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Submission: On May 10 via api from CH — Scanned from DE
Submission: On May 10 via api from CH — Scanned from DE
Form analysis 1 forms found in the DOM
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<form action="" method="post" class="dp "><input name="dp_processing" id="dp_processing" type="hidden" value="CreditCard">
<h1 style="text-align: center; font-size: 24px;">Make creative learning possible for millions of children around the world.</h1>
<br>
<p>
<span style="font-weight: 400;">Now more than ever, kids are looking for creative ways to learn, while they connect and engage with each other. With the rise of remote and hybrid schooling in the past year, the Scratch community has grown at an
unprecedented rate. Your gift will help maintain our growing community, and keeps Scratch open, safe, and available to everyone. We can’t </span><strong>thank you</strong><span style="font-weight: 400;"> enough.</span>
</p>
<p style="padding-left: 30px;">
<em><span style="font-weight: 400;">Scratch is the world’s largest coding community for children. In 2020, almost 30 million kids created their own interactive stories, games, and animations with Scratch. In the process, children are learning to
think creatively, reason systematically, and work collaboratively — essential skills for everyone in today’s society. Scratch is translated into more than 60 languages and used in every country around the world. <br>
</span></em>
</p>
<p>
<span style="font-weight: 800; font-size: 25px;">Make a gift today and help us keep our technologies and learning resources free, open, safe, and available to everyone</span>
</p>
<p>
<span style="font-weight: 400;"> Scratch now accepts cryptocurrency donations. Visit our <a href="https://www.scratchfoundation.org/donate-cryptocurrency">Donate Cryptocurrency</a> page to make a tax-deductible contribution. </span>
</p>
<!-- <h1 style="text-align: center;">Help Scratch Support Kids Around the
World</h1>
<p dir="auto">There are more than 30 million children around the world
who create, share and connect with Scratch. Since 2020, the Scratch
online community has experienced unprecedented growth due to school
closings and disruption in the lives of many young people.</p>
<p dir="auto">Please help us meet this demand and continue to offer
creative learning resources for educators and a safe space for children
from around the world to connect and learn.</p>
<p dir="auto">
<strong>A gift of $50 will make a significant impact.</strong>
</p>
-->
<fieldset class="donation">
<legend>Gift Amount and Frequency:</legend>
<br>
<div class="clear"></div>
<input name="dp_radiobutton_combo_name" id="dp_radiobutton_combo_name" type="hidden" value="+7HWKsYQe9jIYhNdjmp3vg==YKCO8B8YfXnTy5UvBh6KPg==">
<div class="dp-radiobuttons inline radiobutton_combo amount_TransactionAmount">
<label for="_TransactionAmount[Donation_TransactionAmount]" class="radiogroup inline radiobutton_combo amount_TransactionAmount _transactionamountdonation_transactionamount">One time:</label>
<div class="radiogroup inline radiobutton_combo amount_TransactionAmount"><span class="cont inline radiobutton_combo amount_TransactionAmount o_25 _transactionamountdonation_transactionamount"><input type="radio" name="radiobutton_combo"
value="o_25" class="inline radiobutton_combo amount_TransactionAmount o_25 _transactionamountdonation_transactionamount" id="inline radiobutton_combo amount_TransactionAmount o_25 _transactionamountdonation_transactionamount"><label
for="inline radiobutton_combo amount_TransactionAmount o_25 _transactionamountdonation_transactionamount"
class="radio inline radiobutton_combo amount_TransactionAmount o_25 _transactionamountdonation_transactionamount rb inlineradiobutton_comboamount_transactionamounto_25_transactionamountdonation_transactionamount">$25</label>
</span><span class="cont inline radiobutton_combo amount_TransactionAmount o_100 _transactionamountdonation_transactionamount"><input type="radio" name="radiobutton_combo" value="o_100"
class="inline radiobutton_combo amount_TransactionAmount o_100 _transactionamountdonation_transactionamount" id="inline radiobutton_combo amount_TransactionAmount o_100 _transactionamountdonation_transactionamount"><label
for="inline radiobutton_combo amount_TransactionAmount o_100 _transactionamountdonation_transactionamount"
class="radio inline radiobutton_combo amount_TransactionAmount o_100 _transactionamountdonation_transactionamount rb inlineradiobutton_comboamount_transactionamounto_100_transactionamountdonation_transactionamount">$100</label>
</span><span class="cont inline radiobutton_combo amount_TransactionAmount o_250 _transactionamountdonation_transactionamount"><input type="radio" name="radiobutton_combo" value="o_250"
class="inline radiobutton_combo amount_TransactionAmount o_250 _transactionamountdonation_transactionamount" id="inline radiobutton_combo amount_TransactionAmount o_250 _transactionamountdonation_transactionamount"><label
