span></span></p>
</div>
<div class="panel_1_header panel_header_text" style="display: none;">
<p>You are giving <span>[amount] [designation]</span></p>
</div>
<div class="panel_2_header panel_header_text" style="display: none;">
<p>You are giving <span>[amount] [designation]</span></p>
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<input type="text" class="form-control other_amount btn give_amount_input " name="give_amount" data-amount="other" min="5" max="75000" placeholder="Other" value="">
<div class="invalid-feedback"> Please choose an amount of $5 or greater. </div>
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<label class="form-label subtext_1">Where do you want your gift to go?</label>
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<option></option>
<option value="MostNeeded" title="Gifts given here are currently designated for missionary support through the Lottie Moon Christmas Offering®.">Most Needed</option>
<option value="LMO" title="100% of your gifts to the Lottie Moon Offering funds ministry overseas." selected="" data-select2-id="38">Lottie Moon Christmas Offering®</option>
<option value="Project" title="Enter a project name or number to designate your gift.">Specific Project</option>
<option value="Missionary" title="Designate a ministry gift for a specific missionary or team.">Missionary or Team</option>
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<div class="invalid-feedback"> Please Select a Valid Gift Destination </div>
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data-permalink="https://www.imb.org/?p=647066" data-sharetitle="Innovation to Catalyze Great Commission Ministry"> Innovation to Catalyze Great Commission Ministry </option>
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data-permalink="https://www.imb.org/?p=646874" data-sharetitle="Sign Roots Bible Translation Project"> Sign Roots Bible Translation Project </option>
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data-permalink="https://www.imb.org/?p=639911" data-sharetitle="Japanese Peoples: VBS 2024"> Japanese Peoples: VBS 2024 </option>
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data-permalink="https://www.imb.org/?p=635505" data-sharetitle="Bible Stories to Reach Sub-Saharan Africa"> Bible Stories to Reach Sub-Saharan Africa </option>
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data-permalink="https://www.imb.org/?p=634795" data-sharetitle="Holy Land Crisis Response"> Holy Land Crisis Response </option>
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data-permalink="https://www.imb.org/?p=631398" data-sharetitle="Mental Health Resources and Training - Europe"> Mental Health Resources and Training – Europe </option>
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data-permalink="https://www.imb.org/?p=629987" data-sharetitle="South Asian Urban Digital Engagement"> South Asian Urban Digital Engagement </option>
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data-permalink="https://www.imb.org/?p=624624" data-sharetitle="NextGen Mobilization"> NextGen Mobilization </option>
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data-permalink="https://www.imb.org/?p=624025" data-sharetitle="Reaching 3000 Unengaged Unreached People Groups"> Reaching 3000 Unengaged Unreached People Groups </option>
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data-permalink="https://www.imb.org/?p=622181" data-sharetitle="Project Northern Lights"> Project Northern Lights </option>
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data-permalink="https://www.imb.org/?p=605004" data-sharetitle="Lighthouse in the Darkness of South Asia"> Lighthouse in the Darkness of South Asia </option>
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data-permalink="https://www.imb.org/?p=601732" data-sharetitle="Lead Global Training Center"> Lead Global Training Center </option>
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data-permalink="https://www.imb.org/?p=601597" data-sharetitle="Indigenous Ministry in Jaqué by Boat"> Indigenous Ministry in Jaqué by Boat </option>
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data-permalink="https://www.imb.org/?p=599220" data-sharetitle="French Gospel Video Project"> French Gospel Video Project </option>
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data-permalink="https://www.imb.org/?p=598884" data-sharetitle="Ukrainian Sign Language Bible Translation"> Ukrainian Sign Language Bible Translation </option>
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data-permalink="https://www.imb.org/?p=594781" data-sharetitle="Ukrainian Gospel Response"> Ukrainian Gospel Response </option>
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data-permalink="https://www.imb.org/?p=594424" data-sharetitle="Uganda Baptist Seminary"> Uganda Baptist Seminary </option>
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data-permalink="https://www.imb.org/?p=592908" data-sharetitle="Kingdom Church Network"> Kingdom Church Network </option>
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data-permalink="https://www.imb.org/?p=592757" data-sharetitle="Equip the Saints: Personnel Development for APAC"> Equip the Saints: Personnel Development for APAC </option>
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data-permalink="https://www.imb.org/?p=590386" data-sharetitle="Bible Stories to Reach West Africa"> Bible Stories to Reach West Africa </option>
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data-permalink="https://www.imb.org/?p=590385" data-sharetitle="Jewish Evangelism and Discipleship"> Jewish Evangelism and Discipleship </option>
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<option value="LMC350160400" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/713A9B06-0054-413D-89C5-3E4B56BE2611/4C7CF125-0988-402D-8DCF-4826BAA1F4A1.jpg" data-wpid="589308" data-lmcid="LMC350160400"
data-permalink="https://www.imb.org/?p=589308" data-sharetitle="Bringing Hope and Healing to a Red-Light District"> Bringing Hope and Healing to a Red-Light District </option>
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data-permalink="https://www.imb.org/?p=587082" data-sharetitle="Bangkla Baptist Clinic Medical Evangelism Ministry"> Bangkla Baptist Clinic Medical Evangelism Ministry </option>
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data-permalink="https://www.imb.org/?p=586949" data-sharetitle="Central Asia Crisis Response"> Central Asia Crisis Response </option>
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data-permalink="https://www.imb.org/?p=586921" data-sharetitle="Raise Up Disciples to Change the World"> Raise Up Disciples to Change the World </option>
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data-permalink="https://www.imb.org/?p=586204" data-sharetitle="Oral Bible Translation for a Minority People"> Oral Bible Translation for a Minority People </option>
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data-permalink="https://www.imb.org/?p=583122" data-sharetitle="General Disaster Relief"> General Disaster Relief </option>
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data-permalink="https://www.imb.org/?p=582863" data-sharetitle="Myanmar Crisis Response"> Myanmar Crisis Response </option>
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<option value="LMC370160700" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/D66BF2CA-CF46-4170-BDC9-3C76C76B0F0D/53FD091B-5B49-41C0-B00A-36FEC4D947D0.jpg" data-wpid="582558" data-lmcid="LMC370160700"
data-permalink="https://www.imb.org/?p=582558" data-sharetitle="Helping a Mother have a Safe Delivery"> Helping a Mother have a Safe Delivery </option>
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<option value="LMC2301501" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/D9A1D7F9-352D-4CED-9889-22D0751C0115/3C27D456-284C-40F3-9677-AC785E6D4552.jpg" data-wpid="582555" data-lmcid="LMC2301501"
data-permalink="https://www.imb.org/?p=582555" data-sharetitle="Discipleship Training for Oral Peoples"> Discipleship Training for Oral Peoples </option>
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<optgroup label="LMC360190100">
<option value="LMC360190100" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/CB54100E-31B9-47E6-8665-04578D587EDB/9ED28109-3F98-4040-9F37-8A716D76A016.jpg" data-wpid="580347" data-lmcid="LMC360190100"
data-permalink="https://www.imb.org/?p=580347" data-sharetitle="Community Center Ministry"> Community Center Ministry </option>
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<option value="LMC120001022" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/663CC1E9-18A0-4D27-BB58-E653A5B276F0/1C02BA2C-A665-4220-92B0-559BEB48D3D1.jpg" data-wpid="579934" data-lmcid="LMC120001022"
data-permalink="https://www.imb.org/?p=579934" data-sharetitle="Training NAME National Leaders"> Training NAME National Leaders </option>
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<optgroup label="F9Liele">
<option value="F9Liele" data-backimage="https://www.imb.org/wp-content/uploads/2017/07/07075MD10.jpg" data-wpid="579433" data-lmcid="F9Liele" data-permalink="https://www.imb.org/?p=579433" data-sharetitle="George Liele Scholarship">
George Liele Scholarship </option>
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<optgroup label="LMC140181000">
<option value="LMC140181000" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/A4828F33-21B2-40CD-BF38-F9942091397E/23856275-2AD4-4915-846D-02AA33B1E874.jpg" data-wpid="579129" data-lmcid="LMC140181000"
data-permalink="https://www.imb.org/?p=579129" data-sharetitle="Gospel Media Project"> Gospel Media Project </option>
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<option value="LMC370001021" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/EE1F0952-4822-4FED-B2CA-5F4B00E7E3C3/970244CE-AEED-43D9-BC3E-35DEF1E183B3.jpg" data-wpid="578595" data-lmcid="LMC370001021"
data-permalink="https://www.imb.org/?p=578595" data-sharetitle="Sharing the Gospel with Thais using Facebook"> Sharing the Gospel with Thais using Facebook </option>
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<optgroup label="LMC3601506">
<option value="LMC3601506" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/04EBBC98-5A7C-4E4A-8A14-657DEAB48638/5EE7AC83-1DA7-4581-9F82-48EF1685B7E5.jpg" data-wpid="576261" data-lmcid="LMC3601506"
data-permalink="https://www.imb.org/?p=576261" data-sharetitle="Share the Gospel with 1 Billion-Plus Lost"> Share the Gospel with 1 Billion-Plus Lost </option>
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<optgroup label="LMC370001010">
<option value="LMC370001010" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/CE5FF026-68F3-46E1-B4B4-9D5EF18A7FCD/F6CF3AFD-EF99-49BA-AD02-2AA6DCA5AEB6.jpg" data-wpid="574992" data-lmcid="LMC370001010"
data-permalink="https://www.imb.org/?p=574992" data-sharetitle="Thailand Church Planting Internship"> Thailand Church Planting Internship </option>
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<optgroup label="LMC120001011">
<option value="LMC120001011" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/E88505A9-6568-4EBC-9D75-0FF9149D550A/C1178576-40D4-4C40-9924-F5C75EEC4BB9.jpg" data-wpid="574991" data-lmcid="LMC120001011"
data-permalink="https://www.imb.org/?p=574991" data-sharetitle="Trauma Healing for Refugees"> Trauma Healing for Refugees </option>
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<optgroup label="LMC230001007">
<option value="LMC230001007" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/469520D3-4D32-4C5B-B61A-0DDE8CBBC96B/012EFF6F-7950-4B0A-97D4-0CEE1C77CEF2.jpg" data-wpid="573522" data-lmcid="LMC230001007"
data-permalink="https://www.imb.org/?p=573522" data-sharetitle="Reach Unengaged Peoples Across Sub-Saharan Africa"> Reach Unengaged Peoples Across Sub-Saharan Africa </option>
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<optgroup label="LMC120001003">
<option value="LMC120001003" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/582D3EEE-8CD9-40C6-8A57-E144F81AA8E5/7EE33EAF-8E2B-4478-A908-3D19F95B2CF3.jpg" data-wpid="572970" data-lmcid="LMC120001003"
data-permalink="https://www.imb.org/?p=572970" data-sharetitle="A Safe Place in Troubling Times"> A Safe Place in Troubling Times </option>
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<optgroup label="LMC370001002">
<option value="LMC370001002" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/0230AD8C-7D77-472F-A4ED-26C35C02EABD/70B5B76A-F6C5-46E6-B2DD-224289A26C11.jpg" data-wpid="572575" data-lmcid="LMC370001002"
data-permalink="https://www.imb.org/?p=572575" data-sharetitle="Rescue the Perishing Human Needs Ministry"> Rescue the Perishing Human Needs Ministry </option>
</optgroup>
<optgroup label="LMC370201000">
<option value="LMC370201000" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/9110E5AB-C76C-4B40-B598-C412369B65FA/611402FF-6CDE-42B0-91D7-85F7267288AE.jpg" data-wpid="196478" data-lmcid="LMC370201000"
data-permalink="https://www.imb.org/?p=196478" data-sharetitle="Eternal Peace Primary Care Clinic"> Eternal Peace Primary Care Clinic </option>
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<optgroup label="LMC370200800">
<option value="LMC370200800" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/0701FF94-8191-4C9A-AE15-6A4828074121/273A07EE-1BF9-47D7-9C00-B4B24B096B48.jpg" data-wpid="196052" data-lmcid="LMC370200800"
data-permalink="https://www.imb.org/?p=196052" data-sharetitle="Pregnancy Centers of Thailand"> Pregnancy Centers of Thailand </option>
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<optgroup label="LMC9XX190600">
<option value="LMC9XX190600" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/3F1DC2E2-11AF-4D76-8F4C-C4C822A54431/A192EF8B-AC29-4A17-8671-2F68930FF916.jpg" data-wpid="195889" data-lmcid="LMC9XX190600"
data-permalink="https://www.imb.org/?p=195889" data-sharetitle="Sending Global Missionary Partners"> Sending Global Missionary Partners </option>
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<optgroup label="LMC350200500">
<option value="LMC350200500" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/570FD140-4C7F-4E22-BB80-25E25FF5275B/5DB612E6-AA59-4894-BFD6-D92A04DB394F.jpg" data-wpid="195314" data-lmcid="LMC350200500"
data-permalink="https://www.imb.org/?p=195314" data-sharetitle="Strengthening Church Movements"> Strengthening Church Movements </option>
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<optgroup label="LMC990140500">
<option value="LMC990140500" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/5BF25FE6-DBFB-49CF-AC19-F2359D88DD3C/18F6F5CB-F0A8-4A94-AE1A-FE7BE67144D6.jpg" data-wpid="194630" data-lmcid="LMC990140500"
data-permalink="https://www.imb.org/?p=194630" data-sharetitle="StoryOne Sign Language Scripture for Thailand"> StoryOne Sign Language Scripture for Thailand </option>
</optgroup>
<optgroup label="LMC110210100">
<option value="LMC110210100" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/843FCA64-8E0A-41EA-9822-B3B7A728B888/EE2A47E4-FABB-494E-A041-01C78227C88D.jpg" data-wpid="194448" data-lmcid="LMC110210100"
data-permalink="https://www.imb.org/?p=194448" data-sharetitle="Reach Macedonia: Every City, Town and Village"> Reach Macedonia: Every City, Town and Village </option>
</optgroup>
<optgroup label="LMC110201300">
<option value="LMC110201300" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/8C16CE9C-0A97-4DED-A5A3-454EBE6849E7/439D8D65-FEFF-45A0-8C03-81B3146BADA6.jpg" data-wpid="194309" data-lmcid="LMC110201300"
data-permalink="https://www.imb.org/?p=194309" data-sharetitle="Ministry Center Sharing Hope in Birmingham"> Ministry Center Sharing Hope in Birmingham </option>
</optgroup>
<optgroup label="LMC120160600">
<option value="LMC120160600" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/D1DFFC8E-0E70-45D7-82C4-53777FA10E5F/3F80F245-FED2-4032-B8C4-3295B5A5A6A2.jpg" data-wpid="194250" data-lmcid="LMC120160600"
data-permalink="https://www.imb.org/?p=194250" data-sharetitle="Bible Stories for the Unreached of Northern Africa"> Bible Stories for the Unreached of Northern Africa </option>
</optgroup>
<optgroup label="LMC110201200">
<option value="LMC110201200" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/A317C0D3-22DF-4C1C-A24C-98A9065EF923/4D54B665-FEDC-4239-8E6C-4F26227DB15F.jpg" data-wpid="194017" data-lmcid="LMC110201200"
data-permalink="https://www.imb.org/?p=194017" data-sharetitle="Empower: Austria Church Planter Training"> Empower: Austria Church Planter Training </option>
</optgroup>
<optgroup label="LMC110201100">
<option value="LMC110201100" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/7F52A670-0A19-4051-9A1A-4A1F3466A272/F51817AE-CB0E-4597-B004-8EFA26A0DB7E.jpg" data-wpid="194016" data-lmcid="LMC110201100"
data-permalink="https://www.imb.org/?p=194016" data-sharetitle="Missionary Education - Gospel Training in Europe"> Missionary Education – Gospel Training in Europe </option>
</optgroup>
<optgroup label="LMC1201314">
<option value="LMC1201314" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/1CDCB0FE-5B02-4E24-AE81-7B98B0B5AE89/3E5AF39F-E7D6-4C9E-AD3A-3C1D0A6839A8.jpg" data-wpid="193913" data-lmcid="LMC1201314"
