www.plannedparenthood.org
Open in
urlscan Pro
104.17.83.66
Public Scan
Submitted URL: https://www.ppgwni.com/
Effective URL: https://www.plannedparenthood.org/planned-parenthood-greater-washington-north-idaho
Submission: On December 16 via api from US — Scanned from CH
Effective URL: https://www.plannedparenthood.org/planned-parenthood-greater-washington-north-idaho
Submission: On December 16 via api from US — Scanned from CH
Form analysis
5 forms found in the DOMGET /search
<form action="/search" method="GET" class="site-search min-margin" id="site-search" novalidate="">
<div class="search-field-wrap">
<input placeholder="What are you looking for?" type="search" name="q" class="site-search-field" id="site-search-field" aria-invalid="false" maxlength="300" required="">
<button type="submit" class="button site-search-find-button " aria-label="Search">
<svg xmlns="http://www.w3.org/2000/svg" width="18" height="18" viewBox="0 0 18 18" fill="none">
<path d="M12.9647 7.63994C12.9647 10.9413 10.3271 13.5899 7.10737 13.5899C3.88764 13.5899 1.25 10.9413 1.25 7.63994C1.25 4.33854 3.88764 1.68994 7.10737 1.68994C10.3271 1.68994 12.9647 4.33854 12.9647 7.63994Z" stroke="white"
stroke-width="2.5"></path>
<path
d="M13.0876 11.1817L12.2095 10.2921L10.4532 12.0713L11.3313 12.9609L13.0876 11.1817ZM15.1219 16.8009C15.6069 17.2922 16.3932 17.2922 16.8782 16.8009C17.3632 16.3096 17.3632 15.513 16.8782 15.0217L15.1219 16.8009ZM11.3313 12.9609L15.1219 16.8009L16.8782 15.0217L13.0876 11.1817L11.3313 12.9609Z"
fill="white"></path>
</svg>
</button>
</div>
</form>
GET /search
<form action="/search" method="GET" class="site-search min-margin" id="mobile-site-search" novalidate="">
<label class="mobile-search-label" tabindex="-1" aria-hidden="true">
<svg class="icon">
<use xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="/static/icons/sprite.svg#search-heavy"></use>
</svg>
<span class="site-search-button-label">Search</span>
</label>
<div class="search-field-wrap ">
<input type="search" name="q" class="site-search-field" id="site-search-field" aria-invalid="false" aria-label="Search" maxlength="300" required="">
<button type="submit" class="button site-search-find-button" aria-label="Find" data-section-name="header" data-header-category="sitesearch" data-object="top navigation hamburger">
<svg class="icon">
<title>Find</title>
<use xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="/static/icons/sprite.svg#search-heavy"></use>
</svg>
</button>
</div>
</form>
GET
<form id="search-form-ce7036dc-25a9-4907-aefa-391370cbd95b" class="search-form--v2" method="get" novalidate="true">
<div class="search-form-field search-form-field-service">
<label class="caption-regular label-caption-regular" for="service">Service</label>
<pp-dropdown name="service" icon-placeholder="search-mobile" placeholder="Select a service"
options="[{"label":"All Services","value":"any","isSelected":false},{"label":"Abortion","value":"abortionservice","isSelected":false},{"label":"Birth Control","value":"birthcontrolservice","isSelected":false},{"label":"Emergency Contraception (Morning-After Pill)","value":"emergencycontraceptionservice","isSelected":false},{"label":"Gender-Affirming Care","value":"lgbtservice","isSelected":false},{"label":"HIV Services","value":"hivtestingservice","isSelected":false},{"label":"Mental Health","value":"mentalhealthservice","isSelected":false},{"label":"Pregnancy Testing and Planning","value":"pregnancyservice","isSelected":false},{"label":"Prenatal and Postpartum Services","value":"prenatalpostpartumservice","isSelected":false},{"label":"STD Testing and Treatment","value":"stdservice","isSelected":false},{"label":"Sexual and Reproductive Concerns","value":"sexualhealthservice","isSelected":false},{"label":"Vaccines","value":"vaccinesservice","isSelected":false},{"label":"Wellness and Preventive Care","value":"generalhealthservice","isSelected":false}]"
value="" class="hydrated"></pp-dropdown>
</div>
<div class="search-form--row">
<div class="location-search search-form-field search-form-field-location">
<label class="caption-regular label-caption-regular" for="location">Zip, City, or State</label>
<div class="search-form-field-location-container" id="location-search-field-container-ce7036dc-25a9-4907-aefa-391370cbd95b">
<svg xmlns="http://www.w3.org/2000/svg" width="15" height="22" viewBox="0 0 15 22" fill="none">
<path d="M13.9586 7.79939C13.9586 11.3792 7.47932 20.1101 7.47932 20.1101C7.47932 20.1101 1 11.3792 1 7.79939C1 4.21957 3.8995 1.32007 7.47932 1.32007C11.0592 1.32007 13.9586 4.21957 13.9586 7.79939Z" stroke="#BABCBE" stroke-width="2"
stroke-linecap="round" stroke-linejoin="round"></path>
<path d="M7.47942 10.391C8.9108 10.391 10.0712 9.23062 10.0712 7.79925C10.0712 6.36788 8.9108 5.20752 7.47942 5.20752C6.04805 5.20752 4.8877 6.36788 4.8877 7.79925C4.8877 9.23062 6.04805 10.391 7.47942 10.391Z" stroke="#BABCBE"
stroke-width="2" stroke-linecap="round" stroke-linejoin="round"></path>
</svg>
<span class="twitter-typeahead" style="position: relative; display: inline-block;"><input class="location-search-field tt-hint" type="text" aria-label="Location Search" aria-required="true" aria-describedby="error-message-location"