for="inline radiobutton_combo amount_TransactionAmount o_250 _transactionamountdonation_transactionamount"
class="radio inline radiobutton_combo amount_TransactionAmount o_250 _transactionamountdonation_transactionamount rb inlineradiobutton_comboamount_transactionamounto_250_transactionamountdonation_transactionamount">$250</label>
</span><span class="cont inline radiobutton_combo amount_TransactionAmount o_500 _transactionamountdonation_transactionamount"><input type="radio" name="radiobutton_combo" value="o_500"
class="inline radiobutton_combo amount_TransactionAmount o_500 _transactionamountdonation_transactionamount" id="inline radiobutton_combo amount_TransactionAmount o_500 _transactionamountdonation_transactionamount"><label
for="inline radiobutton_combo amount_TransactionAmount o_500 _transactionamountdonation_transactionamount"
class="radio inline radiobutton_combo amount_TransactionAmount o_500 _transactionamountdonation_transactionamount rb inlineradiobutton_comboamount_transactionamounto_500_transactionamountdonation_transactionamount">$500</label>
</span><span class="cont inline radiobutton_combo amount_TransactionAmount o_1000 _transactionamountdonation_transactionamount"><input type="radio" name="radiobutton_combo" value="o_1000"
class="inline radiobutton_combo amount_TransactionAmount o_1000 _transactionamountdonation_transactionamount" id="inline radiobutton_combo amount_TransactionAmount o_1000 _transactionamountdonation_transactionamount"><label
for="inline radiobutton_combo amount_TransactionAmount o_1000 _transactionamountdonation_transactionamount"
class="radio inline radiobutton_combo amount_TransactionAmount o_1000 _transactionamountdonation_transactionamount rb inlineradiobutton_comboamount_transactionamounto_1000_transactionamountdonation_transactionamount">$1,000</label>
</span><span class="cont inline radiobutton_combo amount_TransactionAmount o_other _transactionamountdonation_transactionamount"><input type="radio" name="radiobutton_combo" value="o_other"
class="inline radiobutton_combo amount_TransactionAmount o_other _transactionamountdonation_transactionamount" id="inline radiobutton_combo amount_TransactionAmount o_other _transactionamountdonation_transactionamount"><label
for="inline radiobutton_combo amount_TransactionAmount o_other _transactionamountdonation_transactionamount"
class="radio inline radiobutton_combo amount_TransactionAmount o_other _transactionamountdonation_transactionamount rb inlineradiobutton_comboamount_transactionamounto_other_transactionamountdonation_transactionamount"><input
name="o_radiobutton_combo_other" id="_TransactionAmount[Donation_TransactionAmount_other]" type="text" value="Other"
class="inline radiobutton_combo amount_TransactionAmount short dp_other_amount _TransactionAmount[Donation_TransactionAmount] _transactionamountdonation_transactionamount_other disabled" placeholder="" autocomplete="off" tabindex="-1">
<script type="text/javascript">
jQuery(document).ready(function($) {
other_init($("#_TransactionAmount\\[Donation_TransactionAmount_other\\]"), "_TransactionAmountDonation_TransactionAmount");
});
</script>
</label>
</span> </div>
</div>
<div class="clear"></div>
<div class="dp-radiobuttons inline radiobutton_combo amount_RecurringAmount">
<label for="_RecurringAmount[Donation_RecurringAmount]" class="radiogroup inline radiobutton_combo amount_RecurringAmount _recurringamountdonation_recurringamount">Monthly:</label>
<div class="radiogroup inline radiobutton_combo amount_RecurringAmount"><span class="cont inline radiobutton_combo amount_RecurringAmount r_25 _recurringamountdonation_recurringamount"><input type="radio" name="radiobutton_combo" value="r_25"
class="inline radiobutton_combo amount_RecurringAmount r_25 _recurringamountdonation_recurringamount" id="inline radiobutton_combo amount_RecurringAmount r_25 _recurringamountdonation_recurringamount"><label
for="inline radiobutton_combo amount_RecurringAmount r_25 _recurringamountdonation_recurringamount"
class="radio inline radiobutton_combo amount_RecurringAmount r_25 _recurringamountdonation_recurringamount rb inlineradiobutton_comboamount_recurringamountr_25_recurringamountdonation_recurringamount">$25</label>
</span><span class="cont inline radiobutton_combo amount_RecurringAmount r_50 _recurringamountdonation_recurringamount"><input type="radio" name="radiobutton_combo" value="r_50"
class="inline radiobutton_combo amount_RecurringAmount r_50 _recurringamountdonation_recurringamount" id="inline radiobutton_combo amount_RecurringAmount r_50 _recurringamountdonation_recurringamount"><label
for="inline radiobutton_combo amount_RecurringAmount r_50 _recurringamountdonation_recurringamount"
class="radio inline radiobutton_combo amount_RecurringAmount r_50 _recurringamountdonation_recurringamount rb inlineradiobutton_comboamount_recurringamountr_50_recurringamountdonation_recurringamount">$50</label>