data-permalink="https://www.imb.org/?p=193913" data-sharetitle="Strategic International Prayer Center"> Strategic International Prayer Center </option>
</optgroup>
<optgroup label="LMC3601503">
<option value="LMC3601503" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/25990A95-CBF5-4DF1-AD34-EB09E8DBBA58/9BA01A19-E297-4C54-9243-F9F13F7352CE.jpg" data-wpid="193912" data-lmcid="LMC3601503"
data-permalink="https://www.imb.org/?p=193912" data-sharetitle="Reproducing Disciples among Sino-Mongolian Peoples"> Reproducing Disciples among Sino-Mongolian Peoples </option>
</optgroup>
<optgroup label="LMC3501315">
<option value="LMC3501315" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/E50F00E0-8996-4608-A56E-4AE6C77C7BF4/999968F1-8CD8-4C99-81FA-43425632A007.jpg" data-wpid="193911" data-lmcid="LMC3501315"
data-permalink="https://www.imb.org/?p=193911" data-sharetitle="God's Word Heard in Western South Asia"> God’s Word Heard in Western South Asia </option>
</optgroup>
<optgroup label="LMC2201402">
<option value="LMC2201402" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/3AF60F11-098B-4DA8-84AD-A50EAE3F9DFD/FA6EC4A1-9933-4CC0-8DF5-6CE8CB5844CB.jpg" data-wpid="193910" data-lmcid="LMC2201402"
data-permalink="https://www.imb.org/?p=193910" data-sharetitle="Afar Media Outreach Project"> Afar Media Outreach Project </option>
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<optgroup label="LMC3501214">
<option value="LMC3501214" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/99DB9CA0-43AD-4AA3-B28B-C706B55CA836/9C05D259-1D7B-48E0-A198-F1BEC0097748.jpg" data-wpid="193872" data-lmcid="LMC3501214"
data-permalink="https://www.imb.org/?p=193872" data-sharetitle="Finishing The Task"> Finishing The Task </option>
</optgroup>
<optgroup label="LMC350190400">
<option value="LMC350190400" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/7A1EB0B5-578C-45EF-B533-A24607562A53/84CF6D8E-FBCE-46DD-B8D3-F93ADD30DC2A.jpg" data-wpid="193868" data-lmcid="LMC350190400"
data-permalink="https://www.imb.org/?p=193868" data-sharetitle="Empowering Theological Education"> Empowering Theological Education </option>
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<optgroup label="LMC3601502">
<option value="LMC3601502" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/BB1068A9-1A64-4B79-BECA-7DB066E067DA/855BFC5A-EAA9-4769-9866-901E93B00EE8.jpg" data-wpid="193864" data-lmcid="LMC3601502"
data-permalink="https://www.imb.org/?p=193864" data-sharetitle="Maximizing Gospel Sharing in North Asia"> Maximizing Gospel Sharing in North Asia </option>
</optgroup>
<optgroup label="LMC350190100">
<option value="LMC350190100" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/175004F9-370A-47D5-9623-4C65995B347D/31B6CD54-7B8D-4FCB-BA70-F58C71C154FD.jpg" data-wpid="193862" data-lmcid="LMC350190100"
data-permalink="https://www.imb.org/?p=193862" data-sharetitle="Every Person, Every Village"> Every Person, Every Village </option>
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<optgroup label="LMC350180900">
<option value="LMC350180900" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/076663C7-94EE-4F10-9731-D237E365DFEE/C0861CA8-8250-4D8A-95EF-9AC6CF425070.jpg" data-wpid="193860" data-lmcid="LMC350180900"
data-permalink="https://www.imb.org/?p=193860" data-sharetitle="Sending South Asians to the Unreached"> Sending South Asians to the Unreached </option>
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<optgroup label="LMC1201316">
<option value="LMC1201316" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/25C48C35-8722-4940-A569-C0730C4D5225/E4631C58-C91D-42CF-BE4C-F3CA2B07BA62.jpg" data-wpid="193859" data-lmcid="LMC1201316"
data-permalink="https://www.imb.org/?p=193859" data-sharetitle="Advanced Level Security Training"> Advanced Level Security Training </option>
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<optgroup label="LMC3601505">
<option value="LMC3601505" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/92DBCDFB-B190-4473-AAF3-963090E929A6/6A3EDEE5-1872-4AD0-B93D-E1B2570B66FE.jpg" data-wpid="193858" data-lmcid="LMC3601505"
data-permalink="https://www.imb.org/?p=193858" data-sharetitle="Asian Pacific Rim Health Care Ministries"> Asian Pacific Rim Health Care Ministries </option>
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<optgroup label="LMC350190200">
<option value="LMC350190200" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/39B8C81E-CC3B-4EF4-B326-C3353B0B4145/F0B0BD10-5259-4387-8C76-CBDC5C64F8B6.jpg" data-wpid="193856" data-lmcid="LMC350190200"
data-permalink="https://www.imb.org/?p=193856" data-sharetitle="The Oasis Project"> The Oasis Project </option>
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<optgroup label="LMC5XX1401">
<option value="LMC5XX1401" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/45A88FEE-5D15-4FD3-BD57-7E9787FE03CC/32F57242-F68B-4FFD-89D0-54722F475EE5.jpg" data-wpid="193855" data-lmcid="LMC5XX1401"
data-permalink="https://www.imb.org/?p=193855" data-sharetitle="Macedonian Project"> Macedonian Project </option>
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<optgroup label="LMC140190900">
<option value="LMC140190900" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/14ADD5DA-B7E5-4D57-87BD-EEC8DA4C7763/A410B0CD-97EF-43CA-9DE0-B2F740B05DFD.jpg" data-wpid="193853" data-lmcid="LMC140190900"
data-permalink="https://www.imb.org/?p=193853" data-sharetitle="Farsi (Persian) Scripture Distribution"> Farsi (Persian) Scripture Distribution </option>
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<optgroup label="LMC140190200">
<option value="LMC140190200" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/7C36B9D4-D963-463B-9B68-D3093F2EE39B/3BA818FC-521C-4CAF-99BF-C618EABB580C.jpg" data-wpid="193852" data-lmcid="LMC140190200"
data-permalink="https://www.imb.org/?p=193852" data-sharetitle="Central Asia Bible and Literature Fund"> Central Asia Bible and Literature Fund </option>
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<optgroup label="LMC140190600">
<option value="LMC140190600" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/832FE54F-87B9-4C06-8C47-1E47AAD9F9DF/3C102C5B-D837-464E-8E88-47D865DA9C39.jpg" data-wpid="193850" data-lmcid="LMC140190600"
data-permalink="https://www.imb.org/?p=193850" data-sharetitle="Social Media as a Gospel Tool"> Social Media as a Gospel Tool </option>
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<optgroup label="LMC140181200">
<option value="LMC140181200" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/B1282557-99A2-4BF7-8089-C0EC93515AF4/665EA559-AB7A-4321-951D-2933C56827FC.jpg" data-wpid="193849" data-lmcid="LMC140181200"
data-permalink="https://www.imb.org/?p=193849" data-sharetitle="First Full Bible for an Unreached Group"> First Full Bible for an Unreached Group </option>
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<optgroup label="LMC3501602">
<option value="LMC3501602" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/BFB8F155-4859-4C2B-B0E7-45CB7FF27318/69C6170D-9806-45EB-8390-0FAC29DAA137.jpg" data-wpid="193847" data-lmcid="LMC3501602"
data-permalink="https://www.imb.org/?p=193847" data-sharetitle="South Asians Take Gospel to Least Reached"> South Asians Take Gospel to Least Reached </option>
</optgroup>
<optgroup label="LMC9XX190200">
<option value="LMC9XX190200" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/E1398266-8C3F-43A6-8CB3-B75951441B85/3725402D-3568-44EC-A5BF-66F59B6B22B2.jpg" data-wpid="193846" data-lmcid="LMC9XX190200"
data-permalink="https://www.imb.org/?p=193846" data-sharetitle="Global Cities Emphasis"> Global Cities Emphasis </option>
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<optgroup label="LMC3601412">
<option value="LMC3601412" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/A849934F-DEE7-477F-A31A-28B68511F92F/54FFA793-AE71-471E-90AA-0D90E068BD7E.jpg" data-wpid="193844" data-lmcid="LMC3601412"
data-permalink="https://www.imb.org/?p=193844" data-sharetitle="Equipping Indigenous Church Leaders"> Equipping Indigenous Church Leaders </option>
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<optgroup label="LMC480190100">
<option value="LMC480190100" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/E1C29236-5B0F-4D96-8C02-CADA85E31645/DC2F76E5-1C12-426F-8667-A6D354CCFC55.jpg" data-wpid="193843" data-lmcid="LMC480190100"
data-permalink="https://www.imb.org/?p=193843" data-sharetitle="Venezuela Crisis Response"> Venezuela Crisis Response </option>
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<optgroup label="LMC9XX190500">
<option value="LMC9XX190500" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/3581762D-22B7-405E-ADFA-904BB6D26EB4/6D1CB9A5-9224-4192-84D9-76D18AB790A7.jpg" data-wpid="193842" data-lmcid="LMC9XX190500"
data-permalink="https://www.imb.org/?p=193842" data-sharetitle="Strengthening Theological Education"> Strengthening Theological Education </option>
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data-permalink="https://www.imb.org/?p=193840" data-sharetitle="Partnerships for Sending Latin Americans"> Partnerships for Sending Latin Americans </option>
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data-permalink="https://www.imb.org/?p=193836" data-sharetitle="Pushing Back Darkness Among Unengaged Peoples"> Pushing Back Darkness Among Unengaged Peoples </option>
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data-permalink="https://www.imb.org/?p=193832" data-sharetitle="StoryOne Sign Language Scripture Project"> StoryOne Sign Language Scripture Project </option>
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data-permalink="https://www.imb.org/?p=193831" data-sharetitle="Engaging Migrants in Mexico and Central America"> Engaging Migrants in Mexico and Central America </option>
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data-permalink="https://www.imb.org/?p=193829" data-sharetitle="Planting FAITH among Asia Pacific Rim Peoples"> Planting FAITH among Asia Pacific Rim Peoples </option>
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data-permalink="https://www.imb.org/?p=193828" data-sharetitle="Gospel Push to South Asian Villages"> Gospel Push to South Asian Villages </option>
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data-permalink="https://www.imb.org/?p=193825" data-sharetitle="Training South Asians to Plant Churches"> Training South Asians to Plant Churches </option>
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data-permalink="https://www.imb.org/?p=193820" data-sharetitle="Disciple-Maker Training"> Disciple-Maker Training </option>
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data-permalink="https://www.imb.org/?p=193817" data-sharetitle="Global Cross – Bible Distribution Project"> Global Cross – Bible Distribution Project </option>
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data-permalink="https://www.imb.org/?p=193816" data-sharetitle="North Caucasus Bible Translation Projects"> North Caucasus Bible Translation Projects </option>
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data-permalink="https://www.imb.org/?p=193810" data-sharetitle="Engaging the Islands of South Asia"> Engaging the Islands of South Asia </option>
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data-permalink="https://www.imb.org/?p=193806" data-sharetitle="Central Asia Sod-Grass Farm"> Central Asia Sod-Grass Farm </option>
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data-permalink="https://www.imb.org/?p=193802" data-sharetitle="Mobilizing the Nations to Reach Central Asians"> Mobilizing the Nations to Reach Central Asians </option>
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data-permalink="https://www.imb.org/?p=193799" data-sharetitle="Story Together Bible Stories in Arabic Languages"> Story Together Bible Stories in Arabic Languages </option>
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data-permalink="https://www.imb.org/?p=193797" data-sharetitle="Bible Fund for Asian Pacific Rim"> Bible Fund for Asian Pacific Rim </option>
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data-permalink="https://www.imb.org/?p=193796" data-sharetitle="Counseling & Healthy Church Resources"> Counseling & Healthy Church Resources </option>
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data-permalink="https://www.imb.org/?p=193795" data-sharetitle="Empowering Tribals to Reach Tribals"> Empowering Tribals to Reach Tribals </option>
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data-permalink="https://www.imb.org/?p=193793" data-sharetitle="Missionary Kid Education & Spiritual Growth"> Missionary Kid Education & Spiritual Growth </option>
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data-permalink="https://www.imb.org/?p=193792" data-sharetitle="Asian Pacific Rim Muslim Media Project"> Asian Pacific Rim Muslim Media Project </option>
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data-permalink="https://www.imb.org/?p=193788" data-sharetitle="New Year Evangelism Outreach"> New Year Evangelism Outreach </option>
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data-permalink="https://www.imb.org/?p=193786" data-sharetitle="Missionary Care and Renewal"> Missionary Care and Renewal </option>
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data-permalink="https://www.imb.org/?p=193785" data-sharetitle="Reaching Bangkok - Engaging an Urban Megacity"> Reaching Bangkok – Engaging an Urban Megacity </option>
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data-permalink="https://www.imb.org/?p=193784" data-sharetitle="Sign Roots Bible Translation Template"> Sign Roots Bible Translation Template </option>
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data-permalink="https://www.imb.org/?p=193781" data-sharetitle="Gutenberg II"> Gutenberg II </option>
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data-permalink="https://www.imb.org/?p=193779" data-sharetitle="Advancing the Gospel by Creative Digital Means"> Advancing the Gospel by Creative Digital Means </option>
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data-permalink="https://www.imb.org/?p=193778" data-sharetitle="Church Planter Training for South Asians"> Church Planter Training for South Asians </option>
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data-permalink="https://www.imb.org/?p=193777" data-sharetitle="Nehemiah Teams: Student Missionary Training"> Nehemiah Teams: Student Missionary Training </option>
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data-permalink="https://www.imb.org/?p=193774" data-sharetitle="Engaging Unreached Peoples in the Philippines"> Engaging Unreached Peoples in the Philippines </option>
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data-permalink="https://www.imb.org/?p=193772" data-sharetitle="Theological Education for Sub-Saharan Africa"> Theological Education for Sub-Saharan Africa </option>
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data-permalink="https://www.imb.org/?p=193769" data-sharetitle="Sub-Saharan Africa Orphans Help Fund"> Sub-Saharan Africa Orphans Help Fund </option>
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data-permalink="https://www.imb.org/?p=193765" data-sharetitle="Theological Training for Pastors in Finland"> Theological Training for Pastors in Finland </option>
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data-permalink="https://www.imb.org/?p=193763" data-sharetitle="DUMPLING: Asian Missionary Sending Initiative"> DUMPLING: Asian Missionary Sending Initiative </option>
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data-permalink="https://www.imb.org/?p=193057" data-sharetitle="Digital Missions Europe"> Digital Missions Europe </option>
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data-permalink="https://www.imb.org/?p=192995" data-sharetitle="A Source of Clean Water"> A Source of Clean Water </option>
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data-permalink="https://www.imb.org/?p=191122" data-sharetitle="Mobilizing the Angola Church to Tell His Story"> Mobilizing the Angola Church to Tell His Story </option>
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data-permalink="https://www.imb.org/?p=127779" data-sharetitle="People of Promise Student Center"> People of Promise Student Center </option>
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data-permalink="https://www.imb.org/?p=126834" data-sharetitle="Persian Refugee Discipleship & Education"> Persian Refugee Discipleship & Education </option>
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data-permalink="https://www.imb.org/?p=126788" data-sharetitle="Business for Missions: Gospel Access"> Business for Missions: Gospel Access </option>
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data-permalink="https://www.imb.org/?p=125442" data-sharetitle="Turkish Community Center Outreach"> Turkish Community Center Outreach </option>
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data-permalink="https://www.imb.org/?p=124849" data-sharetitle="Refugee Outreach & Discipleship"> Refugee Outreach & Discipleship </option>
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data-permalink="https://www.imb.org/?p=117917" data-sharetitle="Homes and Hope for Distressed Families"> Homes and Hope for Distressed Families </option>