readonly="" autocomplete="postal-code" spellcheck="false" tabindex="-1"
style="position: absolute; top: 0px; left: 0px; border-color: transparent; box-shadow: none; opacity: 1; background: none 0% 0% / auto repeat scroll padding-box border-box rgb(255, 255, 255);" dir="ltr"><input
class="location-search-field form-control" id="location-field-search-ce7036dc-25a9-4907-aefa-391370cbd95b" type="text" name="location" placeholder="Zip code, city, state" aria-label="Location Search" aria-required="true"
aria-describedby="error-message-location" autocomplete="postal-code" spellcheck="false" dir="auto" style="position: relative; vertical-align: top; background-color: transparent;">
<pre aria-hidden="true"
style="position: absolute; visibility: hidden; white-space: pre; font-family: "Avenir Next W01", Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-variant: normal; font-weight: 500; word-spacing: 0px; letter-spacing: 0px; text-indent: 0px; text-rendering: geometricprecision; text-transform: none;"></pre>
<div class="typeahead-list" style="position: absolute; top: 100%; left: 0px; z-index: 100; display: none;">
<div class="tt-dataset tt-dataset-State"></div>
<div class="tt-dataset tt-dataset-City"></div>
</div>
</span>
</div>
<p id="helperTextContainer-ce7036dc-25a9-4907-aefa-391370cbd95b" class="search-form-field-location-error-message paragraph-small"></p>
</div>
<div class="search-form-field search-form-field-appointment-type" id="appointment-type-radio-buttons-ce7036dc-25a9-4907-aefa-391370cbd95b" style="display: flex;">
<label class="caption-regular label-caption-regular" for="appointmenttype">Appointment Type</label>
<div>
<pp-radio name="appointmenttype" value="any" label="All" checked="" class="pp-radio hydrated"><label class="pp-radio--container" for="pp-radio-0"><input type="radio" name="appointmenttype" value="any" id="pp-radio-0"><span
class="radio-mark"></span><span class="pp-radio--label-text">All </span></label></pp-radio>
<pp-radio name="appointmenttype" value="telehealth" label="Telehealth" class="pp-radio hydrated"><label class="pp-radio--container" for="pp-radio-2"><input type="radio" name="appointmenttype" value="telehealth" id="pp-radio-2"><span
class="radio-mark"></span><span class="pp-radio--label-text">Telehealth </span></label></pp-radio>
<pp-radio name="appointmenttype" value="onsite" label="In-person" class="pp-radio hydrated"><label class="pp-radio--container" for="pp-radio-3"><input type="radio" name="appointmenttype" value="onsite" id="pp-radio-3"><span
class="radio-mark"></span><span class="pp-radio--label-text">In-person </span></label></pp-radio>
</div>
</div>
</div>
<pp-button variant="primary" type="submit" class="pp-button hydrated"><!----><button class="pp-button__primary">Search</button></pp-button>
<input type="submit" hidden="">
</form>
GET
<form id="abortion-service-locator-form-8f832421-de33-47e9-9cfe-1b8daa54c47e" class="abortion-service-locator--form-v2" method="get" novalidate="true">
<div class="abortion-service-locator--form-field-container">
<div class="abortion-service-locator--form-field-lmp-container">
<div class="abortion-service-locator--form-field-wrapper">
<div class="abortion-service-locator--form-field abortion-service-locator--form-field-lmp">
<label for="lmp" class="subtitle-small"> First day of your last period <span class="abortion-service-locator--form-field-tooltip">
<svg xmlns="http://www.w3.org/2000/svg" width="14" height="14" viewBox="0 0 14 14" fill="none">
<path fill-rule="evenodd" clip-rule="evenodd" d="M0 7C0 3.13388 3.13388 0 7 0C10.8661 0 14 3.13388 14 7C14 10.8661 10.8661 14 7 14C3.13388 14 0 10.8661 0 7Z" fill="#00286E"></path>
<line x1="7" y1="5.83325" x2="7" y2="9.49992" stroke="white" stroke-linecap="round"></line>
<circle cx="7.08333" cy="3.58333" r="0.583333" fill="white"></circle>
</svg>
<div class="tooltiptext">The first day of your last period helps estimate how far along you are in pregnancy so we can give you more personalized search results.</div>
</span>
</label>
<pp-datepicker max="2024-12-16" min="2024-03-16" identifier="asl-8f832421-de33-47e9-9cfe-1b8daa54c47e" name="lmp" locale="en" class="hydrated"></pp-datepicker>
</div>
</div>
<div class="abortion-service-locator--form-field abortion-service-locator--form-field-checkbox">
<pp-checkbox name="notSure" label="" class="pp-checkbox hydrated"><label class="pp-checkbox--container" for="pp-checkbox-5"><input type="checkbox" id="pp-checkbox-5"><span class="checkmark"></span></label></pp-checkbox>
<label class="subtitle-small" for="notSure">I'm not sure</label>
</div>
</div>
<div class="abortion-service-locator--form-field abortion-service-locator--form-field-age">
<label for="ageField" class="subtitle-small"> Age <span class="abortion-service-locator--form-field-tooltip">
<svg xmlns="http://www.w3.org/2000/svg" width="14" height="14" viewBox="0 0 14 14" fill="none">
<path fill-rule="evenodd" clip-rule="evenodd" d="M0 7C0 3.13388 3.13388 0 7 0C10.8661 0 14 3.13388 14 7C14 10.8661 10.8661 14 7 14C3.13388 14 0 10.8661 0 7Z" fill="#00286E"></path>