</span><span class="cont inline radiobutton_combo amount_RecurringAmount r_100 _recurringamountdonation_recurringamount"><input type="radio" name="radiobutton_combo" value="r_100"
class="inline radiobutton_combo amount_RecurringAmount r_100 _recurringamountdonation_recurringamount" id="inline radiobutton_combo amount_RecurringAmount r_100 _recurringamountdonation_recurringamount"><label
for="inline radiobutton_combo amount_RecurringAmount r_100 _recurringamountdonation_recurringamount"
class="radio inline radiobutton_combo amount_RecurringAmount r_100 _recurringamountdonation_recurringamount rb inlineradiobutton_comboamount_recurringamountr_100_recurringamountdonation_recurringamount">$100</label>
</span><span class="cont inline radiobutton_combo amount_RecurringAmount r_250 _recurringamountdonation_recurringamount"><input type="radio" name="radiobutton_combo" value="r_250"
class="inline radiobutton_combo amount_RecurringAmount r_250 _recurringamountdonation_recurringamount" id="inline radiobutton_combo amount_RecurringAmount r_250 _recurringamountdonation_recurringamount"><label
for="inline radiobutton_combo amount_RecurringAmount r_250 _recurringamountdonation_recurringamount"
class="radio inline radiobutton_combo amount_RecurringAmount r_250 _recurringamountdonation_recurringamount rb inlineradiobutton_comboamount_recurringamountr_250_recurringamountdonation_recurringamount">$250</label>
</span><span class="cont inline radiobutton_combo amount_RecurringAmount r_500 _recurringamountdonation_recurringamount"><input type="radio" name="radiobutton_combo" value="r_500"
class="inline radiobutton_combo amount_RecurringAmount r_500 _recurringamountdonation_recurringamount" id="inline radiobutton_combo amount_RecurringAmount r_500 _recurringamountdonation_recurringamount"><label
for="inline radiobutton_combo amount_RecurringAmount r_500 _recurringamountdonation_recurringamount"
class="radio inline radiobutton_combo amount_RecurringAmount r_500 _recurringamountdonation_recurringamount rb inlineradiobutton_comboamount_recurringamountr_500_recurringamountdonation_recurringamount">$500</label>
</span><span class="cont inline radiobutton_combo amount_RecurringAmount r_other _recurringamountdonation_recurringamount"><input type="radio" name="radiobutton_combo" value="r_other"
class="inline radiobutton_combo amount_RecurringAmount r_other _recurringamountdonation_recurringamount" id="inline radiobutton_combo amount_RecurringAmount r_other _recurringamountdonation_recurringamount"><label
for="inline radiobutton_combo amount_RecurringAmount r_other _recurringamountdonation_recurringamount"
class="radio inline radiobutton_combo amount_RecurringAmount r_other _recurringamountdonation_recurringamount rb inlineradiobutton_comboamount_recurringamountr_other_recurringamountdonation_recurringamount"><input
name="r_radiobutton_combo_other" id="_RecurringAmount[Donation_RecurringAmount_other]" type="text" value="Other"
class="inline radiobutton_combo amount_RecurringAmount short dp_other_amount _RecurringAmount[Donation_RecurringAmount] _recurringamountdonation_recurringamount_other disabled" placeholder="" autocomplete="off" tabindex="-1">
<script type="text/javascript">
jQuery(document).ready(function($) {
other_init($("#_RecurringAmount\\[Donation_RecurringAmount_other\\]"), "_RecurringAmountDonation_RecurringAmount");
});
</script>
</label>
</span> </div>
</div>
<div class="clear"></div><input name="radiobutton_combo_template" id="radiobutton_combo_template" type="hidden" value="monthly">
<script type="text/javascript">
$(document).ready(function() {
$('input[name="radiobutton_combo"]:radio').click(function() {
$('input.radiobutton_combo[type="text"]').addClass('disabled').removeClass('enabled').val('Other');
$(this).next('label').find('input').addClass('enabled').removeClass('disabled').focus();
});
$('input.radiobutton_combo[type="text"]').focus(function() {
$('input.radiobutton_combo[type="text"]').not($(this)).addClass('disabled').removeClass('enabled').val('Other');
// Check radiobutton
textname = $(this).attr('name');
prefix = textname.substring(0, 2);
$('input[name="radiobutton_combo"][value="' + prefix + 'other"]').attr('checked', 'checked');
$(this).select();
});
});
</script>
<br>
<div class="dp_checkbox 1 dp_recurring_payments">
<label for="dp_recurring_payments" class="dp_recurring_payments"> Check this box to repeat this gift every month. You can cancel it at anytime. <input name="dp_recurring_payments" id="dp_recurring_payments" type="checkbox" value="monthly"
class="1 dp_recurring_payments"> <span class="checkmark"></span>
</label>
</div>
</fieldset>
<fieldset class="billing">
<legend>Billing Information</legend>
<div class="form_row">
<label for="BillingNameFirst" class=" billingnamefirst">First Name:</label>
<input name="BillingNameFirst" id="BillingNameFirst" type="text" value="" class=" billingnamefirst" placeholder="" autocomplete="off">