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data-permalink="https://www.imb.org/?p=117905" data-sharetitle="House of Hope"> House of Hope </option>
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data-permalink="https://www.imb.org/?p=117901" data-sharetitle="Leadership Development in Restricted Access Areas"> Leadership Development in Restricted Access Areas </option>
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data-permalink="https://www.imb.org/?p=117898" data-sharetitle="Sending Local Missionaries"> Sending Local Missionaries </option>
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data-permalink="https://www.imb.org/?p=117893" data-sharetitle="Hope for South Asian Slums"> Hope for South Asian Slums </option>
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data-permalink="https://www.imb.org/?p=117866" data-sharetitle="Cubans to the Nations"> Cubans to the Nations </option>
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data-permalink="https://www.imb.org/?p=117863" data-sharetitle="France Church Planting Training Center"> France Church Planting Training Center </option>
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<optgroup label="LMC370180100">
<option value="LMC370180100" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/DF9DE50C-B113-4ACA-A73D-B02E38332C25/1FCEA5B8-AD90-49CB-98E5-4926714277BC.jpg" data-wpid="117859" data-lmcid="LMC370180100"
data-permalink="https://www.imb.org/?p=117859" data-sharetitle="Preschool Breaks Down Walls"> Preschool Breaks Down Walls </option>
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<optgroup label="LMC1201304">
<option value="LMC1201304" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/26CCB8E5-FBA2-40F3-B596-CFAC364186D3/7339F202-1FB0-4828-BD84-4AD9FD9B84DB.jpg" data-wpid="117841" data-lmcid="LMC1201304"
data-permalink="https://www.imb.org/?p=117841" data-sharetitle="Syrian Crisis Response"> Syrian Crisis Response </option>
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<option value="LMC1201502" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/1D38F072-899C-42D3-89CE-12E18F9F5223/6D7BE974-84A2-4DFC-BBA8-3A1A794D6D3B.jpg" data-wpid="117831" data-lmcid="LMC1201502"
data-permalink="https://www.imb.org/?p=117831" data-sharetitle="Yemen Crisis Response"> Yemen Crisis Response </option>
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<option value="LMC110170300" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/E75E1A1D-51C6-4374-8ECA-4AC764F3C0A1/CC17DB64-2AD0-4270-81C8-9E0904B417BE.jpg" data-wpid="117830" data-lmcid="LMC110170300"
data-permalink="https://www.imb.org/?p=117830" data-sharetitle="Church Planting in Madrid and Beyond"> Church Planting in Madrid and Beyond </option>
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<option value="LMC1201501" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/43424FDC-43D8-4D69-A094-0126A1A3DAD5/28E8A8F5-A47D-48DF-8B42-066FB71E50DA.jpg" data-wpid="117823" data-lmcid="LMC1201501"
data-permalink="https://www.imb.org/?p=117823" data-sharetitle="Iraq Crisis Response"> Iraq Crisis Response </option>
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<option value="LMC230180200" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/F15C1D1E-6032-4EF3-9E27-968E1BB91433/F7CDDD86-7AC7-4726-BE0D-4D058A39A42F.jpg" data-wpid="117822" data-lmcid="LMC230180200"
data-permalink="https://www.imb.org/?p=117822" data-sharetitle="Growing Kigoma Baptist Hospital"> Growing Kigoma Baptist Hospital </option>
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<option value="LMC3501317" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/23F8F3A8-41CC-49DB-AE29-07B72D404675/D0FD8B28-34AE-4546-B86F-520E735C0BA8.jpg" data-wpid="117821" data-lmcid="LMC3501317"
data-permalink="https://www.imb.org/?p=117821" data-sharetitle="Planting Churches from City to Village"> Planting Churches from City to Village </option>
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<option value="LMC140161000" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/93C8A7A5-A839-451E-9905-96C0CB19432E/8A01B190-CE6C-4CB4-9DF1-FAE946CE1D6D.jpg" data-wpid="117817" data-lmcid="LMC140161000"
data-permalink="https://www.imb.org/?p=117817" data-sharetitle="Cultural Exchange Center"> Cultural Exchange Center </option>
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data-permalink="https://www.imb.org/?p=117815" data-sharetitle="Business Serving Mission"> Business Serving Mission </option>
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<optgroup label="LMC1401204">
<option value="LMC1401204" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/23A9770A-231E-4B35-8813-6CB3317D71AD/3E14E6A5-9F9F-460E-80DE-8C3873AFF21E.jpg" data-wpid="117814" data-lmcid="LMC1401204"
data-permalink="https://www.imb.org/?p=117814" data-sharetitle="Central Asia Outreach, Evangelism and Training"> Central Asia Outreach, Evangelism and Training </option>
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<optgroup label="LMC350180400">
<option value="LMC350180400" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/DD707A60-E383-438B-97E5-1DE462DBE1A3/E1134A50-2C6D-434A-BA38-5D0DEB703DBB.jpg" data-wpid="117808" data-lmcid="LMC350180400"
data-permalink="https://www.imb.org/?p=117808" data-sharetitle="J-Town Gospel Push"> J-Town Gospel Push </option>
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<optgroup label="LMC2301504">
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data-permalink="https://www.imb.org/?p=117806" data-sharetitle="Training Center for National Laborers"> Training Center for National Laborers </option>
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<optgroup label="LMC350180700">
<option value="LMC350180700" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/E300C74B-880E-4123-B3DE-7E2F6B4F16E4/95A4AE68-95AB-40C1-95D8-EFA952739010.jpg" data-wpid="117786" data-lmcid="LMC350180700"
data-permalink="https://www.imb.org/?p=117786" data-sharetitle="Looking for Lydia: Women Reaching Women"> Looking for Lydia: Women Reaching Women </option>
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<optgroup label="LMC360170300">
<option value="LMC360170300" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/5FDCECCF-CCAF-4CD0-949D-5B1A5506104B/557FB95C-3B5D-4006-B421-197AF63AACA5.jpg" data-wpid="117783" data-lmcid="LMC360170300"
data-permalink="https://www.imb.org/?p=117783" data-sharetitle="Korean International Missions (KIMCHI)"> Korean International Missions (KIMCHI) </option>
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<optgroup label="LMC110170400">
<option value="LMC110170400" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/3D33731C-991A-4B6D-9871-1C8D3443EB65/E53B49B1-3C3C-4643-B5BC-1A379B7C2D93.jpg" data-wpid="117779" data-lmcid="LMC110170400"
data-permalink="https://www.imb.org/?p=117779" data-sharetitle="London - Global Training"> London – Global Training </option>
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<optgroup label="LMC9XX1204">
<option value="LMC9XX1204" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/72E9E577-51DC-4A83-A091-C30B93A28942/46ADFC2C-A6EB-4F01-B540-F53705C351D1.jpg" data-wpid="117775" data-lmcid="LMC9XX1204"
data-permalink="https://www.imb.org/?p=117775" data-sharetitle="God's Truth for Bible-less Peoples"> God’s Truth for Bible-less Peoples </option>
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<optgroup label="LMC120160200">
<option value="LMC120160200" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/119AEF43-921C-4F26-AF2D-629A0563F850/B1297437-5CE2-4CB1-B318-ED7CF272180A.jpg" data-wpid="117767" data-lmcid="LMC120160200"
data-permalink="https://www.imb.org/?p=117767" data-sharetitle="Schools for Syrian Refugee Children"> Schools for Syrian Refugee Children </option>
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<optgroup label="LMC140180200">
<option value="LMC140180200" data-backimage="https://giveimbstatic.blob.core.windows.net/lmc/lmc_project/964C3F14-6FB1-492A-8135-0B04CDD133F4/77535187-8598-4404-8EBD-0D7E708524BF.jpg" data-wpid="117766" data-lmcid="LMC140180200"
data-permalink="https://www.imb.org/?p=117766" data-sharetitle="Prophets’ Story for Unreached Peoples"> Prophets’ Story for Unreached Peoples </option>
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<optgroup label="F9HUNGER">
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data-permalink="https://www.imb.org/?p=117757" data-sharetitle="Global Hunger Relief"> Global Hunger Relief </option>
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<optgroup label="LMC3501103">
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data-permalink="https://www.imb.org/?p=117746" data-sharetitle="Equipping Disciples to Make Disciples"> Equipping Disciples to Make Disciples </option>
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<div class="chosen-container chosen-container-single" title="" id="project_name_45433a2abf0ef0550c41285b523a8810_chosen" style="width: 100%;"><a class="chosen-single chosen-default">
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<label class="form-label subtext_1">Missionary Name or Team</label>
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<p class="give_note" data-note="monthly_10" style="display: none;">Your <span>$10.00 monthly gift</span> provides five New Testaments in a local language.</p>
<p class="give_note" data-note="monthly_30" style="display: none;">Your <span>$30.00 monthly gift</span> provides eyeglasses and vision screenings for 30 school children and senior citizens in rural East Asian villages.</p>
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<p class="give_note" data-note="once_10" style="display: none;">Your <span>$10.00 one-time gift</span> provides five New Testaments in a local language.</p>
<p class="give_note" data-note="once_30" style="display: none;">Your <span>$30.00 one-time gift</span> provides eyeglasses and vision screenings for 30 school children and senior citizens in rural East Asian villages.</p>
<p class="give_note" data-note="once_75" style="display: none;">Your <span>$75.00 one-time gift</span> provides three months of pre- and post-natal care for a woman in Southeast Asia.</p>
<p class="give_note" data-note="once_100">Your <span>$100.00 one-time gift</span> provides clean drinking water for a year.</p>
<p class="give_note" data-note="once_200" style="display: none;">Your <span>$200.00 one-time gift</span> helps establish a new life for women rescued from trafficking and slavery.</p>
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$opt = $ctrl.find('option:contains("US")').filter(function() {
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$ctrl.val($opt);
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});
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<select id="country_672249e761ecf" class="select2_with_search country select2-hidden-accessible" name="country" autocomplete="country" required="" data-select2-id="country_672249e761ecf" tabindex="-1" aria-hidden="true">
<option value=""></option>
<option value="US" selected="" data-select2-id="18">United States</option>
<option value="CA">Canada</option>
<option disabled="" value="x">———————-</option>
<option value="AF">Afghanistan</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="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</option>
<option value="BA">Bosnia and Herzegowina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo, the Democratic Republic of the</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Cote d’Ivoire</option>
<option value="HR">Croatia (Hrvatska)</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="TP">East Timor</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard and Mc Donald Islands</option>
<option value="VA">Holy See (Vatican City State)</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KR">Korea, Republic of</option>
<option value="KV">Kosovo</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">Libyan Arab Jamahiriya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macau</option>
<option value="MK">Macedonia, The Former Yugoslav Republic of</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia, Federated States of</option>
<option value="MD">Moldova, Republic of</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestinian Territories</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</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="SK">Slovakia (Slovak Republic)</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="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SH">St. Helena</option>
<option value="PM">St. Pierre and Miquelon</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen Islands</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</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="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="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</option>
<option value="VN">Viet Nam</option>
<option value="VG">Virgin Islands (British)</option>
<option value="VI">Virgin Islands (U.S.)</option>
<option value="WF">Wallis and Futuna Islands</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" data-select2-id="17" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-country_672249e761ecf-container"><span class="select2-selection__rendered" id="select2-country_672249e761ecf-container"
role="textbox" aria-readonly="true" 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>
<div class="invalid-feedback"> Please select a valid country </div>
</div>
<div class="col-6 col-md-12">
<label class="form-label subtext_1" for="address">Address</label>
<input class="address" id="address_45433a2abf0ef0550c41285b523a8810" name="address" type="text" autocomplete="street-address" required="">
<div class="invalid-feedback"> Please enter a valid address </div>
</div>
<div class="col-6 col-md-4">
<label class="form-label subtext_1" for="city">City</label>
<input class="city" id="city_45433a2abf0ef0550c41285b523a8810" name="city" type="text" autocomplete="address-level2" required="">
<div class="invalid-feedback"> Please enter a valid city </div>
</div>
<div class="col-6 col-md-4 state_wrap">
<label class="form-label subtext_1" for="state">State/Region</label>
<div class="us_states_wrap" style="">
<script type="text/javascript">
jQuery(document).ready(function($) {
var $ctrl = $("#state_672249e761eeb");
$ctrl.val('');
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<select id="state_672249e761eeb" class="us_states states selected select2_with_search select2-hidden-accessible" name="state" type="text" autocomplete="address-level1" data-warning="Please select a valid state" required=""
data-select2-id="state_672249e761eeb" tabindex="-1" aria-hidden="true">
<option value="" data-select2-id="20">State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District Of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">Armed Forces (AA)</option>
<option value="AE">Armed Forces (AE)</option>
<option value="AP">Armed Forces (AP)</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="19" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-state_672249e761eeb-container"><span class="select2-selection__rendered" id="select2-state_672249e761eeb-container"
role="textbox" aria-readonly="true" title="State">State</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span>
<div class="invalid-feedback"> Please select a valid state </div>
</div>
<div class="ca_states_wrap" style="display: none;">
<script type="text/javascript">
jQuery(document).ready(function($) {
var $ctrl = $("#province_672249e761f03");
$ctrl.val('');
if ($ctrl.val() == null) {
$opt = $ctrl.find('option:contains("")').filter(function() {
return $(this).text() === '';
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$ctrl.val($opt);
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</script>
<select id="province_672249e761f03" class="ca_states states not_required select2_with_search select2-hidden-accessible" name="ca_state" type="text" autocomplete="address-level1" required="" data-select2-id="province_672249e761f03"
tabindex="-1" aria-hidden="true">
<option value="" data-select2-id="22">Province</option>
<option value="AB">Alberta</option>
<option value="BC">British Columbia</option>
<option value="MB">Manitoba</option>
<option value="NB">New Brunswick</option>
<option value="NL">Newfoundland and Labrador</option>
<option value="NT">Northwest Territories</option>
<option value="NS">Nova Scotia</option>
<option value="NU">Nunavut</option>
<option value="ON">Ontario</option>
<option value="PE">Prince Edward Island</option>
<option value="QC">Quebec</option>
<option value="SK">Saskatchewan</option>
<option value="YT">Yukon</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="21" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-province_672249e761f03-container"><span class="select2-selection__rendered" id="select2-province_672249e761f03-container"
role="textbox" aria-readonly="true" title="Province">Province</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span>
<div class="invalid-feedback"> Please select a valid province </div>
</div>