<line x1="7" y1="5.83325" x2="7" y2="9.49992" stroke="white" stroke-linecap="round"></line>
<circle cx="7.08333" cy="3.58333" r="0.583333" fill="white"></circle>
</svg>
<div class="tooltiptext">Some states have special requirements if you're under 18. Providing this helps us give you more personalized search results.</div>
</span>
</label>
<pp-input name="ageField" input-type="number" class="hydrated"></pp-input>
</div>
</div>
<div class="abortion-service-locator--form-submit">
<pp-button variant="tertiary" type="submit" class="pp-button hydrated"><!----><button class="pp-button__tertiary">Find an abortion Provider</button></pp-button>
</div>
<input type="submit" hidden="">
</form>
POST
<form class="clearfix" method="post" novalidate="" action="" accept-charset="utf-8" autocomplete="on">
<div data-name="undefined" data-subview="submit_view" data-subview-index="1"></div>
<fieldset class="at-fieldset ContributionInformation" id="NVContributionForm1182832-ContributionInformation" style="border: none;">
<legend class="at-legend">Gift Information</legend>
<div class="at-fields">
<div class="at-row at-row-full ">
<div class="form-unit form-unit-radio form-item-selectedfrequency" id="NVContributionForm1182832-ContributionInformation-SelectedFrequency">
<div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1182832-ContributionInformation-SelectedFrequency">
<label title="One-Time" class="at-radio-label-0" role="radio">
<input type="radio" name="SelectedFrequency" checked="" value="0"> One-Time </label><label title="Monthly" class="at-radio-label-4" role="radio">
<input type="radio" name="SelectedFrequency" value="4"> Monthly </label>
<div class="radio-description radio-description-value-0">A monthly gift does even more to protect reproductive rights</div>
</div>
</div>
</div>
<div class="at-row at-row-full ">
<input id="ProcessingCurrency_Value" type="hidden" name="ProcessingCurrency.Value" value="USD">
</div>
<div class="at-row at-row-full ">
<div class="form-item form-type-radios form-item-selectamount" id="NVContributionForm1182832-ContributionInformation-SelectAmount">
<div class="at-row SelectAmount OtherAmount NonRecurringButtons">
<div class="at-radio">
<div class="at-radios clearfix">
<label class="label-amount" title="$200">
<input name="SelectAmount" type="radio" value="200.00"> $200 <a></a> </label><label class="label-amount" title="$100">
<input name="SelectAmount" type="radio" value="100.00"> $100 <a></a> </label><label class="label-amount" title="$60">
<input name="SelectAmount" type="radio" value="60.00"> $60 <a></a> </label><label class="label-amount" title="$35">
<input name="SelectAmount" type="radio" value="35.00"> $35 <a></a> </label><label class="label-amount label-otheramount" title="Other">
<input name="SelectAmount" type="radio" class="radio-other" value="other"> Other <input type="number" tabindex="-1" autocomplete="transaction-amount" class="edit-otheramount" name="OtherAmount" title="Other Amount"
placeholder="0.00">
<span class="label-otheramount-prefix">$</span>
</label>
</div>
</div>
</div>
</div>
</div><label class="at-check CoverCostsAmount" id="NVContributionForm1182832-ContributionInformation-CoverCostsAmount"><input type="checkbox" name="CoverCostsAmount"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
id="NVContributionForm1182832-ContributionInformation-CoverCostsAmount-label">I'd like to help cover the transaction fees for my contribution</span><span>I'd like to cover the processing fees, making my total gift <span
class="contr">$103.25</span>, so <span class="amCon">$100.00</span> goes to protect reproductive health.</span></span>
</label>
</div>
</fieldset>
<fieldset class="at-fieldset TributeGift" id="NVContributionForm1182832-TributeGift">
<div class="at-fields">
<div class="at-row at-row-full EnableTributeGift">
<label class="at-check EnableTributeGift" id="NVContributionForm1182832-TributeGift-EnableTributeGift"><input type="checkbox" name="EnableTributeGift"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
id="NVContributionForm1182832-TributeGift-EnableTributeGift-label">I'd like to make this gift in honor or in memory of someone special</span></span>
</label>
</div>
<div class="at-row">
<div class="at-tribute-gift" style="display:none">
<div class="form-unit form-unit-radio form-item-inhonororinmemoryof" id="NVContributionForm1182832-TributeGift-InHonorOrInMemoryOf"><label id="NVContributionForm1182832-TributeGift-InHonorOrInMemoryOf"> Is this an Honorary or Memorial
Gift?</label>
<div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1182832-TributeGift-InHonorOrInMemoryOf">
<label title="In honor of" class="at-radio-label-2" role="radio">
<input type="radio" name="InHonorOrInMemoryOf" checked="" value="2"> In honor of </label><label title="In memory of" class="at-radio-label-1" role="radio">
<input type="radio" name="InHonorOrInMemoryOf" value="1"> In memory of </label>
</div>
</div><label class="at-text HonoreeName" id="NVContributionForm1182832-TributeGift-HonoreeName">Honoree Name<input type="text" autocomplete="on" required="" title="Honoree Name (required)" name="HonoreeName" value="" maxlength="100">
</label>