</div>
<div class="form_row">
<label for="BillingNameLast" class=" billingnamelast">Last Name:</label>
<input name="BillingNameLast" id="BillingNameLast" type="text" value="" class=" billingnamelast" placeholder="" autocomplete="off">
</div>
<div class="form_row">
<label for="BillingAddress" class=" billingaddress">Address:</label>
<input name="BillingAddress" id="BillingAddress" type="text" value="" class=" billingaddress" placeholder="" autocomplete="off">
</div>
<div class="form_row">
<label for="BillingCity" class=" billingcity">City:</label>
<input name="BillingCity" id="BillingCity" type="text" value="" class=" billingcity" placeholder="" autocomplete="off">
</div>
<div class="form_row">
<div id="country_province">
<div id="province"><label for="BillingState" class=" billingstate">State:</label>
<div class="styled-select"><select name="BillingState" id="BillingState" class="">
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
<option value="AA">AA</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>
</select></div>
</div>
<div id="country"><label for="BillingCountry" class=" billingcountry billingcountry">Country:</label>
<div class="styled-select"><select name="BillingCountry" id="BillingCountry" class=" billingcountry">
<option value="AF">Afghanistan</option>
<option value="AX">Åland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua And Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia, Plurinational State Of</option>
<option value="BQ">Bonaire, Sint Eustatius And Saba</option>
<option value="BA">Bosnia And Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="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="CA">Canada</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">Côte D’ivoire</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (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="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island And Mcdonald Islands</option>
<option value="VA">Holy See (Vatican City 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="IR">Iran, Islamic Republic Of</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IM">Isle Of Man</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KP">Korea, Democratic People’s Republic Of</option>
<option value="KR">Korea, Republic Of</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Lao People’s Democratic Republic</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="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">Palestine, State Of</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Réunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena, Ascension And Tristan Da Cunha</option>
<option value="KN">Saint Kitts And Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin (French Part)</option>
<option value="PM">Saint Pierre And Miquelon</option>
<option value="VC">Saint Vincent And The Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome And Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SX">Sint Maarten (Dutch Part)</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia And The South Sandwich Islands</option>
<option value="SS">South Sudan</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard And Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan, Province Of China</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania, United Republic Of</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad And Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks And Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US" selected="selected">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela, Bolivarian Republic Of</option>
<option value="VN">Viet Nam</option>
<option value="VG">Virgin Islands, British</option>
<option value="VI">Virgin Islands, U.S.</option>
<option value="WF">Wallis And Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select></div>
</div>
</div>
<script type="text/javascript">
var dp_provinces = eval({
"US": {
"AL": "Alabama",
"AK": "Alaska",
"AZ": "Arizona",
"AR": "Arkansas",
"AE": "AE",
"AP": "AP",
"AA": "AA",
"CA": "California",
"CO": "Colorado",
"CT": "Connecticut",
"DE": "Delaware",
"DC": "District Of Columbia",
"FL": "Florida",
"GA": "Georgia",
"HI": "Hawaii",
"ID": "Idaho",
"IL": "Illinois",
"IN": "Indiana",
"IA": "Iowa",
"KS": "Kansas",
"KY": "Kentucky",
"LA": "Louisiana",
"ME": "Maine",
"MD": "Maryland",
"MA": "Massachusetts",
"MI": "Michigan",
"MN": "Minnesota",
"MS": "Mississippi",
"MO": "Missouri",
"MT": "Montana",
"NE": "Nebraska",
"NV": "Nevada",
"NH": "New Hampshire",
"NJ": "New Jersey",
"NM": "New Mexico",
"NY": "New York",
"NC": "North Carolina",
"ND": "North Dakota",
"OH": "Ohio",
"OK": "Oklahoma",
"OR": "Oregon",
"PA": "Pennsylvania",
"RI": "Rhode Island",
"SC": "South Carolina",
"SD": "South Dakota",
"TN": "Tennessee",
"TX": "Texas",
"UT": "Utah",
"VT": "Vermont",
"VA": "Virginia",
"WA": "Washington",