<input style="display:none;" id="state_input_45433a2abf0ef0550c41285b523a8810" class="state_input states not_required" name="state" type="text" autocomplete="address-level1" required="">
<div class="invalid-feedback"> Please enter a valid state </div>
</div>
<div class="col-6 col-md-4">
<label class="form-label subtext_1" for="zipcode">Postal Code</label>
<input class="zipcode" id="zipcode_45433a2abf0ef0550c41285b523a8810" name="zipcode" type="text" autocomplete="postal-code" required="">
<div class="invalid-feedback"> Please enter a valid zipcode </div>
</div>
</div>
</div>
<div class="your_mailing_address ">
<div class="row pt-3 g-2">
<div class="col-12">
<div class="form-check">
<input class="match_billing form-check-input" type="checkbox" name="match_billing" checked="" id="match_billing_45433a2abf0ef0550c41285b523a8810">
<label for="match_billing_45433a2abf0ef0550c41285b523a8810" class="form-check-label">Mailing address is same as billing </label>
</div>
</div>
</div>
<div class="mailing_fields" style="display:none;">
<div class="row g-2 pt-3">
<div class="col-12">
<h6 class="small mb-0"> Mailing Address </h6>
</div>
<div class="col-12 country_wrap">
<label for="country" class="form-label subtext_1">Country </label>
<script type="text/javascript">
jQuery(document).ready(function($) {
var $ctrl = $("#country_672249e761f0e");
$ctrl.val('US');
if ($ctrl.val() == null) {
$opt = $ctrl.find('option:contains("US")').filter(function() {
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$ctrl.val($opt);
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<select id="country_672249e761f0e" class="select2_with_search country select2-hidden-accessible" name="country" autocomplete="country" required="" data-select2-id="country_672249e761f0e" tabindex="-1" aria-hidden="true">
<option value=""></option>
<option value="US" selected="" data-select2-id="24">United States</option>
<option value="CA">Canada</option>
<option disabled="" value="x">———————-</option>
<option value="AF">Afghanistan</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="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</option>
<option value="BA">Bosnia and Herzegowina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo, the Democratic Republic of the</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Cote d’Ivoire</option>
<option value="HR">Croatia (Hrvatska)</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="TP">East Timor</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard and Mc Donald Islands</option>
<option value="VA">Holy See (Vatican City State)</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KR">Korea, Republic of</option>
<option value="KV">Kosovo</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">Libyan Arab Jamahiriya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macau</option>
<option value="MK">Macedonia, The Former Yugoslav Republic of</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia, Federated States of</option>
<option value="MD">Moldova, Republic of</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestinian Territories</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</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="SK">Slovakia (Slovak Republic)</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="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SH">St. Helena</option>
<option value="PM">St. Pierre and Miquelon</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen Islands</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</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="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="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</option>
<option value="VN">Viet Nam</option>
<option value="VG">Virgin Islands (British)</option>
<option value="VI">Virgin Islands (U.S.)</option>
<option value="WF">Wallis and Futuna Islands</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" data-select2-id="23" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-country_672249e761f0e-container"><span class="select2-selection__rendered" id="select2-country_672249e761f0e-container"
role="textbox" aria-readonly="true" 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>
<div class="invalid-feedback"> Please select a valid country </div>
</div>
<div class="col-6 col-md-12">
<label class="form-label subtext_1" for="mailing_address">Mailing Address </label>
<input class="mailing_address" id="mailing_address_45433a2abf0ef0550c41285b523a8810" name="mailing_address" type="text" autocomplete="street-address" value="" required="">
<div class="invalid-feedback"> Please enter a valid address </div>
</div>
<div class="col-6 col-md-4">
<label class="form-label subtext_1" for="mailing_city">City </label>
<input class="mailing_city" id="mailing_city_45433a2abf0ef0550c41285b523a8810" name="mailing_city" type="text" autocomplete="address-level2" value="" required="">
<div class="invalid-feedback"> Please enter a valid city </div>
</div>
<div class="col-6 col-md-4 state_wrap">
<label class="form-label subtext_1" for="state">State/Region </label>
<div class="us_states_wrap" style="">
<script type="text/javascript">
jQuery(document).ready(function($) {
var $ctrl = $("#state_672249e761f18");
$ctrl.val('');
if ($ctrl.val() == null) {
$opt = $ctrl.find('option:contains("")').filter(function() {
return $(this).text() === '';
}).val();
$ctrl.val($opt);
}
});
</script>
<select id="state_672249e761f18" class="us_states states selected select2_with_search select2-hidden-accessible" name="state" type="text" autocomplete="address-level1" data-warning="Please select a valid state" required=""
data-select2-id="state_672249e761f18" tabindex="-1" aria-hidden="true">
<option value="" data-select2-id="26">State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District Of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">Armed Forces (AA)</option>
<option value="AE">Armed Forces (AE)</option>
<option value="AP">Armed Forces (AP)</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="25" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-state_672249e761f18-container"><span class="select2-selection__rendered" id="select2-state_672249e761f18-container"
role="textbox" aria-readonly="true" title="State">State</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span>
<div class="invalid-feedback"> Please select a valid state </div>
</div>
<div class="ca_states_wrap" style="display: none;">
<script type="text/javascript">
jQuery(document).ready(function($) {
var $ctrl = $("#province_672249e761f21");
$ctrl.val('');
if ($ctrl.val() == null) {
$opt = $ctrl.find('option:contains("")').filter(function() {
return $(this).text() === '';
}).val();
$ctrl.val($opt);
}
});
</script>
<select id="province_672249e761f21" class="ca_states states not_required select2_with_search select2-hidden-accessible" name="ca_state" type="text" autocomplete="address-level1" required="" data-select2-id="province_672249e761f21"
tabindex="-1" aria-hidden="true">
<option value="" data-select2-id="28">Province</option>
<option value="AB">Alberta</option>
<option value="BC">British Columbia</option>
<option value="MB">Manitoba</option>
<option value="NB">New Brunswick</option>
<option value="NL">Newfoundland and Labrador</option>
<option value="NT">Northwest Territories</option>
<option value="NS">Nova Scotia</option>
<option value="NU">Nunavut</option>
<option value="ON">Ontario</option>
<option value="PE">Prince Edward Island</option>
<option value="QC">Quebec</option>
<option value="SK">Saskatchewan</option>
<option value="YT">Yukon</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="27" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-province_672249e761f21-container"><span class="select2-selection__rendered" id="select2-province_672249e761f21-container"
role="textbox" aria-readonly="true" title="Province">Province</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span>
<div class="invalid-feedback"> Please select a valid province </div>
</div>
<input style="display:none;" id="mailing_state_input_45433a2abf0ef0550c41285b523a8810" class="state_input states not_required" name="state" type="text" autocomplete="address-level1" value="" required="">
<div class="invalid-feedback"> Please enter a valid state </div>
</div>
<div class="col-6 col-md-4">
<label class="form-label subtext_1" for="mailing_zipcode">Postal Code </label>
<input class="mailing_zipcode" id="mailing_zipcode_45433a2abf0ef0550c41285b523a8810" name="mailing_zipcode" type="text" autocomplete="postal-code" value="" required="">
<div class="invalid-feedback"> Please enter a valid zipcode </div>
</div>
</div>
</div>
</div>
</div>
<div class="row pt-4">
<div class="col-12">
<div class="btn_nav_wrap">
<a href="javascript:void(0);" class="form_btn_prev" title="Back">Back</a>
<button class="btn btn-gradient form_btn_next" type="button" title="Next">Next</button>
</div>
</div>
</div>
</div>
</div>
<!--form panel-->
<div class="give_form_panel panel_2 needs-validation" style="display: none;">
<div class="give_form_content">
<div name="payment_info">
<div class="row g-2">
<label>
<!-- <span name="payment_token_validation_scroll_to" id="payment_token_validation_scroll_to_45433a2abf0ef0550c41285b523a8810"></span> -->
<!-- <input type="hidden" name="paymentMethodToken" id="paymentMethodToken" required /> -->
<div class="invalid-feedback"> Please provide your payment information </div>
<input type="hidden" class="not_required" id="paymentMethodId_45433a2abf0ef0550c41285b523a8810" name="paymentMethodId">
</label>
<div class="col-12">
<label for="payment_type_45433a2abf0ef0550c41285b523a8810" class="form-label subtext_1">Payment Type </label>
<select class="select2 payment_type select2-hidden-accessible" id="payment_type_45433a2abf0ef0550c41285b523a8810" name="payment_type" data-select2-id="payment_type_45433a2abf0ef0550c41285b523a8810" tabindex="-1" aria-hidden="true">
<option value="credit_card" data-select2-id="2"> Card</option>
<option value="bank_account"> Bank Draft</option>
<option class="apple_pay_supported" value="apple_pay" disabled="" style="display: none;"> Apple Pay</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="1" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-payment_type_45433a2abf0ef0550c41285b523a8810-container"><span class="select2-selection__rendered"
id="select2-payment_type_45433a2abf0ef0550c41285b523a8810-container" role="textbox" aria-readonly="true" title=" Card"> Card</span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<!-- <span class="cc_examples_wrap">
<svg id="ccicon_visa" class="ccicon_visa" width="30" height="19" viewBox="0 0 750 471" version="1.1" xmlns="https://www.w3.org/2000/svg" xmlns:xlink="https://www.w3.org/1999/xlink"></svg>
<svg id="ccicon_diners" class="ccicon_diners" width="30" height="19" viewBox="0 0 750 471" version="1.1" xmlns="https://www.w3.org/2000/svg" xmlns:xlink="https://www.w3.org/1999/xlink"></svg>
<svg id="ccicon_amex" class="ccicon_amex" width="30" height="19" viewBox="0 0 750 471" version="1.1" xmlns="https://www.w3.org/2000/svg" xmlns:xlink="https://www.w3.org/1999/xlink"></svg>
<svg id="ccicon_disc" class="ccicon_disc" width="30" height="19" viewBox="0 0 750 471" version="1.1" xmlns="https://www.w3.org/2000/svg" xmlns:xlink="https://www.w3.org/1999/xlink"></svg>
<svg id="ccicon_mc" class="ccicon_mc" width="30" height="19" viewBox="0 0 750 471" version="1.1" xmlns="https://www.w3.org/2000/svg" xmlns:xlink="https://www.w3.org/1999/xlink"></svg>
</span> -->
</div>
</div>
<div class="cardConnectiFrame">
<!-- https://developer.cardconnect.com/hosted-iframe-tokenizer#whitelisted-css-properties -->
<iframe id="cardConnectiFrame_45433a2abf0ef0550c41285b523a8810" width="100%" height="280"
src="https://boltgw.cardconnect.com:8443/itoke/ajax-tokenizer.html?orientation=custom&formatinput=true&useexpiry=true&unique=true&usecvv=true&cvvlabel=CVC&invalidinputevent=true&fullmobilekeyboard=true&css=%0Abody%0A%7B%0A%09padding%3A0%3B%0A%09margin%3A0%3B%0A++++width%3A100%25%3B%0A%7D%0Ahtml%0A%7B%0A%09padding%3A0%3B%0A%09margin%3A0%3B%0A++++width%3A100%25%3B%0A%7D%0Aform%7B%0A++++width%3A100%25%3B%0A++++padding%3A0%3B%0A%09margin%3A0%3B%0A%7D%0Ainput%7Bpadding%3A+0px+14px%3B%0A++++font-size%3A+16px%3B%0A++++border-radius%3A+5px%3B%0A++++border-color%3A+%23707070%3B%0A++++border-style%3A+solid%3B%0A++++border-width%3A+1px%3B%0A++++font-family%3A+soleil%2C+sans-serif%3B%0A++++min-height%3A+44px%3B%0A%09%7D%0A%09label%0A%09%7B%0A%09%09display%3A+block%3B%0A%09%09font-size%3A+12px%3B%0A%09%09font-weight%3A+700%3B%0A++++++++color%3A+rgb%280%2C0%2C0%2C+30%25%29%3B%0A%09%09margin-bottom%3A+0%3B%0A%09%09margin-top%3A+1rem%3B%0A++++++++margin-bottom%3A.5rem%3B%0A++++++++font-family%3A+soleil%2C+sans-serif%3B%0A%09%7D%0Aselect%0A%7B%0A++++max-width%3A+100%25%3B%0A++++font-weight%3A+600%3B%0A%09color%3A+%23000000%3B%0A%09padding%3A+8px+17px+8px+8px%3B%0A%09font-size%3A+16px%3B%0A++++border-radius%3A+5px%3B%0A++++border-color%3A+%23707070%3B%0A++++border-style%3A+solid%3B%0A++++border-width%3A+1px%3B%0A++++font-family%3A+soleil%2C+sans-serif%3B%0A++++min-height%3A+44px%3B%0A%7D%0A%23ccnumfield%7B%0A++++width%3Acalc%28100%25+-+32px%29%3B%0A%7D%0A%23ccexpiryyear%7B%0A++++margin-left%3A5%25%3B%0A%7D%0A%0A%0A"></iframe>
</div>
<div class="bank_info_wrap" style="display:none;">
<div class="row g-2 pt-4">
<div class="col-12">
<div class="bank_account_type">
<div class="form-check form-check-inline">
<input id="bank_account_checking_45433a2abf0ef0550c41285b523a8810" class="form-check-input" type="radio" name="bank_account_type" value="checking" checked="">
<label for="bank_account_checking_45433a2abf0ef0550c41285b523a8810" class="form-check-label">Checking</label>
</div>
<div class="form-check form-check-inline">
<input id="bank_account_savings_45433a2abf0ef0550c41285b523a8810" class="form-check-input" type="radio" name="bank_account_type" value="savings">
<label for="bank_account_savings_45433a2abf0ef0550c41285b523a8810" class="form-check-label">Savings</label>
</div>
</div>
</div>
<div class="col-6">
<label class="form-label subtext_1" for="bank_routing_number_45433a2abf0ef0550c41285b523a8810">Routing Number </label>
<input class="bank_routing_number" id="bank_routing_number_45433a2abf0ef0550c41285b523a8810" name="bank_routing_number" type="number" pattern="[0-9]*" autocomplete="on" required="">
<div class="invalid-feedback"> Please enter a valid Bank Routing Number </div>
</div>
<div class="col-6">
<label class="form-label subtext_1" for="bank_account_number_45433a2abf0ef0550c41285b523a8810">Account Number </label>
<input class="bank_account_number" id="bank_account_number_45433a2abf0ef0550c41285b523a8810" name="bank_account_number" type="number" pattern="[0-9]*" autocomplete="on" required="">
<div class="invalid-feedback"> Please enter a valid Bank Account Number </div>
</div>
</div>
</div>
</div>
<div class="secure_notice">
<p class="leading-snug recaptcha-text"><i class="fas fa-lock"></i> Secure Payment · This site is protected by reCAPTCHA and the Google <a href="https://policies.google.com/privacy">Privacy Policy</a> and
<a href="https://policies.google.com/terms">Terms of Service</a> apply.</p>
</div>
<div class="other_give_options">
<div class="row pt-4 g-2">
<div class="col-12">
<div class="form-check">
<input class="employer_match form-check-input" type="checkbox" name="employer_match" id="employer_match_45433a2abf0ef0550c41285b523a8810">
<label for="employer_match_45433a2abf0ef0550c41285b523a8810" class="form-check-label">I want my employer to match my gift.</label>
</div>
</div>
</div>
<div class="employer_name_wrap" style="display:none;">
<div class="row g-2 pt-3">
<div class="col-12">
<label class="form-label subtext_1" for="employer_name_45433a2abf0ef0550c41285b523a8810">Employer Name</label>
<!-- <input class="employer_name" id="employer_name_45433a2abf0ef0550c41285b523a8810" name="employer_name" type="text" value="" required> -->
<div name="employer_name" id="employer_name_45433a2abf0ef0550c41285b523a8810" data-doublethedonation-widget-id="G__2">
<div class="dtd-streamlined-plugin"><input type="hidden" name="doubledonation_status" value="no_interaction"><input type="hidden" name="doublethedonation_status" value="no_interaction"><input type="hidden"
name="doublethedonation_entered_text"><input type="hidden" name="doubledonation_company_id"><input type="hidden" name="doublethedonation_company_id"><input type="hidden" name="doubledonation_company_name"><input type="hidden"
name="doublethedonation_company_name">
<div class="dtd-search-box" style="width: 100%; margin-bottom: 0px;">
<div aria-live="assertive" style="display: block; font-size: 0px; color: rgb(255, 255, 255); opacity: 0; position: absolute; height: 0px; margin: 0px; z-index: -99999;"></div>
<div aria-live="polite" style="display: block; font-size: 0px; color: rgb(255, 255, 255); opacity: 0; position: absolute; height: 0px; margin: 0px; z-index: -99999;"></div><input role="combobox" aria-expanded="false"
name="doublethedonation_company_name_input" autocomplete="new-password" type="text" id="dd-input" class="dtd-search-input form-control BBFormTextbox" placeholder="Search for company..." aria-label="Search for company..."