</div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset RecipientInformation" id="NVContributionForm1182832-RecipientInformation" style="display: none;">
<div class="at-fields">
<div class="at-row">
<label class="at-check IncludeRecipient" id="NVContributionForm1182832-RecipientInformation-IncludeRecipient"><input type="checkbox" name="IncludeRecipient"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
id="NVContributionForm1182832-RecipientInformation-IncludeRecipient-label">I'd like to notify someone of this contribution</span></span>
</label>
</div>
<div class="at-recipient-info" style="display: none;">
<div class="mail-checks radios at-row">
<div class="email-container">
<label class="email-tile clicked" for="email">
<input type="checkbox" name="email" id="email" value="email">
<i class="fas fa-2x fa-paper-plane" aria-hidden="true"> </i><br>
<span class="mail-text">I'd like an e-card to be sent via email</span>
</label>
<div class="deliv"> (delivered instantly or on a specific date of your choosing) </div>
</div>
<div class="mail-container">
<label class="mail-tile" for="mail">
<input type="checkbox" name="mail" id="mail" value="mail">
<i class="far fa-2x fa-envelope" aria-hidden="true"> </i><br>
<span class="mail-text">I'd like a physical card to be sent via the mail</span>
</label>
<div class="deliv">(delivered within 2 - 3 weeks)</div>
</div>
</div>
<div class="at-title basic-info">Who would you like to notify?</div>
<div class="at-row at-row-solo at-row-full RecipientInfoHeaderHtml basic-info">
<div class="at-markup RecipientInfoHeaderHtml basic-info" id="NVContributionForm1182832-RecipientInformation-RecipientInfoHeaderHtml">
<p>We will send an email notification to the email address you provide below. We are unable to send anonymous notifications — the recipient will see your name and email address.</p>
</div>
</div>
<div class="at-row RecipientFirstName RecipientLastName basic-info"><label class="at-text RecipientFirstName" id="NVContributionForm1182832-RecipientInformation-RecipientFirstName">First Name*<input type="text" autocomplete="on" required=""
title="First Name* (required)" name="RecipientFirstName" value="" maxlength="50">
</label><label class="at-text RecipientLastName" id="NVContributionForm1182832-RecipientInformation-RecipientLastName">Last Name*<input type="text" autocomplete="on" required="" title="Last Name* (required)" name="RecipientLastName"
value="" maxlength="50">
</label></div>
<div class="at-row at-row-solo RecipientStreetAddress mail" style="display: none;"><label class="at-text RecipientStreetAddress mail" id="NVContributionForm1182832-RecipientInformation-RecipientStreetAddress" style="display: none;">Street
Address*<input type="text" autocomplete="on" required="" title="Street Address* (required)" name="RecipientStreetAddress" value="" maxlength="100">
</label></div>
<div class="at-row RecipientCountry RecipientPostalCode RecipientCity RecipientStateProvince mail" style="display: none;"><label class="at-select RecipientCountry mail" id="NVContributionForm1182832-RecipientInformation-RecipientCountry"
style="">Country*<select required="" autocomplete="on" title="Country*" name="RecipientCountry" class="required select2-hidden-accessible" id="NVContributionForm1182832-RecipientInformation-RecipientCountry-select" tabindex="-1"
aria-hidden="true">
<option value="" disabled="">- Select -</option>
<option value="AF">Afghanistan</option>
<option value="AX">Åland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia (Plurinational State of)</option>
<option value="BQ">Bonaire, Sint Eustatius and Saba</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="VG">British Virgin Islands</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="CV">Cabo Verde</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo (Democratic Republic of the)</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Côte d'Ivoire</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czechia</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="SZ">Eswatini</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="VA">Holy See</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran (Islamic Republic of)</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IM">Isle of Man</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KP">Korea (Democratic People's Republic of)</option>
<option value="KR">Korea (Republic of)</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Lao People's Democratic Republic</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia (Federated States of)</option>
<option value="MD">Moldova (Republic of)</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MK">North Macedonia</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestine (State of)</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="QA">Qatar</option>
<option value="RE">Réunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin (French part)</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SX">Sint Maarten (Dutch part)</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="SS">South Sudan</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania (United Republic of)</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela (Bolivarian Republic of)</option>