"WV": "West Virginia",
"WI": "Wisconsin",
"WY": "Wyoming"
}
});
$(document).ready(function() {
// Set html id for country dropdown
var country_id = '#' + 'BillingCountry';
// Check whether country has provinces, if so, display
check_provinces(country_id);
// Set event on change of country, to check for provinces
$(country_id).change(function() {
check_provinces(country_id);
});
});
function check_provinces(country_id) {
// ID of province input
var province_id = '#' + 'BillingState';
// Value from post to select
g.cached_province_select_value = '';
// Cache values
if ($(province_id).is("input")) {
// Cache text input and value
g.cached_province_textinput = $('#province').html();
g.cached_province_textinput_value = $(province_id).val();
} else if ($(province_id).is("select")) {
// Cache selected value
g.cached_province_select_value = $(province_id + ' option:selected').val();
}
// Remove current input/select
$('#province').html('');
// Set what country is selected
selected_country = $(country_id + ' option:selected').val();
// Render new control
if (dp_provinces[selected_country] != undefined) {
// Add Select
$('#province').html('<label for="BillingState" class=" billingstate">State:</label><div class="styled-select"><select name="BillingState" id="BillingState" class=""></select></div>');
for (id in dp_provinces[selected_country]) {
var province = dp_provinces[selected_country][id];
$('#province select').append('<option value="' + id + '">' + province + '</option>');
}
$(province_id).val(g.cached_province_select_value);
} else {
// No lookup provinces exists, add text input
$('#province').html(g.cached_province_textinput);
$(province_id).val(g.cached_province_textinput_value);
}
}
</script>
</div>
<div class="form_row">
<label for="BillingZipCode" class=" billingzipcode">Zip:</label>
<input name="BillingZipCode" id="BillingZipCode" type="text" value="" class=" billingzipcode" placeholder="" autocomplete="off">
</div>
<div class="form_row">
<label for="EmailAddress" class=" emailaddress">Email:</label>
<input name="EmailAddress" id="EmailAddress" type="text" value="" class=" emailaddress" placeholder="" autocomplete="off">
</div>
<div class="form_row">
<label for="PhoneNumber" class=" phonenumber">Phone:</label>
<input name="PhoneNumber" id="PhoneNumber" type="text" value="" class=" phonenumber" placeholder="" autocomplete="off">
</div>
</fieldset>
<ul id="dp_flipswitch" class="dp_flipswitch">
<li class="CreditCard"><button type="submit" name="dp_flipswitch" class="dp_processing selected dp_flipswitch" value="CreditCard">Credit Card</button></li>
<li class="ACH"><button type="submit" name="dp_flipswitch" class="dp_processing dp_flipswitch" value="ACH">Bank Account Transfer (US Only)</button></li>
<script type="text/javascript">
jQuery(document).ready(function() {
// Prevent enter from resetting the form
$("#payment_container input").keypress(function(e) {
if (e.which == 13) {
e.preventDefault();
$(this).closest('form').submit();
}
});
$('button.dp_flipswitch').click(function(e) {
type = $(this).val();
$('#dp_processing').val(type);
$('#dp_processing_container').html(dp_payment_types[type]['html']);
$('button.dp_flipswitch').removeClass('selected');
$(this).addClass('selected');
tooltip_init();
// Prevent enter from resetting the form
$("#payment_container input").keypress(function(e) {
if (e.which == 13) {
e.preventDefault();
$(this).closest('form').submit();
}
});
return false;
});
});
</script>
</ul>
<div class="clear"></div>
<div id="payment_container">
<div id="dp_processing_container" class="processing_container multiple">
<fieldset class="cardinformation">
<legend>Credit Card</legend>
<!-- CCK 5/21/15: removing card type field
<div>
<label for="CardType" class=" cardtype cardtype">Card Type:</label>
<div class="styled-select"><select name="CardType" id="CardType" class=" cardtype">
<option value="VISA" >VISA</option>
<option value="MC" >MasterCard</option>
<option value="DSC" >Discover</option>
<option value="AMX" >American Express</option>
</select></div>
</div>
-->
<!-- CCK 6/5/15: hidden card type field required for custom fields -->
<div>
<input name="CardType" id="CardType" type="hidden" value="">
</div>
<!-- begin card number field -->
<div>
<label for="CardNumber" class=" cardnumber">Card Number:</label>
<input name="CardNumber" id="CardNumber" type="text" value="" class=" cardnumber" placeholder="" autocomplete="off">
</div>
<!-- end card number field -->
<div>
<label for="ExpirationDateMMYY" class=" expirationdatemmyy">Expiration Date:</label>
<div class="styled-select"><select name="ExpirationDateMM" id="ExpirationDateMM" class=" expirationdatemm">
<option value="01">Jan</option>
<option value="02">Feb</option>
<option value="03">Mar</option>
<option value="04">Apr</option>
<option value="05">May</option>
<option value="06">Jun</option>
<option value="07">Jul</option>
<option value="08">Aug</option>
<option value="09">Sep</option>