style="width: 100%;">
</div>
</div>
</div>
<!-- <div id="dd-company-name-input"></div> -->
<div class="invalid-feedback"> Please enter a valid employer name </div>
</div>
</div>
</div>
<div class="row pt-2 g-3">
<div class="col-12">
<div class="form-check">
<input class="honor_checkbox form-check-input" type="checkbox" name="honor_checkbox" id="honor_checkbox_45433a2abf0ef0550c41285b523a8810">
<label for="honor_checkbox_45433a2abf0ef0550c41285b523a8810" class="form-check-label">I want to give in honor of someone.</label>
</div>
</div>
</div>
<div class="honor_gift_wrap" style="display:none;">
<div class="row g-3 pt-3">
<div class="col-12">
<label for="occasion_select_45433a2abf0ef0550c41285b523a8810" class="form-label subtext_1">Select An Occasion</label>
<select class="select2 occasion_select select2-hidden-accessible" id="occasion_select_45433a2abf0ef0550c41285b523a8810" name="occasion_select" required="" data-select2-id="occasion_select_45433a2abf0ef0550c41285b523a8810"
tabindex="-1" aria-hidden="true">
<option value="" data-select2-id="4"></option>
<option value="Memorial">Memorial</option>
<option value="Honor a Missionary">Honor a Missionary</option>
<option value="Anniversary">Anniversary</option>
<option value="Birth">Birth</option>
<option value="Birthday">Birthday</option>
<option value="Christmas">Christmas</option>
<option value="Engagement">Engagement</option>
<option value="Father's Day">Father’s Day</option>
<option value="Graduation">Graduation</option>
<option value="Mother's Day">Mother’s Day</option>
<option value="Wedding">Wedding</option>
<option value="Other">Other</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="3" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-occasion_select_45433a2abf0ef0550c41285b523a8810-container"><span class="select2-selection__rendered"
id="select2-occasion_select_45433a2abf0ef0550c41285b523a8810-container" role="textbox" aria-readonly="true"><span class="select2-selection__placeholder">Please Choose One</span></span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<div class="invalid-feedback"> Please select an occasion </div>
</div>
<div class="col-6">
<label class="form-label subtext_1" for="honoree_first_name_45433a2abf0ef0550c41285b523a8810">Honoree First Name</label>
<input class="honoree_first_name" type="text" name="honoree_first_name_45433a2abf0ef0550c41285b523a8810" id="hfname_45433a2abf0ef0550c41285b523a8810" maxlength="80" size="20" autocomplete="off" required="">
<div class="invalid-feedback"> Please enter a name </div>
</div>
<div class="col-6">
<label class="form-label subtext_1" for="honoree_last_name_45433a2abf0ef0550c41285b523a8810">Honoree Last Name</label>
<input class="honoree_last_name" type="text" name="honoree_last_name_45433a2abf0ef0550c41285b523a8810" id="hlname_45433a2abf0ef0550c41285b523a8810" maxlength="80" size="20" autocomplete="off" required="">
<div class="invalid-feedback"> Please enter a name </div>
</div>
<div class="col-12 honor_missionary_affinity_wrap" style="display:none;">
<label class="form-label subtext_1" for="honor_missionary_affinity_45433a2abf0ef0550c41285b523a8810">Honoree Missionary Affinity Location</label>
<select class="select2 honor_missionary_affinity select2-hidden-accessible" id="honor_missionary_affinity_45433a2abf0ef0550c41285b523a8810" name="honor_missionary_affinity_45433a2abf0ef0550c41285b523a8810" required=""
data-select2-id="honor_missionary_affinity_45433a2abf0ef0550c41285b523a8810" tabindex="-1" aria-hidden="true">
<option value="" data-select2-id="6"></option>
<option value="Deaf">Deaf Peoples</option>
<option value="American Peoples">American Peoples</option>
<option value="Central Asian">Central Asian Peoples</option>
<option value="Asia and Pacific Rim">Asian Pacific Rim Peoples</option>
<!-- <option value="East Asian">East Asian Peoples</option> -->
<option value="North African and Middle Eastern">North African and Middle Eastern Peoples</option>
<option value="European">European Peoples</option>
<option value="South Asian">South Asian Peoples</option>
<!-- <option value="Southeast Asian">Southeast Asian Peoples</option> -->
<option value="Sub-Saharan Africa">Sub-Saharan African Peoples</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="5" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-honor_missionary_affinity_45433a2abf0ef0550c41285b523a8810-container"><span class="select2-selection__rendered"
id="select2-honor_missionary_affinity_45433a2abf0ef0550c41285b523a8810-container" role="textbox" aria-readonly="true"><span class="select2-selection__placeholder">Please Choose One</span></span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<div class="invalid-feedback"> Please select a Missionary Affinity Location </div>
</div>
<div class="col-12">
<div class="form-check">
<input class="notify_honoree_checkbox form-check-input" type="checkbox" name="notify_honoree" id="notify_honoree_45433a2abf0ef0550c41285b523a8810">
<label for="notify_honoree_45433a2abf0ef0550c41285b523a8810" class="form-check-label">I want to notify someone about my gift.</label>
</div>
<div class="recipient_edit_wrap" style="display:none;">
<span class="notify_honoree_recipient_text"></span> <a href="#notify-honoree-popup_45433a2abf0ef0550c41285b523a8810" class="edit_button">edit</a>
</div>
<div class="recipient_missionay_notification" style="display:none;">The missionary will receive notification of your gift.</div>
</div>
</div>
</div>
<div class="other_give_options">
<div class="row pt-2 g-2">
<div class="col-12">
<div class="form-check">
<input class="celebrate_with_church form-check-input" type="checkbox" name="celebrate_with_church" id="celebrate_with_church_45433a2abf0ef0550c41285b523a8810">
<label for="celebrate_with_church_45433a2abf0ef0550c41285b523a8810" class="form-check-label">I want to anonymously celebrate this gift with my church. </label>
</div>
</div>
</div>
<div class="church_name_wrap" style="display:none;">
<div class="row g-2 pt-3">
<div class="col-12">
<label class="form-label subtext_1" for="church_name_45433a2abf0ef0550c41285b523a8810">Church Name </label>
<select class="church_name select2-hidden-accessible" name="church_name" placeholder="Search for your church" id="church_name_45433a2abf0ef0550c41285b523a8810" maxlength="80" size="20" required="" autocomplete="off" value=""
data-warning="Please enter a valid church." data-select2-id="church_name_45433a2abf0ef0550c41285b523a8810" tabindex="-1" aria-hidden="true"></select><span class="select2 select2-container select2-container--default" dir="ltr"
data-select2-id="56" style="width: auto;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false"
aria-labelledby="select2-church_name_45433a2abf0ef0550c41285b523a8810-container"><span class="select2-selection__rendered" id="select2-church_name_45433a2abf0ef0550c41285b523a8810-container" role="textbox"
aria-readonly="true"><span class="select2-selection__placeholder">Search for your church</span></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span
class="dropdown-wrapper" aria-hidden="true"></span></span>
<input type="hidden" id="user_church_id_45433a2abf0ef0550c41285b523a8810" name="sbc-org-id" value="">
<span class="ajax_loading_church ajax_loader_secondary">
<span class="loading_container" style="filter: url(#goo) brightness(0.99) saturate(1.01)">
<span class="dot dot-1"></span>
<span class="dot dot-2"></span>
<span class="dot dot-3"></span>
</span>
<svg xmlns="http://www.w3.org/2000/svg" version="1.1">
<defs>
<filter id="goo_45433a2abf0ef0550c41285b523a8810">
<feGaussianBlur in="SourceGraphic" stdDeviation="10" result="blur"></feGaussianBlur>
<feColorMatrix in="blur" mode="matrix" values="1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 21 -7"></feColorMatrix>
</filter>
</defs>
</svg>
</span>
<span style="color: black; font-size: 12px;"> Only Southern Baptist churches may be notified at this time. </span>
<!-- <input class="church_name" id="church_name_45433a2abf0ef0550c41285b523a8810" name="church_name" type="text" value="" required> -->
<div class="invalid-feedback"> Please enter valid church name </div>
<div class="church_list" id="church_list_45433a2abf0ef0550c41285b523a8810"></div>
</div>
</div>
</div>
</div>
</div>
<div class="row pt-4">
<div class="col-12">
<div class="errorwarn error"></div>
<div class="btn_nav_wrap">
<a class="form_btn_prev" type="button" title="Back">Back</a>
<button class="btn btn-gradient form_btn_submit not_apple_pay" type="button" title="Next">Give Monthly</button>
<a class="form_btn_submit apple-pay-button apple-pay-button-text-donate" style="display:none;" lang="en" href="javascript:void(0);"></a>
<!-- <div id="createpaymentmethod_recaptcha_container"></div>
<div id="createdonation_recaptcha_container"></div> -->
</div>
</div>
</div>
</div>
</div>
<!--form panel-->
<div class="give_form_panel panel_3 success_panel">
<div class="give_form_content text-center">
<div class="row text-center">
<div class="col-12 pt-4 pb-2">
<h4>Thank you for your gift!</h4>
</div>
<div class="col-12 pb-3 thankYouShare">
<p class="share_note">Multiply your impact by letting others know about this great opportunity to make much of Christ.</p>
</div>
<div class="col-12 thankYouShare">
<p class="p_small">Copy and share the <span class="project_title">Lottie Moon Christmas Offering</span> link below…</p>
</div>
<div class="col-12 copy-thanks-link thankYouShare">
<div class="link-box d-flex align-items-center">
<i class="fas fa-copy"></i>
<div class="copy-link"><input readonly="" type="text" value="https://www.imb.org/lottie-moon-christmas-offering/" class="copyMe noselect"></div>
</div>
</div>
<div class="col-12 pt-3 thankYouShare">
<p class="p_small">Or share it through social media…</p>
</div>
<div class="col-12 social-links thankYouShare">
<div class="social-wrapper row justify-content-center align-items-center g-3">
<div class="col-auto">
<a href="javascript:void(0);" class="facebook">
<i class="fab fa-facebook-f"></i>
</a>
</div>
<div class="col-auto">
<a href="javascript:void(0);" class="twitter">
<i class="fab fa-twitter"></i>
</a>
</div>
<div class="col-auto">
<a href="javascript:void(0);" class="linkedin">
<i class="fab fa-linkedin-in"></i>
</a>
</div>
<div class="col-auto">
<a target="_blank" href="mailto:?subject=Lottie Moon Christmas Offering&body=Check out this link from IMB: https://www.imb.org/lottie-moon-christmas-offering/" class="email">
<i class="fas fa-envelope"></i>
</a>
</div>
</div>
</div>
</div>
<!-- <div class="btn_nav_wrap pt-3">
<button class="btn btn-darkgrey form_btn_close" type="button" title="Close">Close</button>
</div> -->
</div>
</div>
</div>
</form><form class="non_cash_give_form" style="display:none;">
<div class="give_form_header">
<div class="header_title text-center">
<div class="nc_panel_header send_check_header">
<p>Bank Drafts</p>
</div>
<div class="nc_panel_header give_assets_header">
<p>Asset Giving</p>
</div>
<div class="nc_panel_header asset_header">
<p><span class="asset_type_text">Stocks</span> Gift</p>
</div>
<div class="nc_panel_header submit_header">
<p>Thank you For Your Gift Request</p>
</div>
<div class="nc_panel_header thankyou_header">
<p>Non-Cash Giving Requests</p>
</div>
</div>
</div>
<div class="give_form_body">
<!--non-cash form panel-->
<div class="give_form_panel panel_non_cash non_cash_panel_check_asset" style="display:none;">
<div class="give_form_content">
<div class="row text-center send_check_content">
<div class="col-12">
<h5>SEND A CHECK</h5>
</div>
<div class="col-12">
<p class="panel_text mb-2">Checks may be made payable to “IMB” and mailed to the address below. If you would like any specific designations, including gifts made in honor or memory please provide a note. Gifts are credited in the year
they are received unless they are postmarked by the USPS.</p>
</div>
<div class="col-12">
<h5>IMB<br><span>3806 Monument Ave.<br>Richmond, VA 23230</span></h5>
</div>
<div class="col-12">
<p class="panel_text">For direct drafts or wiring information, please email <a href="mailto:info@imb.org" target="_blank">info@imb.org</a> or call <a href="tel:18043530151" target="_blank">(804) 353-0151</a>.</p>
</div>
</div>
<div class="row text-center asset_giving_content">
<div class="col-12">
<p class="panel_text">Generous giving is not limited to writing a check. You can benefit the kingdom in many ways you may never have considered. Turn your tangible goods such as real estate, cars, boats, jewelry, commodities, mineral
rights, and more into gospel impact while realizing potential tax benefits.</p>
<p class="panel_text">If you have questions about giving assets, please email <a href="mailto:generosity@imb.org" target="_blank">generosity@imb.org</a> or call <a href="tel:8042191518" target="_blank">(804) 219-1518</a>.</p>
</div>
</div>
<div class="row">
<div class="col-12">
<div class="non_cash_gifts_wrap">
<h5>OTHER WAYS TO GIVE</h5>
<p class="panel_text send_check_content">Did you know you can turn your property into mission impact? Take a look at other ways to give.</p>
<p class="panel_text asset_giving_content">Did you know we accept assets as gifts? Take a look at other ways to give.</p>
<div class="non_cash_select_position">
<div class="non_cash_select_wrap" id="non_cash_select_wrap">
<select class="select_descriptions form-control non_cash_select select2-hidden-accessible" id="non_cash_select" name="nonCashGiftType" tabindex="-1" aria-hidden="true" data-select2-id="non_cash_select">
<option data-select2-id="55"></option>
<option value="stocks" title="Make a Bigger Impact by Donating Long-Term Appreciated Securities.">Stocks</option>
<option value="crypto" title="Crypto donations are one of the most tax-efficient ways to give to IMB.">Cryptocurrency</option>
<option value="vehicles" title="Donate your car or truck to IMB and receive a tax deduction this year.">Vehicles</option>
<option value="real_estate" title="Receive a tax deduction for appraised value.">Real Estate</option>
<option value="mineral_rights" title="Receive a tax deduction for appraised value.">Mineral Rights</option>
<option value="timber" title="Receive a tax deduction for appraised value.">Timber</option>
<option value="livestock" title="Receive a tax deduction for appraised value.">Livestock</option>
<option value="crops" title="Receive a tax deduction for appraised value.">Crops</option>
<option value="collectibles" title="Receive a tax deduction for appraised value.">Collectibles</option>
<option value="precious_metals" title="Receive a tax deduction for appraised value.">Precious Metals</option>
<option value="jewelry" title="Receive a tax deduction for appraised value.">Jewelry</option>
<option value="fine_china" title="Receive a tax deduction for appraised value.">Fine China</option>
<option value="furniture" title="Receive a tax deduction for appraised value.">Furniture</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="54" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-non_cash_select-container"><span class="select2-selection__rendered" id="select2-non_cash_select-container" role="textbox"
aria-readonly="true"><span class="select2-selection__placeholder">Choose An Asset</span></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span
class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
</div>
</div>
</div>
<div class="row pb-3">
<div class="col-12">
<div class="btn_nav_wrap text-center">
<a href="#" class="cash_back" title="Back">Back</a>
</div>
</div>
</div>
</div>
</div>
<!-- assets panel -->
<div class="give_form_panel panel_non_cash assets_panel" style="display:none;">
<div class="give_form_content">
<div class="row">
<div class="col-12">
<div class="non_cash_select_position">
</div>
</div>
</div>
<div class="asset_content stocks_content" style="display: none;">
<div class="row">
<div class="col-12 text-center">
<p class="panel_text">To maximize your gift, professional tax advisors recommend gifting stock held greater than one year.</p>
<p class="panel_text">If you proceed in gifting publicly traded securities you will automatically receive a Letter of Authority/Transfer Certificate for your broker.</p>
</div>
<div class="col-12">
<h5 class="text-center mb-0 stocks_title">ADD STOCKS</h5>
<div class="asset_fieldset stocks_fieldset fade_y_overflow">
<div class="stocks_row_wrap d-flex flex-column flex-nowrap justify-content-end">
<!-- this set is for cloning and is hidden -->
<div class="stock_fields_copy d-none">
<div class="row g-3 stock_inputs_row new_stocks_row pt-3">
<div class="col-7 symbol_wrap">
<input type="text" class="form-control" name="stockSymbol" data-type="nonCashGivingSubmission_c" placeholder="Name or Symbol" required="">
<div class="invalid-feedback"> Please add a Name or Symbol </div>
</div>
<div class="col pe-0 shares_or_amount_wrap">
<input type="text" class="form-control" name="numberOfShares" data-type="nonCashGivingSubmission_c" placeholder="Shares or Amount" required="">
<div class="invalid-feedback"> Add Shares or Amount </div>