<option value="VN">Viet Nam</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
aria-expanded="false" title="Country*" tabindex="0" aria-labelledby="select2-NVContributionForm1182832-RecipientInformation-RecipientCountry-select-container"><span class="select2-selection__rendered"
id="select2-NVContributionForm1182832-RecipientInformation-RecipientCountry-select-container" title="United States">United States</span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</label><label class="at-text RecipientPostalCode" id="NVContributionForm1182832-RecipientInformation-RecipientPostalCode">Postal Code*<input type="tel" autocomplete="on" pattern="^\d{5}([\-]\d{4})?$" required=""
title="Postal Code* (required)" name="RecipientPostalCode" value="" maxlength="10">
</label><label class="at-text RecipientCity" id="NVContributionForm1182832-RecipientInformation-RecipientCity">City*<input type="text" autocomplete="on" required="" title="City* (required)" name="RecipientCity" value="" maxlength="25">
</label><label class="at-select RecipientStateProvince" id="NVContributionForm1182832-RecipientInformation-RecipientStateProvince">State/Province*<select required="" autocomplete="on" title="State/Province*" name="RecipientStateProvince"
class="required" id="NVContributionForm1182832-RecipientInformation-RecipientStateProvince-select">
<option value="" disabled="">- State -</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AR">AR</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="IA">IA</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="MA">MA</option>
<option value="MD">MD</option>
<option value="ME">ME</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MO">MO</option>
<option value="MS">MS</option>
<option value="MT">MT</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="NE">NE</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NV">NV</option>
<option value="NY">NY</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VA">VA</option>
<option value="VT">VT</option>
<option value="WA">WA</option>
<option value="WI">WI</option>
<option value="WV">WV</option>
<option value="WY">WY</option>
<option value="AS">AS</option>
<option value="FM">FM</option>
<option value="GU">GU</option>
<option value="MH">MH</option>
<option value="MP">MP</option>
<option value="PR">PR</option>
<option value="PW">PW</option>
<option value="VI">VI</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
</select>
</label></div>
<div class="at-row at-row-solo RecipientEmailAddress e-mail"><label class="at-text RecipientEmailAddress e-mail" id="NVContributionForm1182832-RecipientInformation-RecipientEmailAddress">Email* <small>(Optional)</small><input type="email"
autocomplete="on" pattern="^([\w!#$%&'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" false=""
title="Email*" name="RecipientEmailAddress" value="" maxlength="100">
</label></div>
<div class="at-row at-row-solo Ecard">
<div class="form-unit form-unit-radio form-item-ecard" id="NVContributionForm1182832-RecipientInformation-Ecard"></div>
</div>
<div class="at-row at-row-solo NotificationSendDate"><label class="at-date notificationsenddate" id="NVContributionForm1182832-RecipientInformation-NotificationSendDate"></label></div>
<div class="at-row at-row-solo NotificationMessage"><label class="at-area NotificationMessage" id="NVContributionForm1182832-RecipientInformation-NotificationMessage"></label></div>
</div>
<div class="at-row ecard-section e-mail">
<div class="at-recipient-msg" style="display: none;">
<div class="form-unit form-unit-radio form-item-ecard" id="NVContributionForm1182832-RecipientInformation-Ecard">
<div class="at-title"> Select an Ecard </div>
<div class="at-ecards clearfix">
<div class="at-ecard selected IHO-card iho-msg-1">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-1.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-1.gif" checked="">
</div>
<div class="at-ecard IHO-card iho-msg-2">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-2.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-2.gif">
</div>
<div class="at-ecard IHO-card iho-msg-3">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-3.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-3.gif">
</div>
<div class="at-ecard IHO-card iho-msg-4">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-4.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-4.gif">
</div>
<div class="at-ecard IHO-card iho-msg-5">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-5.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-5.gif">
</div>
<div class="at-ecard IHO-card iho-msg-6">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-6.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-6.gif">
</div>
<div class="at-ecard IMO-card imo-msg-1 card-hidden">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-imo-msg-1.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-imo-msg-1.gif">
</div>
<div class="at-ecard IMO-card imo-msg-2 card-hidden">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-imo-msg-2.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-imo-msg-2.gif">