<option value="10">Oct</option>
<option value="11">Nov</option>
<option value="12">Dec</option>
</select></div>
<div class="styled-select"><select name="ExpirationDateYY" id="ExpirationDateYY" class=" expirationdateyy">
<option value="22">2022</option>
<option value="23">2023</option>
<option value="24">2024</option>
<option value="25">2025</option>
<option value="26">2026</option>
<option value="27">2027</option>
<option value="28">2028</option>
<option value="29">2029</option>
<option value="30">2030</option>
<option value="31">2031</option>
<option value="32">2032</option>
</select></div>
</div>
<div>
<label for="CVV2" class=" cvv2">CVV: (<a class="jquery_tooltip">?</a>
<div class="tooltip">
<div class="tooltip_container tooltip_credit tooltip_credit_amex">
<p>For <strong>Visa</strong>, <strong>MasterCard</strong>, and <strong>Discover</strong> cards, the card code is the last 3 digit number located on the back of your card on or above your signature line.</p>
<p><img src="https://secure.donationpay.org/static/v1.2/images/cvvp3.gif" width="379" height="82"></p>
<p>For <strong>American Express</strong>, it’s a 4 digit number that appears on the front of your card, above and either on the left or right of the card number (see below).</p>
<p><img src="https://secure.donationpay.org/static/v1.2/images/cvvp4.gif" width="379" height="98"></p>
</div>
</div>)
</label>
<input name="CVV2" id="CVV2" type="text" value="" class=" cvv2" placeholder="" autocomplete="off">
</div>
</fieldset>
<script type="text/javascript">
dp_payment_types = {
"ACHRecurring": {
"html": "\t\t<fieldset class=\"achinformation\">\n\t\t\t<legend>Bank Account Transfer (US Only)<\/legend>\n\n\t\t\t<div>\n\t\t\t\t<label for=\"RoutingNumber\" class=\" routingnumber\">Routing Number: (<a class=\"jquery_tooltip\">?<\/a><div class=\"tooltip\">\n\t\t<div class=\"tooltip_container tooltip_ach\">\n\t\t<p>Your routing and account number can be found on your checks. They may appear like this:<\/p>\n\t\t<p><img src=\"https:\/\/secure.donationpay.org\/static\/v1.2\/images\/check_diagram1.gif\" width=\"403\" height=\"189\" \/><\/p>\n\t\t<p>or your check may appear like this:<\/p>\n\t\t<p><img src=\"https:\/\/secure.donationpay.org\/static\/v1.2\/images\/check_diagram2.gif\" width=\"403\" height=\"189\" \/><\/p>\n\t\t<\/div><\/div>)<\/label>\n\t\t<input name=\"RoutingNumber\" id=\"RoutingNumber\" type=\"text\" value=\"\" class=\" routingnumber\" placeholder=\"\" autocomplete=\"off\" \/>\t\t\t<\/div>\n\t\t\t<div>\n\t\t\t\t<label for=\"AccountNumber\" class=\" accountnumber\">Account Number: (<a class=\"jquery_tooltip\">?<\/a><div class=\"tooltip\">\n\t\t<div class=\"tooltip_container tooltip_ach\">\n\t\t<p>Your routing and account number can be found on your checks. They may appear like this:<\/p>\n\t\t<p><img src=\"https:\/\/secure.donationpay.org\/static\/v1.2\/images\/check_diagram1.gif\" width=\"403\" height=\"189\" \/><\/p>\n\t\t<p>or your check may appear like this:<\/p>\n\t\t<p><img src=\"https:\/\/secure.donationpay.org\/static\/v1.2\/images\/check_diagram2.gif\" width=\"403\" height=\"189\" \/><\/p>\n\t\t<\/div><\/div>)<\/label>\n\t\t<input name=\"AccountNumber\" id=\"AccountNumber\" type=\"text\" value=\"\" class=\" accountnumber\" placeholder=\"\" autocomplete=\"off\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"clear\"><\/div>\n\t\t\t<div class=\"dp-radiobuttons inline\">\n\n\t\t\t\t<label for=\"BankAccountType\" class=\"radiogroup inline bankaccounttype\"><\/label>\n\t\t\n\t\t\t\t\t\t<div class=\"dp-radiobuttons inline\">\n\t\t<div class=\"radiogroup inline\"><span class=\"cont inline CHECKING bankaccounttype\"><input type=\"radio\" name=\"BankAccountType\" value=\"CHECKING\" class=\"inline CHECKING bankaccounttype\" id=\"inline CHECKING bankaccounttype\" \/><label for=\"inline CHECKING bankaccounttype\" class=\"radio inline CHECKING bankaccounttype rb inlinecheckingbankaccounttype\">Checking<\/label>\n\t\t<\/span><span class=\"cont inline SAVING bankaccounttype\"><input type=\"radio\" name=\"BankAccountType\" value=\"SAVING\" class=\"inline SAVING bankaccounttype\" id=\"inline SAVING bankaccounttype\" \/><label for=\"inline SAVING bankaccounttype\" class=\"radio inline SAVING bankaccounttype rb inlinesavingbankaccounttype\">Saving<\/label>\n\t\t<\/span>\t\t<\/div><\/div>\n\t\t<div class=\"clear\"><\/div>\t\t\t<\/div>\n\t\t<\/fieldset>\n\t\t"
},
"ACH": {