</div>
<div class="col-auto ps-2 pe-3 add_remove_stock">
<a href="#" class="add_stock">+</a>
<a href="#" class="remove_stock" style="display:none;">–</a>
</div>
</div>
</div>
<!-- end of hidden fields -->
<div class="row g-3 stock_inputs_row">
<div class="col-7 symbol_wrap">
<input type="text" class="form-control" name="stockSymbol" data-type="nonCashGivingSubmission_c" placeholder="Name or Symbol" required="">
<div class="invalid-feedback"> Please add a Name or Symbol </div>
</div>
<div class="col pe-0 shares_or_amount_wrap">
<input type="text" class="form-control" name="numberOfShares" data-type="nonCashGivingSubmission_c" placeholder="Shares or Amount" required="">
<div class="invalid-feedback"> Add Shares or Amount </div>
</div>
<div class="col-auto ps-2 pe-3 add_remove_stock">
<a href="#" class="add_stock">+</a>
<a href="#" class="remove_stock" style="display:none;">–</a>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="asset_content crypto_content" style="display: none;">
<div class="row">
<div class="col-12 text-center">
<p class="panel_text">Select a coin type below to generate an address for your gift. Note, we currently only accept gifts from the coin types listed. Powered by <a href="https://www.engiven.com/" target="_blank">Engiven</a></p>
</div>
<div class="col-12">
<div class="asset_fieldset crypto_fieldset">
<div class="row gx-3 crypto_inputs_row">
<div class="gift_destination_position pb-4"></div>
<div class="col-7 token_amount_wrap">
<input type="text" class="form-control" name="cryptoAmount" data-type="nonCashGivingSubmission_c" placeholder="Amount of tokens" required="">
<div class="invalid-feedback"> Please add a Amount of tokens </div>
</div>
<div class="col-5 token_type_wrap">
<select class="select2_no_placeholder form-control token_type_select select2-hidden-accessible" id="token_type_select" name="token_type_select" data-type="nonCashGivingSubmission_c" data-select2-id="token_type_select"
tabindex="-1" aria-hidden="true">
<option value="ZEC" data-select2-id="10">ZEC</option>
<option value="LINK">LINK</option>
<option value="OXT">OXT</option>
<option value="DAI">DAI</option>
<option value="BAT">BAT</option>
<option value="AMP">AMP</option>
<option value="COMP">COMP</option>
<option value="PAXG">PAXG</option>
<option value="ZRX">ZRX</option>
<option value="BAL">BAL</option>
<option value="CRV">CRV</option>
<option value="MANA">MANA</option>
<option value="KNC">KNC</option>
<option value="MKR">MKR</option>
<option value="REN">REN</option>
<option value="STORJ">STORJ</option>
<option value="SNX">SNX</option>
<option value="UMA">UMA</option>
<option value="AAVE">AAVE</option>
<option value="FIL">FIL</option>
<option value="ENJ">ENJ</option>
<option value="BNT">BNT</option>
<option value="1INCH">1INCH</option>
<option value="SKL">SKL</option>
<option value="UNI">UNI</option>
<option value="YFI">YFI</option>
<option value="MATIC">MATIC</option>
<option value="ALCX">ALCX</option>
<option value="MIR">MIR</option>
<option value="FTM">FTM</option>
<option value="ANKR">ANKR</option>
<option value="CTX">CTX</option>
<option value="AXS">AXS</option>
<option value="SLP">SLP</option>
<option value="LUNA">LUNA</option>
<option value="MCO2">MCO2</option>
<option value="WCFG">WCFG</option>
<option value="INJ">INJ</option>
<option value="LPT">LPT</option>
<option value="USDC">USDC</option>
<option value="SHIB">SHIB</option>
<option value="CUBE">CUBE</option>
<option value="BOND">BOND</option>
<option value="SUSHI">SUSHI</option>
<option value="DOGE">DOGE</option>
<option value="GALA">GALA</option>
<option value="GRT">GRT</option>
<option value="LRC">LRC</option>
<option value="SAND">SAND</option>
<option value="BTC">BTC</option>
<option value="ETH">ETH</option>
<option value="LTC">LTC</option>
<option value="BCH">BCH</option>
<option value="RARE">RARE</option>
<option value="RAD">RAD</option>
<option value="QNT">QNT</option>
<option value="NMR">NMR</option>
<option value="MASK">MASK</option>
<option value="FET">FET</option>
<option value="ASH">ASH</option>
<option value="AUDIO">AUDIO</option>
<option value="API3">API3</option>
<option value="RNDR">RNDR</option>
<option value="MC">MC</option>
<option value="ENS">ENS</option>
<option value="KP3R">KP3R</option>
<option value="CVC">CVC</option>
<option value="ELON">ELON</option>
<option value="MIM">MIM</option>
<option value="SPELL">SPELL</option>
<option value="TOKE">TOKE</option>
<option value="LDO">LDO</option>
<option value="RLY">RLY</option>
<option value="APE">APE</option>
<option value="RBN">RBN</option>
<option value="FXS">FXS</option>
<option value="DPI">DPI</option>
<option value="LQTY">LQTY</option>
<option value="LUSD">LUSD</option>
<option value="FRAX">FRAX</option>
<option value="INDEX">INDEX</option>
<option value="MPL">MPL</option>
<option value="METIS">METIS</option>
<option value="QRDO">QRDO</option>
<option value="CHZ">CHZ</option>
<option value="REVV">REVV</option>
<option value="JAM">JAM</option>
<option value="XTZ">XTZ</option>
<option value="SOL">SOL</option>
<option value="RAY">RAY</option>
<option value="SBR">SBR</option>
<option value="ZBC">ZBC</option>
<option value="FIDA">FIDA</option>
<option value="GMT">GMT</option>
<option value="IMX">IMX</option>
<option value="USDT">USDT</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="9" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-token_type_select-container"><span class="select2-selection__rendered" id="select2-token_type_select-container"
role="textbox" aria-readonly="true" title="ZEC">ZEC</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span>
</div>
<!-- <div class="col-12 text-center">
<div class="lead">=</div>
</div>
<div class="col-7 token_amount_wrap">
<input type="text" class="form-control" name="token_amount" placeholder="Amount of tokens" required>
<div class="invalid-feedback">
Please add a Amount of tokens
</div>
</div>
<div class="col-5 token_type_wrap">
<select class="select2_no_placeholder form-control token_type_select" id="token_type_select_2" name="token_type_select">
<option value='ZEC'>ZEC</option><option value='LINK'>LINK</option><option value='OXT'>OXT</option><option value='DAI'>DAI</option><option value='BAT'>BAT</option><option value='AMP'>AMP</option><option value='COMP'>COMP</option><option value='PAXG'>PAXG</option><option value='ZRX'>ZRX</option><option value='BAL'>BAL</option><option value='CRV'>CRV</option><option value='MANA'>MANA</option><option value='KNC'>KNC</option><option value='MKR'>MKR</option><option value='REN'>REN</option><option value='STORJ'>STORJ</option><option value='SNX'>SNX</option><option value='UMA'>UMA</option><option value='AAVE'>AAVE</option><option value='FIL'>FIL</option><option value='ENJ'>ENJ</option><option value='BNT'>BNT</option><option value='1INCH'>1INCH</option><option value='SKL'>SKL</option><option value='UNI'>UNI</option><option value='YFI'>YFI</option><option value='MATIC'>MATIC</option><option value='ALCX'>ALCX</option><option value='MIR'>MIR</option><option value='FTM'>FTM</option><option value='ANKR'>ANKR</option><option value='CTX'>CTX</option><option value='AXS'>AXS</option><option value='SLP'>SLP</option><option value='LUNA'>LUNA</option><option value='MCO2'>MCO2</option><option value='WCFG'>WCFG</option><option value='INJ'>INJ</option><option value='LPT'>LPT</option><option value='USDC'>USDC</option><option value='SHIB'>SHIB</option><option value='CUBE'>CUBE</option><option value='BOND'>BOND</option><option value='SUSHI'>SUSHI</option><option value='DOGE'>DOGE</option><option value='GALA'>GALA</option><option value='GRT'>GRT</option><option value='LRC'>LRC</option><option value='SAND'>SAND</option><option value='BTC'>BTC</option><option value='ETH'>ETH</option><option value='LTC'>LTC</option><option value='BCH'>BCH</option><option value='RARE'>RARE</option><option value='RAD'>RAD</option><option value='QNT'>QNT</option><option value='NMR'>NMR</option><option value='MASK'>MASK</option><option value='FET'>FET</option><option value='ASH'>ASH</option><option value='AUDIO'>AUDIO</option><option value='API3'>API3</option><option value='RNDR'>RNDR</option><option value='MC'>MC</option><option value='ENS'>ENS</option><option value='KP3R'>KP3R</option><option value='CVC'>CVC</option><option value='ELON'>ELON</option><option value='MIM'>MIM</option><option value='SPELL'>SPELL</option><option value='TOKE'>TOKE</option><option value='LDO'>LDO</option><option value='RLY'>RLY</option><option value='APE'>APE</option><option value='RBN'>RBN</option><option value='FXS'>FXS</option><option value='DPI'>DPI</option><option value='LQTY'>LQTY</option><option value='LUSD'>LUSD</option><option value='FRAX'>FRAX</option><option value='INDEX'>INDEX</option><option value='MPL'>MPL</option><option value='METIS'>METIS</option><option value='QRDO'>QRDO</option><option value='CHZ'>CHZ</option><option value='REVV'>REVV</option><option value='JAM'>JAM</option><option value='XTZ'>XTZ</option><option value='SOL'>SOL</option><option value='RAY'>RAY</option><option value='SBR'>SBR</option><option value='ZBC'>ZBC</option><option value='FIDA'>FIDA</option><option value='GMT'>GMT</option><option value='IMX'>IMX</option><option value='USDT'>USDT</option> </select>
</div> -->
</div>
</div>
</div>
</div>
</div>
<div class="asset_content vehicles_content" style="display: none;">
<div class="row">
<div class="col-12 text-center">
<p class="panel_text">Please complete the following information and your gift care representative will reach back out within one business day to help you complete your gift.</p>
</div>
<div class="col-12">
<div class="asset_fieldset vehicles_fieldset">
<div class="row g-3">
<div class="col-12 vehicles_type_wrap">
<select class="form-control vehicleType" id="vehicleType" name="vehicleType" data-type="nonCashVehicleSubmission_c">
<option></option>
<option value="car_truck">Car/Truck</option>
<option value="motorcycle_atv_rv">Motorcycle, ATV, RV</option>
<option value="boat">Boat</option>
<option value="vehicles_other">Other</option>
</select>
</div>
<div class="vehicles_fields car_truck_fields col-12 fade_y_overflow" style="display: none;">
<div class="row g-3">
<div class="col-6">
<input class="form-control" type="number" min="1900" step="1" name="car_TruckYear" data-type="nonCashVehicleSubmission_c" placeholder="Year" value="2024">
</div>
<div class="col-6">
<input class="form-control" type="text" name="car_TruckMake" data-type="nonCashVehicleSubmission_c" placeholder="Make">
</div>
<div class="col-6">
<input class="form-control" type="text" name="car_TruckModel" data-type="nonCashVehicleSubmission_c" placeholder="Model">
</div>
<div class="col-6">
<input class="form-control" type="text" name="car_TruckTrim" data-type="nonCashVehicleSubmission_c" placeholder="Trim">
</div>
<div class="col-6">
<input class="form-control" type="text" name="car_TruckColor" data-type="nonCashVehicleSubmission_c" placeholder="Color">
</div>
<div class="col-6">
<input class="form-control" type="text" name="car_TruckMileage" data-type="nonCashVehicleSubmission_c" placeholder="Mileage">
</div>
<div class="col-12">
<input class="form-control" type="text" name="car_truckCondition" data-type="nonCashVehicleSubmission_c" placeholder="Condition">
</div>
</div>
</div>
<div class="vehicles_fields motorcycle_atv_rv_fields col-12 fade_y_overflow" style="display: none;">
<div class="row g-3">
<div class="col-6">
<input class="form-control" type="number" min="1900" step="1" name="motorcycle_ATV_RVYear" data-type="nonCashVehicleSubmission_c" placeholder="Year" value="2024">
</div>
<div class="col-6">
<input class="form-control" type="text" name="motorcycle_ATV_RVMake" data-type="nonCashVehicleSubmission_c" placeholder="Make">
</div>
<div class="col-6">
<input class="form-control" type="text" name="motorcycle_ATV_RVModel" data-type="nonCashVehicleSubmission_c" placeholder="Model">
</div>
<div class="col-6">
<input class="form-control" type="text" name="motorcycle_ATV_RVCondition" data-type="nonCashVehicleSubmission_c" placeholder="Condition">
</div>
</div>
</div>
<div class="vehicles_fields boat_fields col-12 fade_y_overflow" style="display: none;">
<div class="row g-3">
<div class="col-6">
<input class="form-control" type="number" min="1900" step="1" name="boatYear" data-type="nonCashVehicleSubmission_c" placeholder="Year" value="2024">
</div>
<div class="col-6">
<input class="form-control" type="text" name="boatMake" data-type="nonCashVehicleSubmission_c" placeholder="Make">
</div>
<div class="col-6">
<input class="form-control" type="text" name="boatModel" data-type="nonCashVehicleSubmission_c" placeholder="Model">
</div>
<div class="col-6">
<input class="form-control" type="text" name="boatType" data-type="nonCashVehicleSubmission_c" placeholder="Type">
</div>
<div class="col-6">
<input class="form-control" type="text" name="boatColor" data-type="nonCashVehicleSubmission_c" placeholder="Color">
</div>
<div class="col-6">
<input class="form-control" type="text" name="boatHoursUsed" data-type="nonCashVehicleSubmission_c" placeholder="Hours Used">
</div>
<div class="col-6">
<input class="form-control" type="text" name="boatHullID" data-type="nonCashVehicleSubmission_c" placeholder="Hull ID">
</div>
<div class="col-6">
<input class="form-control" type="text" name="boatCondition" data-type="nonCashVehicleSubmission_c" placeholder="Condition">
</div>
<div class="col-12">
<textarea class="form-control w-100" name="boatDescription" data-type="nonCashVehicleSubmission_c" rows="3" placeholder="Description"></textarea>
</div>
</div>
</div>
<div class="vehicles_fields vehicles_other_fields col-12 fade_y_overflow" style="display: none;">
<div class="row g-3">
<div class="col-12">
<input class="form-control" type="text" name="vehicleOtherType" data-type="nonCashVehicleSubmission_c" placeholder="Type">
</div>
<div class="col-12">
<textarea class="form-control w-100" name="vehicleOtherDescription" data-type="nonCashVehicleSubmission_c" rows="3" placeholder="Description"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="asset_content real_estate_content" style="display: none;">
<div class="row">
<div class="col-12 text-center">
<p class="panel_text">Please complete the following information and your gift care representative will reach back out within one business day to help you complete your gift.</p>
</div>
<div class="col-12">
<div class="asset_fieldset real_estate_fieldset">
<div class="row g-3">
<div class="col-12">
<select class="form-control select2_no_placeholder realEstateType select2-hidden-accessible" id="realEstateType" name="realEstateType" data-type="nonCashGivingSubmission_c" data-select2-id="realEstateType" tabindex="-1"
aria-hidden="true">
<option value="residential" data-select2-id="12">Residential</option>
<option value="commercial">Commercial</option>
<option value="agricultural">Agricultural</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="11" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-realEstateType-container"><span class="select2-selection__rendered" id="select2-realEstateType-container" role="textbox"
aria-readonly="true" title="Residential">Residential</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span>
</div>
<div class="col-12">
<input class="form-control" type="text" name="realEstateAddress" data-type="nonCashGivingSubmission_c" placeholder="Address">
</div>
<div class="col-12">
<textarea class="form-control w-100" name="realEstateDescription" data-type="nonCashGivingSubmission_c" rows="3" placeholder="Description"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="asset_content mineral_rights_content" style="display: none;">
<div class="row">
<div class="col-12 text-center">
<p class="panel_text">Please complete the following information and your gift care representative will reach back out within one business day to help you complete your gift.</p>
</div>
<div class="col-12">
<div class="asset_fieldset mineral_rights_fieldset">
<div class="row g-3">
<div class="col-12">
<select class="form-control select2_no_placeholder mineralRightsType select2-hidden-accessible" id="mineralRightsType" name="mineralRightsType" data-type="nonCashGivingSubmission_c" data-select2-id="mineralRightsType"
tabindex="-1" aria-hidden="true">
<option value="Mineral Interest (MI)" data-select2-id="14">Mineral Interest (MI)</option>
<option value="Royalty Interest (RI)">Royalty Interest (RI)</option>
<option value="Overriding Royalty Interest (ORRI)">Overriding Royalty Interest (ORRI)</option>
<option value="Working Interest (WI)">Working Interest (WI)</option>
<option value="Non-operated Working Interest (Non-Op)">Non-operated Working Interest (Non-Op)</option>
<option value="Leasehold Interests">Leasehold Interests</option>
<option value="Net Proceeds Interest">Net Proceeds Interest</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="13" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-mineralRightsType-container"><span class="select2-selection__rendered" id="select2-mineralRightsType-container"