</div>
<div class="at-ecard IMO-card imo-msg-3 card-hidden">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-imo-msg-3.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-imo-msg-3.gif">
</div>
<button type="button" class="at-preview-ecard btn-at btn-at-link">Preview Ecard</button>
</div>
</div><label class="at-date notificationsenddate" id="NVContributionForm1182832-RecipientInformation-NotificationSendDate">Send Date <small>(Optional)</small><input type="text" title="Send Date" name="NotificationSendDate" value=""
maxlength="10" size="10" class="hasDatepicker" placeholder="MM/DD/YYYY" autocomplete="off" id="dp1734354376947">
</label><label class="at-area NotificationMessage" id="NVContributionForm1182832-RecipientInformation-NotificationMessage" style="display: block;">Message* <small>(Optional)</small><textarea false="" title="Message*"
name="NotificationMessage" maxlength="4000"></textarea>
</label>
</div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset PaymentMethodSection" id="NVContributionForm1182832-PaymentMethodSection">
<div class="at-fields">
<div class="at-row at-row-full PaymentMethod">
<div class="at-payment-method-buttons" id="NVContributionForm1182832-PaymentMethodSection-PaymentMethod">
<div class="at-radio-set at-radio-set-buttons at-align-flex-right">
<div class="at-btn-radio-wrapper at-credit-card-button-wrapper">
<input id="creditcard_radio_1182832" type="radio" name="PaymentMethod" value="creditcard">
<label for="creditcard_radio_1182832" class="at-btn-radio large" tabindex="0">Credit Card</label>
</div>
<div class="at-btn-radio-wrapper at-eft-button-wrapper">
<input id="eft_radio_1182832" type="radio" name="PaymentMethod" value="eft">
<label for="eft_radio_1182832" class="at-btn-radio large" tabindex="0"> Pay with Bank Account </label>
</div>
<div class="at-btn-radio-wrapper at-paypal-button-wrapper">
<input id="paypal_radio_1182832" type="radio" name="PaymentMethod" value="paypal">
<label for="paypal_radio_1182832" class="at-btn-radio small at-paypal-button" title="Pay with PayPal" aria-label="Pay with PayPal" tabindex="0">
<span aria-hidden="true"> </span>
</label>
</div>
</div>
</div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset ContactInformation" id="NVContributionForm1182832-ContactInformation" style="display: none;">
<legend class="at-legend">Billing Information</legend>
<div class="at-fields">
<div class="at-row FirstName LastName"><label class="at-text FirstName" id="NVContributionForm1182832-ContactInformation-FirstName">First Name<input type="text" autocomplete="given-name" x-autocompletetype="given-name" required=""
title="First Name (required)" name="FirstName" value="" maxlength="20">
</label><label class="at-text LastName" id="NVContributionForm1182832-ContactInformation-LastName">Last Name<input type="text" autocomplete="family-name" x-autocompletetype="surname" required="" title="Last Name (required)" name="LastName"
value="" maxlength="25">
</label></div>
<div class="at-row AddressLine1 AddressLine2"><label class="at-text AddressLine1" id="NVContributionForm1182832-ContactInformation-AddressLine1">Street Address<input type="text" autocomplete="address-line1" x-autocompletetype="address-line1"
required="" title="Street Address (required)" name="AddressLine1" value="" maxlength="99">
</label><label class="at-text AddressLine2" id="NVContributionForm1182832-ContactInformation-AddressLine2">Address Line 2 <small>(Optional)</small><input type="text" autocomplete="address-line2" x-autocompletetype="address-line2" false=""
title="Address Line 2" name="AddressLine2" value="" maxlength="99">
</label></div>
<div class="at-row Country PostalCode City StateProvince"><label class="at-select Country" id="NVContributionForm1182832-ContactInformation-Country">Country <small>(Optional)</small><select autocomplete="country-name"
x-autocompletetype="country" title="Country" name="Country" class="select2-hidden-accessible" id="NVContributionForm1182832-ContactInformation-Country-select" tabindex="-1" aria-hidden="true">
<option value="">- Select -</option>
<option value="AF">Afghanistan</option>
<option value="AX">Åland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia (Plurinational State of)</option>
<option value="BQ">Bonaire, Sint Eustatius and Saba</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="VG">British Virgin Islands</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="CV">Cabo Verde</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo (Democratic Republic of the)</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Côte d'Ivoire</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czechia</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="SZ">Eswatini</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="VA">Holy See</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran (Islamic Republic of)</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IM">Isle of Man</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KP">Korea (Democratic People's Republic of)</option>