"html": "\t\t<fieldset class=\"achinformation\">\n\t\t\t<legend>Bank Account Transfer (US Only)<\/legend>\n\n\t\t\t<div>\n\t\t\t\t<label for=\"RoutingNumber\" class=\" routingnumber\">Routing Number: (<a class=\"jquery_tooltip\">?<\/a><div class=\"tooltip\">\n\t\t<div class=\"tooltip_container tooltip_ach\">\n\t\t<p>Your routing and account number can be found on your checks. They may appear like this:<\/p>\n\t\t<p><img src=\"https:\/\/secure.donationpay.org\/static\/v1.2\/images\/check_diagram1.gif\" width=\"403\" height=\"189\" \/><\/p>\n\t\t<p>or your check may appear like this:<\/p>\n\t\t<p><img src=\"https:\/\/secure.donationpay.org\/static\/v1.2\/images\/check_diagram2.gif\" width=\"403\" height=\"189\" \/><\/p>\n\t\t<\/div><\/div>)<\/label>\n\t\t<input name=\"RoutingNumber\" id=\"RoutingNumber\" type=\"text\" value=\"\" class=\" routingnumber\" placeholder=\"\" autocomplete=\"off\" \/>\t\t\t<\/div>\n\t\t\t<div>\n\t\t\t\t<label for=\"AccountNumber\" class=\" accountnumber\">Account Number: (<a class=\"jquery_tooltip\">?<\/a><div class=\"tooltip\">\n\t\t<div class=\"tooltip_container tooltip_ach\">\n\t\t<p>Your routing and account number can be found on your checks. They may appear like this:<\/p>\n\t\t<p><img src=\"https:\/\/secure.donationpay.org\/static\/v1.2\/images\/check_diagram1.gif\" width=\"403\" height=\"189\" \/><\/p>\n\t\t<p>or your check may appear like this:<\/p>\n\t\t<p><img src=\"https:\/\/secure.donationpay.org\/static\/v1.2\/images\/check_diagram2.gif\" width=\"403\" height=\"189\" \/><\/p>\n\t\t<\/div><\/div>)<\/label>\n\t\t<input name=\"AccountNumber\" id=\"AccountNumber\" type=\"text\" value=\"\" class=\" accountnumber\" placeholder=\"\" autocomplete=\"off\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"clear\"><\/div>\n\t\t\t<div class=\"dp-radiobuttons inline\">\n\n\t\t\t\t<label for=\"BankAccountType\" class=\"radiogroup inline bankaccounttype\"><\/label>\n\t\t\n\t\t\t\t\t\t<div class=\"dp-radiobuttons inline\">\n\t\t<div class=\"radiogroup inline\"><span class=\"cont inline CHECKING bankaccounttype\"><input type=\"radio\" name=\"BankAccountType\" value=\"CHECKING\" class=\"inline CHECKING bankaccounttype\" id=\"inline CHECKING bankaccounttype\" \/><label for=\"inline CHECKING bankaccounttype\" class=\"radio inline CHECKING bankaccounttype rb inlinecheckingbankaccounttype\">Checking<\/label>\n\t\t<\/span><span class=\"cont inline SAVING bankaccounttype\"><input type=\"radio\" name=\"BankAccountType\" value=\"SAVING\" class=\"inline SAVING bankaccounttype\" id=\"inline SAVING bankaccounttype\" \/><label for=\"inline SAVING bankaccounttype\" class=\"radio inline SAVING bankaccounttype rb inlinesavingbankaccounttype\">Saving<\/label>\n\t\t<\/span>\t\t<\/div><\/div>\n\t\t<div class=\"clear\"><\/div>\t\t\t<\/div>\n\t\t<\/fieldset>\n\t\t"
},
"CreditCardRecurringCharge": {
"html": "\t\t<fieldset class=\"cardinformation\">\n\t\t\t<legend>Credit Card<\/legend>\n <!-- CCK 5\/21\/15: removing card type field\n\t\t\t<div>\n\t\t\t\t<label for=\"CardType\" class=\" cardtype cardtype\">Card Type:<\/label>\n\t\t<div class=\"styled-select\"><select name=\"CardType\" id=\"CardType\" class=\" cardtype\">\n\t\t\t\t\t<option value=\"VISA\" >VISA<\/option>\n\t\t\t\t\t<option value=\"MC\" >MasterCard<\/option>\n\t\t\t\t\t<option value=\"DSC\" >Discover<\/option>\n\t\t\t\t\t<option value=\"AMX\" >American Express<\/option>\n\t\t\t\t<\/select><\/div>\n\t\t\t\t\t<\/div>\n -->\n <!-- CCK 6\/5\/15: hidden card type field required for custom fields -->\n\t\t\t<div>\n\t\t\t\t<input name=\"CardType\" id=\"CardType\" type=\"hidden\" value=\"\"\/>\t\t\t<\/div>\n\n <!-- begin card number field -->\n\t\t\t<div>\n\t\t\t\t<label for=\"CardNumber\" class=\" cardnumber\">Card Number:<\/label>\n\t\t<input name=\"CardNumber\" id=\"CardNumber\" type=\"text\" value=\"\" class=\" cardnumber\" placeholder=\"\" autocomplete=\"off\" \/>\t\t\t<\/div>\n <!-- end card number field -->\n\n \n\t\t\t<div>\n\t\t\t\t<label for=\"ExpirationDateMMYY\" class=\" expirationdatemmyy\">Expiration Date:<\/label>\n\t\t\t\t\t\t<div class=\"styled-select\"><select name=\"ExpirationDateMM\" id=\"ExpirationDateMM\" class=\" expirationdatemm\">\n\t\t\t\t\t<option value=\"01\" >Jan<\/option>\n\t\t\t\t\t<option value=\"02\" >Feb<\/option>\n\t\t\t\t\t<option value=\"03\" >Mar<\/option>\n\t\t\t\t\t<option value=\"04\" >Apr<\/option>\n\t\t\t\t\t<option value=\"05\" >May<\/option>\n\t\t\t\t\t<option value=\"06\" >Jun<\/option>\n\t\t\t\t\t<option value=\"07\" >Jul<\/option>\n\t\t\t\t\t<option value=\"08\" >Aug<\/option>\n\t\t\t\t\t<option value=\"09\" >Sep<\/option>\n\t\t\t\t\t<option value=\"10\" >Oct<\/option>\n\t\t\t\t\t<option value=\"11\" >Nov<\/option>\n\t\t\t\t\t<option value=\"12\" >Dec<\/option>\n\t\t\t\t<\/select><\/div>\n\t\t<div class=\"styled-select\"><select name=\"ExpirationDateYY\" id=\"ExpirationDateYY\" class=\" expirationdateyy\">\n\t\t\t\t\t<option value=\"22\" >2022<\/option>\n\t\t\t\t\t<option value=\"23\" >2023<\/option>\n\t\t\t\t\t<option value=\"24\" >2024<\/option>\n\t\t\t\t\t<option value=\"25\" >2025<\/option>\n\t\t\t\t\t<option value=\"26\" >2026<\/option>\n\t\t\t\t\t<option value=\"27\" >2027<\/option>\n\t\t\t\t\t<option value=\"28\" >2028<\/option>\n\t\t\t\t\t<option value=\"29\" >2029<\/option>\n\t\t\t\t\t<option value=\"30\" >2030<\/option>\n\t\t\t\t\t<option value=\"31\" >2031<\/option>\n\t\t\t\t\t<option value=\"32\" >2032<\/option>\n\t\t\t\t<\/select><\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<div>\n\t\t\t\t\n\t\t\t\t<label for=\"CVV2\" class=\" cvv2\">CVV: (<a class=\"jquery_tooltip\">?