role="textbox" aria-readonly="true" title="Mineral Interest (MI)">Mineral Interest (MI)</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span
class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
<div class="col-md-6">
<select class="form-control select2_no_placeholder mineralRightsResource select2-hidden-accessible" id="mineralRightsResource" name="mineralRightsResource" data-type="nonCashGivingSubmission_c"
data-select2-id="mineralRightsResource" tabindex="-1" aria-hidden="true">
<option value="Oil" data-select2-id="16">Oil</option>
<option value="Gas">Gas</option>
<option value="Coal">Coal</option>
<option value="Metals">Metals</option>
<option value="Ores">Ores</option>
<option value="Mineable Rocks">Mineable Rocks</option>
<option value="Other">Other</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="15" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-mineralRightsResource-container"><span class="select2-selection__rendered" id="select2-mineralRightsResource-container"
role="textbox" aria-readonly="true" title="Oil">Oil</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span>
</div>
<div class="col-md-6">
<input class="form-control" type="text" name="mineralRightsLocation" data-type="nonCashGivingSubmission_c" placeholder="Location">
</div>
<div class="col-12">
<textarea class="form-control w-100" name="mineralRightsDescription" data-type="nonCashGivingSubmission_c" rows="3" placeholder="Description"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="asset_content timber_content" style="display: none;">
<div class="row">
<div class="col-12 text-center">
<p class="panel_text">Please complete the following information and your gift care representative will reach back out within one business day to help you complete your gift.</p>
</div>
<div class="col-12">
<div class="asset_fieldset timber_fieldset">
<div class="row g-3">
<div class="col-md-6">
<input class="form-control" type="text" name="timberQuantity" data-type="nonCashGivingSubmission_c" placeholder="Quantity">
</div>
<div class="col-md-6">
<input class="form-control" type="text" name="timberLocation" data-type="nonCashGivingSubmission_c" placeholder="Location">
</div>
<div class="col-12">
<textarea class="form-control w-100" name="timberDescription" data-type="nonCashGivingSubmission_c" rows="3" placeholder="Description"></textarea>
</div>
<div class="col-12">
<textarea class="form-control w-100" name="timberAdditionalInformation" data-type="nonCashGivingSubmission_c" rows="3" placeholder="Additional Information"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="asset_content livestock_content" style="display: none;">
<div class="row">
<div class="col-12 text-center">
<p class="panel_text">Please complete the following information and your gift care representative will reach back out within one business day to help you complete your gift.</p>
</div>
<div class="col-12">
<div class="asset_fieldset livestock_fieldset">
<div class="row g-3">
<div class="col-md-6">
<input class="form-control" type="text" name="livestockQuantity" data-type="nonCashGivingSubmission_c" placeholder="Quantity">
</div>
<div class="col-md-6">
<input class="form-control" type="text" name="livestockLocation" data-type="nonCashGivingSubmission_c" placeholder="Location">
</div>
<div class="col-12">
<textarea class="form-control w-100" name="livestockDescription" data-type="nonCashGivingSubmission_c" rows="3" placeholder="Description"></textarea>
</div>
<div class="col-12">
<textarea class="form-control w-100" name="livestockAdditionalInformation" data-type="nonCashGivingSubmission_c" rows="3" placeholder="Additional Information"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="asset_content crops_content" style="display: none;">
<div class="row">
<div class="col-12 text-center">
<p class="panel_text">Please complete the following information and your gift care representative will reach back out within one business day to help you complete your gift.</p>
</div>
<div class="col-12">
<div class="asset_fieldset crops_fieldset">
<div class="row g-3">
<div class="col-md-6">
<input class="form-control" type="text" name="cropsQuantity" data-type="nonCashGivingSubmission_c" placeholder="Quantity">
</div>
<div class="col-md-6">
<input class="form-control" type="text" name="cropsLocation" data-type="nonCashGivingSubmission_c" placeholder="Location">
</div>
<div class="col-12">
<textarea class="form-control w-100" name="cropsDescription" data-type="nonCashGivingSubmission_c" rows="3" placeholder="Description"></textarea>
</div>
<div class="col-12">
<textarea class="form-control w-100" name="cropsAdditionalInformation" data-type="nonCashGivingSubmission_c" rows="3" placeholder="Additional Information"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="asset_content collectibles_content" style="display: none;">
<div class="row">
<div class="col-12 text-center">
<p class="panel_text">Please complete the following information and your gift care representative will reach back out within one business day to help you complete your gift.</p>
</div>
<div class="col-12">
<div class="asset_fieldset collectibles_fieldset">
<div class="row g-3">
<div class="col-md-6">
<input class="form-control" type="text" name="collectiblesQuantity" data-type="nonCashGivingSubmission_c" placeholder="Quantity">
</div>
<div class="col-md-6">
<input class="form-control" type="text" name="collectiblesLocation" data-type="nonCashGivingSubmission_c" placeholder="Location">
</div>
<div class="col-12">
<textarea class="form-control w-100" name="collectiblesDescription" data-type="nonCashGivingSubmission_c" rows="3" placeholder="Description"></textarea>
</div>
<div class="col-12">
<textarea class="form-control w-100" name="collectiblesAdditionalInformation" data-type="nonCashGivingSubmission_c" rows="3" placeholder="Additional Information"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="asset_content precious_metals_content" style="display: none;">
<div class="row">
<div class="col-12 text-center">
<p class="panel_text">Please complete the following information and your gift care representative will reach back out within one business day to help you complete your gift.</p>
</div>
<div class="col-12">
<div class="asset_fieldset precious_metals_fieldset">
<div class="row g-3">
<div class="col-6">
<input class="form-control" type="text" name="preciousMetalsType" data-type="nonCashGivingSubmission_c" placeholder="Type">
</div>
<div class="col-6">
<input class="form-control" type="text" name="preciousMetalsQuanity" data-type="nonCashGivingSubmission_c" placeholder="Quantity">
</div>
<div class="col-12">
<textarea class="form-control w-100" name="preciousMetalsAdditionalInformation" data-type="nonCashGivingSubmission_c" rows="3" placeholder="Additional Information"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="asset_content jewelry_content" style="display: none;">
<div class="row">
<div class="col-12 text-center">
<p class="panel_text">Please complete the following information and your gift care representative will reach back out within one business day to help you complete your gift.</p>
</div>
<div class="col-12">
<div class="asset_fieldset jewelry_fieldset">
<div class="row g-3">
<div class="col-md-6">
<input class="form-control" type="text" name="jewelryType" data-type="nonCashGivingSubmission_c" placeholder="Type">
</div>
<div class="col-md-6">
<input class="form-control" type="text" name="jewelryLocation" data-type="nonCashGivingSubmission_c" placeholder="Location">
</div>
<div class="col-12">
<textarea class="form-control w-100" name="jewelryDescription" data-type="nonCashGivingSubmission_c" rows="3" placeholder="Description"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="asset_content fine_china_content" style="display: none;">
<div class="row">
<div class="col-12 text-center">
<p class="panel_text">Please complete the following information and your gift care representative will reach back out within one business day to help you complete your gift.</p>
</div>
<div class="col-12">
<div class="asset_fieldset fine_china_fieldset">
<div class="row g-3">
<div class="col-md-6">
<input class="form-control" type="text" name="fineChinaType" data-type="nonCashGivingSubmission_c" placeholder="Type">
</div>
<div class="col-md-6">
<input class="form-control" type="text" name="fineChinaLocation" data-type="nonCashGivingSubmission_c" placeholder="Location">
</div>
<div class="col-12">
<textarea class="form-control w-100" name="fineChinaDescription" data-type="nonCashGivingSubmission_c" rows="3" placeholder="Description"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="asset_content furniture_content" style="display: none;">
<div class="row">
<div class="col-12 text-center">
<p class="panel_text">Please complete the following information and your gift care representative will reach back out within one business day to help you complete your gift.</p>
</div>
<div class="col-12">
<div class="asset_fieldset furniture_fieldset">
<div class="row g-3">
<div class="col-md-6">
<input class="form-control" type="text" name="furnitureType" data-type="nonCashGivingSubmission_c" placeholder="Type">
</div>
<div class="col-md-6">
<input class="form-control" type="text" name="furnitureLocation" data-type="nonCashGivingSubmission_c" placeholder="Location">
</div>
<div class="col-12">
<textarea class="form-control w-100" name="furnitureDescription" data-type="nonCashGivingSubmission_c" rows="3" placeholder="Description"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row pb-3">
<div class="col-12">
<div class="btn_nav_wrap">
<a href="#" class="non_cash_back" title="Back">Back</a>
<button class="btn btn-gradient non_cash_form_btn_next" type="button" title="Next Step">Next Step</button>
<button class="btn btn-gradient crypto_btn_next" type="button" title="Next Step" style="display:none;">Next Step</button>
</div>
</div>
</div>
</div>
</div>
<!-- request submit panel -->
<div class="give_form_panel panel_non_cash non_cash_submit_panel" style="display:none;">
<div class="give_form_content">
<div class="row text-center">
<div class="col-12">
<p class="panel_text">This form will notify your gift care representative of your gift so they can reach back out to complete your gift the following business day. For further questions please email
<a href="mailto:generosity@imb.org" target="_blank">generosity@imb.org</a> or call <a href="tel:18043530151" target="_blank">(804) 353-0151</a>. </p>
</div>
</div>
<div class="gift_request_fieldset fade_y_overflow">
<div class="row g-3 gift_request_inputs_row">
<div class="gift_destination_position"></div>
<div class="col-12 first_name_wrap">
<input type="text" class="form-control" name="firstName" data-type="leads" placeholder="First Name:*" required="">
<div class="invalid-feedback">Please add a First Name</div>
</div>
<div class="col-12 last_name_wrap">
<input type="text" class="form-control" name="lastName" data-type="leads" placeholder="Last Name:*" required="">
<div class="invalid-feedback">Please add a Last Name</div>
</div>
<div class="col-12 request_email_wrap">
<input class="form-control" maxlength="80" name="email" data-type="leads" size="20" type="text" placeholder="Email:*" required="" autocomplete="email">
<div class="invalid-feedback">Please enter a valid email</div>
</div>
<div class="col-12 request_email_wrap">
<input class="form-control" maxlength="80" name="phone" data-type="leads" size="20" type="text" placeholder="Phone:" autocomplete="tel">
<div class="invalid-feedback">Please enter a valid phone number</div>
</div>
<div class="col-12 request_zipcode_wrap">
<input class="form-control" name="postalCode" type="text" data-type="leads" placeholder="Zipcode:" autocomplete="postal-code">
</div>
<div class="col-12 request_comments_wrap">
<textarea class="form-control w-100" name="requestsComments" data-type="leads" rows="5" placeholder="Comments:"></textarea>
</div>
</div>
</div>
<div class="row pb-3">
<div class="col-12">
<div class="btn_nav_wrap text-center">
<a href="#" class="non_cash_assets_back" title="Back">Back</a>
<button class="btn btn-gradient non_cash_form_btn_submit" type="button" title="Submit">Submit</button>
</div>
</div>
</div>
</div>
</div>
<!-- crypto request submit panel -->
<div class="give_form_panel panel_non_cash crypto_submit_panel" style="display:none;">
<div class="give_form_content">
<div class="row text-center">
<div class="col-12">
<p class="panel_text">This form will notify your gift care representative of your gift so they can reach back out to complete your gift the following business day. For further questions please email
<a href="mailto:generosity@imb.org" target="_blank">generosity@imb.org</a> or call <a href="tel:18043530151" target="_blank">(804) 353-0151</a>. </p>
</div>
</div>
<div class="crypto_request_fieldset fade_y_overflow">
<div class="row g-3 crypto_request_inputs_row">
<div class="col-12 crypto_first_name_wrap">
<input type="text" class="form-control" name="crypto_request_first_name" placeholder="First Name:*" required="">
<div class="invalid-feedback">Please add a First Name</div>
</div>
<div class="col-12 crypto_last_name_wrap">
<input type="text" class="form-control" name="crypto_request_last_name" placeholder="Last Name:*" required="">
<div class="invalid-feedback">Please add a Last Name</div>
</div>
<div class="col-12 crypto_email_wrap">
<input class="form-control" maxlength="80" name="crypto_request_email" size="20" type="text" placeholder="Email:*" required="" autocomplete="email">
<div class="invalid-feedback">Please enter a valid email</div>
</div>
<div class="col-12 crypto_email_wrap">
<input class="form-control" maxlength="80" name="crypto_request_phone" size="20" type="text" placeholder="Phone:" autocomplete="tel">
<div class="invalid-feedback">Please enter a valid phone number</div>
</div>
<div class="col-12 crypto_address_wrap">
<input class="mailing_address" name="crypto_mailing_address" type="text" autocomplete="street-address" value="" placeholder="Address:*" required="">
<div class="invalid-feedback">Please enter a valid address</div>
</div>
<div class="col-12 crypto_mailing_city_wrap">
<input class="mailing_city" name="crypto_mailing_city" type="text" autocomplete="address-level2" value="" placeholder="City:*" required="">
<div class="invalid-feedback">Please enter a valid city</div>
</div>
<div class="col-12 crypto_state_wrap">
<div class="crypto_us_states_wrap">
<script type="text/javascript">
jQuery(document).ready(function($) {
var $ctrl = $("#state_672249e7ac002");
$ctrl.val('');
if ($ctrl.val() == null) {
$opt = $ctrl.find('option:contains("")').filter(function() {
return $(this).text() === '';
}).val();
$ctrl.val($opt);
}
});
</script>
<select id="state_672249e7ac002" class="us_states states selected select2_with_search select2-hidden-accessible" name="state" type="text" autocomplete="address-level1" data-warning="Please select a valid state" required=""
data-select2-id="state_672249e7ac002" tabindex="-1" aria-hidden="true">
<option value="" data-select2-id="30">State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District Of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">Armed Forces (AA)</option>
<option value="AE">Armed Forces (AE)</option>
<option value="AP">Armed Forces (AP)</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="29" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-state_672249e7ac002-container"><span class="select2-selection__rendered" id="select2-state_672249e7ac002-container"
role="textbox" aria-readonly="true" title="State">State</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span>
<div class="invalid-feedback">Please select a valid state</div>
</div>
<div class="crypto_ca_states_wrap" style="display: none;">
<script type="text/javascript">
jQuery(document).ready(function($) {
var $ctrl = $("#province_672249e7ac014");
$ctrl.val('');
if ($ctrl.val() == null) {
$opt = $ctrl.find('option:contains("")').filter(function() {
return $(this).text() === '';
}).val();
$ctrl.val($opt);
}
});
</script>
<select id="province_672249e7ac014" class="ca_states states not_required select2_with_search select2-hidden-accessible" name="ca_state" type="text" autocomplete="address-level1" required="" data-select2-id="province_672249e7ac014"
tabindex="-1" aria-hidden="true">
<option value="" data-select2-id="32">Province</option>
<option value="AB">Alberta</option>
<option value="BC">British Columbia</option>
<option value="MB">Manitoba</option>
<option value="NB">New Brunswick</option>
<option value="NL">Newfoundland and Labrador</option>
<option value="NT">Northwest Territories</option>
<option value="NS">Nova Scotia</option>
<option value="NU">Nunavut</option>
<option value="ON">Ontario</option>
<option value="PE">Prince Edward Island</option>
<option value="QC">Quebec</option>
<option value="SK">Saskatchewan</option>