<option value="KR">Korea (Republic of)</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Lao People's Democratic Republic</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia (Federated States of)</option>
<option value="MD">Moldova (Republic of)</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MK">North Macedonia</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestine (State of)</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="QA">Qatar</option>
<option value="RE">Réunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin (French part)</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SX">Sint Maarten (Dutch part)</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="SS">South Sudan</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania (United Republic of)</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela (Bolivarian Republic of)</option>
<option value="VN">Viet Nam</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 267px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
aria-expanded="false" title="Country" tabindex="0" aria-labelledby="select2-NVContributionForm1182832-ContactInformation-Country-select-container"><span class="select2-selection__rendered"
id="select2-NVContributionForm1182832-ContactInformation-Country-select-container" title="United States">United States</span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</label><label class="at-text PostalCode" id="NVContributionForm1182832-ContactInformation-PostalCode">Postal Code<input type="tel" autocomplete="postal-code" x-autocompletetype="postal-code" pattern="^\d{5}([\-]\d{4})?$" required=""
title="Postal Code (required)" name="PostalCode" value="" maxlength="10">
</label><label class="at-text City" id="NVContributionForm1182832-ContactInformation-City">City<input type="text" autocomplete="address-level2" x-autocompletetype="locality" required="" title="City (required)" name="City" value=""
maxlength="25">
</label><label class="at-select StateProvince" id="NVContributionForm1182832-ContactInformation-StateProvince">Province/State<select required="" autocomplete="address-level1" x-autocompletetype="administrative-area" title="Province/State"
name="StateProvince" class=" required" id="NVContributionForm1182832-ContactInformation-StateProvince-select">
<option value="" disabled="">- State -</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AR">AR</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="IA">IA</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="MA">MA</option>
<option value="MD">MD</option>
<option value="ME">ME</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MO">MO</option>
<option value="MS">MS</option>
<option value="MT">MT</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="NE">NE</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NV">NV</option>
<option value="NY">NY</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VA">VA</option>
<option value="VT">VT</option>
<option value="WA">WA</option>
<option value="WI">WI</option>
<option value="WV">WV</option>
<option value="WY">WY</option>
<option value="AS">AS</option>
<option value="FM">FM</option>
<option value="GU">GU</option>
<option value="MH">MH</option>
<option value="MP">MP</option>
<option value="PR">PR</option>
<option value="PW">PW</option>
<option value="VI">VI</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
</select>
</label></div>
<div class="at-row EmailAddress MobilePhone"><label class="at-text EmailAddress" id="NVContributionForm1182832-ContactInformation-EmailAddress">Email<input type="email" autocomplete="email" x-autocompletetype="email"
pattern="^([\w!#$%&'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required="" title="Email (required)"
name="EmailAddress" value="" maxlength="100" placeholder="email@email.com">
</label><label class="at-text MobilePhone" id="NVContributionForm1182832-ContactInformation-MobilePhone">Mobile Phone <small>(Optional)</small>
<div class="intl-tel-input iti iti--allow-dropdown">
<div class="iti__flag-container">
<div class="iti__selected-flag" role="combobox" aria-controls="iti-0__country-listbox" aria-owns="iti-0__country-listbox" aria-expanded="false" tabindex="0" title="United States: +1" aria-activedescendant="iti-0__item-us-preferred">
<div class="iti__flag iti__us"></div>
<div class="iti__arrow"></div>
</div>
</div><input type="tel" class="intl-phone-MobilePhone" name="MobilePhone" title="Mobile Phone" data-intl-tel-input-id="0">
</div>
</label></div>
<div class="at-row at-row-solo SmsSubscribeMobilePhone"><input id="SmsSubscribeMobilePhone_Value" type="hidden" name="SmsSubscribeMobilePhone.Value" value="true"></div>
<div class="at-row at-row-solo at-row-full SmsLegalDisclaimer">
<div class="at-markup SmsLegalDisclaimer at-legal" id="NVContributionForm1182832-ContactInformation-SmsLegalDisclaimer">By providing your cell phone number, you agree to receive calls and texts to that number from Planned Parenthood
organizations that may be automatically dialed or prerecorded on Planned Parenthood issues and other ways to get involved. Msg freq varies. STOP to quit. Msg & Data Rates May Apply.