<\/a><div class=\"tooltip\">\n\t\t\t\t<div class=\"tooltip_container tooltip_credit tooltip_credit_amex\">\n\t\t\t\t<p>For <strong>Visa<\/strong>, <strong>MasterCard<\/strong>, and <strong>Discover<\/strong> cards, the card code is the last 3 digit number located on the back of your card on or above your signature line.<\/p>\n\t\t\t\t<p><img src=\"https:\/\/secure.donationpay.org\/static\/v1.2\/images\/cvvp3.gif\" width=\"379\" height=\"82\" \/><\/p>\n\t\t\t\t<p>For <strong>American Express<\/strong>, it’s a 4 digit number that appears on the front of your card, above and either on the left or right of the card number (see below).<\/p>\n\t\t\t\t<p><img src=\"https:\/\/secure.donationpay.org\/static\/v1.2\/images\/cvvp4.gif\" width=\"379\" height=\"98\" \/><\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>)<\/label>\n\t\t<input name=\"CVV2\" id=\"CVV2\" type=\"text\" value=\"\" class=\" cvv2\" placeholder=\"\" autocomplete=\"off\" \/>\t\t\t<\/div>\n\t\t<\/fieldset>\n\t\t"
},
"CreditCard": {
"html": "\t\t<fieldset class=\"cardinformation\">\n\t\t\t<legend>Credit Card<\/legend>\n <!-- CCK 5\/21\/15: removing card type field\n\t\t\t<div>\n\t\t\t\t<label for=\"CardType\" class=\" cardtype cardtype\">Card Type:<\/label>\n\t\t<div class=\"styled-select\"><select name=\"CardType\" id=\"CardType\" class=\" cardtype\">\n\t\t\t\t\t<option value=\"VISA\" >VISA<\/option>\n\t\t\t\t\t<option value=\"MC\" >MasterCard<\/option>\n\t\t\t\t\t<option value=\"DSC\" >Discover<\/option>\n\t\t\t\t\t<option value=\"AMX\" >American Express<\/option>\n\t\t\t\t<\/select><\/div>\n\t\t\t\t\t<\/div>\n -->\n <!-- CCK 6\/5\/15: hidden card type field required for custom fields -->\n\t\t\t<div>\n\t\t\t\t<input name=\"CardType\" id=\"CardType\" type=\"hidden\" value=\"\"\/>\t\t\t<\/div>\n\n <!-- begin card number field -->\n\t\t\t<div>\n\t\t\t\t<label for=\"CardNumber\" class=\" cardnumber\">Card Number:<\/label>\n\t\t<input name=\"CardNumber\" id=\"CardNumber\" type=\"text\" value=\"\" class=\" cardnumber\" placeholder=\"\" autocomplete=\"off\" \/>\t\t\t<\/div>\n <!-- end card number field -->\n\n \n\t\t\t<div>\n\t\t\t\t<label for=\"ExpirationDateMMYY\" class=\" expirationdatemmyy\">Expiration Date:<\/label>\n\t\t\t\t\t\t<div class=\"styled-select\"><select name=\"ExpirationDateMM\" id=\"ExpirationDateMM\" class=\" expirationdatemm\">\n\t\t\t\t\t<option value=\"01\" >Jan<\/option>\n\t\t\t\t\t<option value=\"02\" >Feb<\/option>\n\t\t\t\t\t<option value=\"03\" >Mar<\/option>\n\t\t\t\t\t<option value=\"04\" >Apr<\/option>\n\t\t\t\t\t<option value=\"05\" >May<\/option>\n\t\t\t\t\t<option value=\"06\" >Jun<\/option>\n\t\t\t\t\t<option value=\"07\" >Jul<\/option>\n\t\t\t\t\t<option value=\"08\" >Aug<\/option>\n\t\t\t\t\t<option value=\"09\" >Sep<\/option>\n\t\t\t\t\t<option value=\"10\" >Oct<\/option>\n\t\t\t\t\t<option value=\"11\" >Nov<\/option>\n\t\t\t\t\t<option value=\"12\" >Dec<\/option>\n\t\t\t\t<\/select><\/div>\n\t\t<div class=\"styled-select\"><select name=\"ExpirationDateYY\" id=\"ExpirationDateYY\" class=\" expirationdateyy\">\n\t\t\t\t\t<option value=\"22\" >2022<\/option>\n\t\t\t\t\t<option value=\"23\" >2023<\/option>\n\t\t\t\t\t<option value=\"24\" >2024<\/option>\n\t\t\t\t\t<option value=\"25\" >2025<\/option>\n\t\t\t\t\t<option value=\"26\" >2026<\/option>\n\t\t\t\t\t<option value=\"27\" >2027<\/option>\n\t\t\t\t\t<option value=\"28\" >2028<\/option>\n\t\t\t\t\t<option value=\"29\" >2029<\/option>\n\t\t\t\t\t<option value=\"30\" >2030<\/option>\n\t\t\t\t\t<option value=\"31\" >2031<\/option>\n\t\t\t\t\t<option value=\"32\" >2032<\/option>\n\t\t\t\t<\/select><\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<div>\n\t\t\t\t\n\t\t\t\t<label for=\"CVV2\" class=\" cvv2\">CVV: (<a class=\"jquery_tooltip\">?<\/a><div class=\"tooltip\">\n\t\t\t\t<div class=\"tooltip_container tooltip_credit tooltip_credit_amex\">\n\t\t\t\t<p>For <strong>Visa<\/strong>, <strong>MasterCard<\/strong>, and <strong>Discover<\/strong> cards, the card code is the last 3 digit number located on the back of your card on or above your signature line.<\/p>\n\t\t\t\t<p><img src=\"https:\/\/secure.donationpay.org\/static\/v1.2\/images\/cvvp3.gif\" width=\"379\" height=\"82\" \/><\/p>\n\t\t\t\t<p>For <strong>American Express<\/strong>, it’s a 4 digit number that appears on the front of your card, above and either on the left or right of the card number (see below).<\/p>\n\t\t\t\t<p><img src=\"https:\/\/secure.donationpay.org\/static\/v1.2\/images\/cvvp4.gif\" width=\"379\" height=\"98\" \/><\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>)<\/label>\n\t\t<input name=\"CVV2\" id=\"CVV2\" type=\"text\" value=\"\" class=\" cvv2\" placeholder=\"\" autocomplete=\"off\" \/>\t\t\t<\/div>\n\t\t<\/fieldset>\n\t\t"
}
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