<option value="YT">Yukon</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="31" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-province_672249e7ac014-container"><span class="select2-selection__rendered" id="select2-province_672249e7ac014-container"
role="textbox" aria-readonly="true" title="Province">Province</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span>
<div class="invalid-feedback">Please select a valid province</div>
</div>
<input style="display:none;" class="crypto_state_input crypto_states not_required" name="crypto_state" type="text" autocomplete="address-level1" value="" required="">
<div class="invalid-feedback"> Please enter a valid state </div>
</div>
<div class="col-12 crypto_country_wrap">
<script type="text/javascript">
jQuery(document).ready(function($) {
var $ctrl = $("#country_672249e7ac022");
$ctrl.val('US');
if ($ctrl.val() == null) {
$opt = $ctrl.find('option:contains("US")').filter(function() {
return $(this).text() === 'US';
}).val();
$ctrl.val($opt);
}
});
</script>
<select id="country_672249e7ac022" class="select2_with_search country select2-hidden-accessible" name="country" autocomplete="country" required="" data-select2-id="country_672249e7ac022" tabindex="-1" aria-hidden="true">
<option value=""></option>
<option value="US" selected="" data-select2-id="34">United States</option>
<option value="CA">Canada</option>
<option disabled="" value="x">———————-</option>
<option value="AF">Afghanistan</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="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</option>
<option value="BA">Bosnia and Herzegowina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo, the Democratic Republic of the</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Cote d’Ivoire</option>
<option value="HR">Croatia (Hrvatska)</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="TP">East Timor</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard and Mc Donald Islands</option>
<option value="VA">Holy See (Vatican City State)</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KR">Korea, Republic of</option>
<option value="KV">Kosovo</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">Libyan Arab Jamahiriya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macau</option>
<option value="MK">Macedonia, The Former Yugoslav Republic of</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia, Federated States of</option>
<option value="MD">Moldova, Republic of</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestinian Territories</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</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="SK">Slovakia (Slovak Republic)</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="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SH">St. Helena</option>
<option value="PM">St. Pierre and Miquelon</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen Islands</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</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="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="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</option>
<option value="VN">Viet Nam</option>
<option value="VG">Virgin Islands (British)</option>
<option value="VI">Virgin Islands (U.S.)</option>
<option value="WF">Wallis and Futuna Islands</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" data-select2-id="33" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-country_672249e7ac022-container"><span class="select2-selection__rendered" id="select2-country_672249e7ac022-container"
role="textbox" aria-readonly="true" 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>
<div class="invalid-feedback">Please select a valid country</div>
</div>
<div class="col-12 request_zipcode_wrap">
<input class="form-control" name="crypto_request_zipcode" type="text" placeholder="Zipcode:" autocomplete="postal-code">
</div>
</div>
</div>
<div class="row pb-3">
<div class="col-12">
<div class="btn_nav_wrap text-center">
<a href="#" class="non_cash_assets_back" title="Back">Back</a>
<button class="btn btn-gradient crypto_form_btn_submit" type="button" title="Submit">Submit</button>
</div>
</div>
</div>
</div>
</div>
<!-- thank you panel -->
<div class="give_form_panel panel_non_cash thankyou_panel" style="display:none;">
<div class="give_form_content d-flex justify-content-center align-items-center">
<div class="row text-center">
<div class="col-12">
<h5>Thank you for your generosity!</h5>
</div>
<div class="col-12">
<p class="panel_text">Your gift care representative will reach out to you within one business day to help you complete your gift. For further questions please email
<a href="mailto:generosity@imb.org" target="_blank">generosity@imb.org</a> or call <a href="tel:18043530151" target="_blank">(804) 353-0151</a>.</p>
</div>
<div class="col-12 crypto_qr">
<p class="panel_text">To complete your gift now, use the QR code below to facilitate the financial transaction.</p>
<img decoding="async" src="" id="imgCryptoQR">
</div>
</div>
</div>
</div>
</div>
</form>Text Content
YOU CAN HELP US SEND MORE MISSIONARIES WITH YOUR MONTHLY GIFT TODAY Missionaries everywhere are being called to serve, bringing hope, love, and the transformative message of the gospel to the lost. However, our ability to fulfill this calling depends on reliable and steady support provided through the Lottie Moon Christmas Offering. As we strive to bring Christ’s love to those who are lost, we rely on the partnership and generosity of gospel-focused individuals like you. You can certainly understand the importance of reliability in sustaining the work of missionaries. Steadfast presence allows them to focus wholeheartedly on their mission: reaching the lost, discipling new believers, and meeting the pressing needs of the communities they serve. That’s why we are inviting you to help us send more missionaries to share Christ’s love with the lost by making your monthly gift. Your monthly gift is not just financial support! It gives encouragement to missionaries who work faithfully in challenging circumstances. Knowing they have dependable partners like you strengthens them through difficult times and brings them comfort. Your ongoing monthly commitment reminds them they are not alone in their calling. When you make your monthly gift, you ensure you can make a long-term impact, bring consistent support to missionaries 365 days a year, and you can budget your giving as each contribution grows into a sizable impact over time. You can help missionaries thrive and be ready to share with the next person they find who needs Jesus. Additionally, 100% of your monthly gift directly provides help and hope to those who need it most. To help you understand the impact, a gift of this amount will: * $5 buys 1 SD card for evangelism in Central Asia * $20 buys 1 Jesus Storybook Bible in German * $50 covers one month’s rent in rural Brazil * $75 buys food for 5 hungry children in war-torn Yemen And that’s all just for one month’s contribution! Our goal is to secure 150 monthly givers in the first month of our fiscal year, that is by October 31st. Would you become a member of the Seven Nine Community by making your monthly gift today through the secure form below? Thank you for your generosity and commitment to the mission of IMB. Together, we can solve the world’s greatest problem: lostness. Choose an amount to give You are giving [amount] [designation] You are giving [amount] [designation] INFO PAYMENT Monthly One-Time $25 $50 $100 $250 $5 $20 $50 $75 Please choose a monthly amount of $5 or greater. Please choose an amount of $5 or greater. Where do you want your gift to go? Most NeededLottie Moon Christmas Offering®Specific ProjectMissionary or Team Lottie Moon Christmas Offering® Please Select a Valid Gift Destination Project Name Innovation to Catalyze Great Commission Ministry Sign Roots Bible Translation Project Japanese Peoples: VBS 2024 Bible Stories to Reach Sub-Saharan Africa Holy Land Crisis Response Mental Health Resources and Training – Europe South Asian Urban Digital Engagement NextGen Mobilization Project BELIEVE Reaching 3000 Unengaged Unreached People Groups Project Northern Lights Lighthouse in the Darkness of South Asia Lead Global Training Center Indigenous Ministry in Jaqué by Boat French Gospel Video Project Ukrainian Sign Language Bible Translation Ukrainian Gospel Response Uganda Baptist Seminary Kingdom Church Network Equip the Saints: Personnel Development for APAC Bible Stories to Reach West Africa Jewish Evangelism and Discipleship Bringing Hope and Healing to a Red-Light District Bangkla Baptist Clinic Medical Evangelism Ministry Central Asia Crisis Response Raise Up Disciples to Change the World Oral Bible Translation for a Minority People General Disaster Relief Myanmar Crisis Response Helping a Mother have a Safe Delivery Discipleship Training for Oral Peoples Community Center Ministry Training NAME National Leaders George Liele Scholarship Gospel Media Project Sharing the Gospel with Thais using Facebook Share the Gospel with 1 Billion-Plus Lost Thailand Church Planting Internship Trauma Healing for Refugees Reach Unengaged Peoples Across Sub-Saharan Africa A Safe Place in Troubling Times Rescue the Perishing Human Needs Ministry Eternal Peace Primary Care Clinic Pregnancy Centers of Thailand Sending Global Missionary Partners Strengthening Church Movements StoryOne Sign Language Scripture for Thailand Reach Macedonia: Every City, Town and Village Ministry Center Sharing Hope in Birmingham Bible Stories for the Unreached of Northern Africa Empower: Austria Church Planter Training Missionary Education – Gospel Training in Europe Strategic International Prayer Center Reproducing Disciples among Sino-Mongolian Peoples God’s Word Heard in Western South Asia Afar Media Outreach Project Finishing The Task Empowering Theological Education Maximizing Gospel Sharing in North Asia Every Person, Every Village Sending South Asians to the Unreached Advanced Level Security Training Asian Pacific Rim Health Care Ministries The Oasis Project Macedonian Project Farsi (Persian) Scripture Distribution Central Asia Bible and Literature Fund Social Media as a Gospel Tool First Full Bible for an Unreached Group South Asians Take Gospel to Least Reached Global Cities Emphasis Equipping Indigenous Church Leaders Venezuela Crisis Response Strengthening Theological Education Partnerships for Sending Latin Americans Business Initiators Pushing Back Darkness Among Unengaged Peoples StoryOne Sign Language Scripture Project Engaging Migrants in Mexico and Central America Planting FAITH among Asia Pacific Rim Peoples Gospel Push to South Asian Villages Theological Training Materials Training South Asians to Plant Churches Disciple-Maker Training Global Cross – Bible Distribution Project North Caucasus Bible Translation Projects Engaging the Islands of South Asia Central Asia Sod-Grass Farm Mobilizing the Nations to Reach Central Asians Story Together Bible Stories in Arabic Languages Bible Fund for Asian Pacific Rim Counseling & Healthy Church Resources Empowering Tribals to Reach Tribals Missionary Kid Education & Spiritual Growth Asian Pacific Rim Muslim Media Project New Year Evangelism Outreach Missionary Care and Renewal Reaching Bangkok – Engaging an Urban Megacity Sign Roots Bible Translation Template Gutenberg II Advancing the Gospel by Creative Digital Means Church Planter Training for South Asians Nehemiah Teams: Student Missionary Training Engaging Unreached Peoples in the Philippines Theological Education for Sub-Saharan Africa Sub-Saharan Africa Orphans Help Fund Theological Training for Pastors in Finland DUMPLING: Asian Missionary Sending Initiative Digital Missions Europe A Source of Clean Water Mobilizing the Angola Church to Tell His Story People of Promise Student Center Persian Refugee Discipleship & Education Business for Missions: Gospel Access Turkish Community Center Outreach Refugee Outreach & Discipleship Dr. Naylor Preach & Heal through Medicine Fund Child Soldier Rescue Homes and Hope for Distressed Families God’s Word for the Nations House of Hope Leadership Development in Restricted Access Areas Sending Local Missionaries Hope for South Asian Slums Cubans to the Nations France Church Planting Training Center Preschool Breaks Down Walls Syrian Crisis Response Yemen Crisis Response Church Planting in Madrid and Beyond Iraq Crisis Response Growing Kigoma Baptist Hospital Planting Churches from City to Village Cultural Exchange Center Business Serving Mission Central Asia Outreach, Evangelism and Training J-Town Gospel Push Training Center for National Laborers Looking for Lydia: Women Reaching Women Korean International Missions (KIMCHI) London – Global Training God’s Truth for Bible-less Peoples Schools for Syrian Refugee Children Prophets’ Story for Unreached Peoples Global Hunger Relief Equipping Disciples to Make Disciples Please Choose a Project Please select a project Missionary Name or Team Please enter a valid missionary name Affinity or Country Please enter a valid affinity Your $10.00 monthly gift provides five New Testaments in a local language. Your $30.00 monthly gift provides eyeglasses and vision screenings for 30 school children and senior citizens in rural East Asian villages. Your $75.00 monthly gift provides three months of pre- and post-natal care for a woman in Southeast Asia. Your $100.00 monthly gift provides clean drinking water for a year. Your $200.00 monthly gift helps establish a new life for women rescued from trafficking and slavery. Your gift of any amount makes an impact. Your $10.00 one-time gift provides five New Testaments in a local language. Your $30.00 one-time gift provides eyeglasses and vision screenings for 30 school children and senior citizens in rural East Asian villages. Your $75.00 one-time gift provides three months of pre- and post-natal care for a woman in Southeast Asia. Your $100.00 one-time gift provides clean drinking water for a year. Your $200.00 one-time gift helps establish a new life for women rescued from trafficking and slavery. Your gift of any amount makes an impact. 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I want my employer to match my gift. Employer Name Please enter a valid employer name I want to give in honor of someone. Select An Occasion Memorial Honor a Missionary Anniversary Birth Birthday Christmas Engagement Father’s Day Graduation Mother’s Day Wedding Other Please Choose One Please select an occasion Honoree First Name Please enter a name Honoree Last Name Please enter a name Honoree Missionary Affinity Location Deaf Peoples American Peoples Central Asian Peoples Asian Pacific Rim Peoples North African and Middle Eastern Peoples European Peoples South Asian Peoples Sub-Saharan African Peoples Please Choose One Please select a Missionary Affinity Location I want to notify someone about my gift. edit The missionary will receive notification of your gift. I want to anonymously celebrate this gift with my church. Church Name Search for your church Only Southern Baptist churches may be notified at this time. Please enter valid church name Back Give Monthly THANK YOU FOR YOUR GIFT! Multiply your impact by letting others know about this great opportunity to make much of Christ. Copy and share the Lottie Moon Christmas Offering link below… Or share it through social media… Bank Drafts Asset Giving Stocks Gift Thank you For Your Gift Request Non-Cash Giving Requests SEND A CHECK Checks may be made payable to “IMB” and mailed to the address below. If you would like any specific designations, including gifts made in honor or memory please provide a note. Gifts are credited in the year they are received unless they are postmarked by the USPS. IMB 3806 MONUMENT AVE. RICHMOND, VA 23230 For direct drafts or wiring information, please email info@imb.org or call (804) 353-0151. Generous giving is not limited to writing a check. You can benefit the kingdom in many ways you may never have considered. Turn your tangible goods such as real estate, cars, boats, jewelry, commodities, mineral rights, and more into gospel impact while realizing potential tax benefits. If you have questions about giving assets, please email generosity@imb.org or call (804) 219-1518. OTHER WAYS TO GIVE Did you know you can turn your property into mission impact? Take a look at other ways to give. Did you know we accept assets as gifts? Take a look at other ways to give. Stocks Cryptocurrency Vehicles Real Estate Mineral Rights Timber Livestock Crops Collectibles Precious Metals Jewelry Fine China Furniture Choose An Asset Back To maximize your gift, professional tax advisors recommend gifting stock held greater than one year. If you proceed in gifting publicly traded securities you will automatically receive a Letter of Authority/Transfer Certificate for your broker. 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