<a href="https://www.plannedparenthood.org/terms-use" target="_blank">Terms</a>.<br><br>
</div>
</div>
<div class="at-row at-row-solo at-row-full YesSignMeUpForUpdatesForBinder"><label class="at-check YesSignMeUpForUpdatesForBinder" id="NVContributionForm1182832-ContactInformation-YesSignMeUpForUpdatesForBinder"><input type="checkbox"
checked="" required="" name="YesSignMeUpForUpdatesForBinder"> <span class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1182832-ContactInformation-YesSignMeUpForUpdatesForBinder-label">You'll receive
emails from Planned Parenthood organizations. You may unsubscribe at any time.</span></span>
</label></div>
<div class="at-row "><label class="at-text PersonalUrl" id="NVContributionForm1182832-ContactInformation-PersonalUrl"> <small>(Optional)</small><input type="text" autocomplete="on" false="" title="" name="PersonalUrl" value="" maxlength="">
</label></div>
<div class="at-row "><input id="SocialNetworkTrackingId_Value" type="hidden" name="SocialNetworkTrackingId.Value"></div>
<div class="at-row "><input id="SocialNetwork_Value" type="hidden" name="SocialNetwork.Value"></div>
<div class="at-row ">
<div class="at-markup TrackingPixel" id="NVContributionForm1182832-ContactInformation-TrackingPixel" style="display: none;"><img alt=""
src="https://secure.everyaction.com/v1/Track/rx5reicYUE2nDzFRtAobGg2?formSessionId=6cd2b3ed-5a84-4270-a6d9-e55372715679&bName=chrome&dType=desktop&formVersion=11/25/2024 8:26:45 PM|&fUrl=aHR0cHM6Ly93d3cucGxhbm5lZHBhcmVudGhvb2Qub3JnL3BsYW5uZWQtcGFyZW50aG9vZC1ncmVhdGVyLXdhc2hpbmd0b24tbm9ydGgtaWRhaG8%3D&fRef="
style="display:none"></div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset PaymentInformation" id="NVContributionForm1182832-PaymentInformation" style="display: none;">
<legend class="at-legend">Payment Information</legend>
<div class="at-fields">
<div class="at-row "><label class="at-text at-cc-number" id="NVContributionForm1182832-PaymentInformation-Account">Card Number<div class="cc-type-wrapper vgs-loading-placeholder" style="display: none;">
<div class="cc-type unknown"></div>
<input type="tel" autocomplete="cc-number" title="Credit Card Number" placeholder="•••• •••• •••• ••••" readonly="true">
</div>
<div id="vgs-Account-1182832" class="vgs-cc-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty" tabindex="-1"><iframe title="Secure card number input frame"
src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=Account&placeholder=%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2&type=card-number&validations%5B0%5D=validCardNumber&validations%5B1%5D=required&autoComplete=cc-number&formId=randomId1604142237788905869&fieldId=randomId1609339383910963932&createdAt=1734354379086&tnt=dG50dzFwem5sYW0%3D&env=bGl2ZQ%3D%3D&logLevel=default&satellitePort=&vgsCollectSessionId=9d5c9884-175d-4ca5-8c8a-2d6b09ba8988&css%5BfontSize%5D=.875rem&css%5BfontFamily%5D=monospace&css%5BlineHeight%5D=1&css%5BbackgroundColor%5D=%23fff&css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
frameborder="0" scrolling="0" allowtransparency="true" id="randomId1609339383910963932" form-id="randomId1604142237788905869" data-gtm-yt-inspected-666187_821="true" data-gtm-yt-inspected-61934708_454="true"></iframe></div>
</label><label class="at-text at-cc-expiration" id="NVContributionForm1182832-PaymentInformation-ExpirationDate">Expiration Date<div class="vgs-loading-placeholder" style="display: none;">
<input type="tel" autocomplete="cc-exp" title="Expiration Date (MM / YY)" placeholder="MM / YY" readonly="true">
</div>
<div id="vgs-ExpirationDate-1182832" class="vgs-ccexpiration-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty"><iframe title="Secure card expiration date input frame"
src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=ExpirationDate&placeholder=MM%20%2F%20YY&type=card-expiration-date&serializers=W3sibmFtZSI6InNlcGFyYXRlIiwib3B0aW9ucyI6eyJtb250aE5hbWUiOiJFeHBpcmF0aW9uTW9udGgiLCJ5ZWFyTmFtZSI6IkV4cGlyYXRpb25ZZWFyIn19XQ%3D%3D&validations%5B0%5D=validCardExpirationDate&validations%5B1%5D=required&autoComplete=cc-exp&formId=randomId1604142237788905869&fieldId=randomId16018195717791353028&createdAt=1734354379088&tnt=dG50dzFwem5sYW0%3D&env=bGl2ZQ%3D%3D&logLevel=default&satellitePort=&vgsCollectSessionId=9d5c9884-175d-4ca5-8c8a-2d6b09ba8988&css%5BfontSize%5D=.875rem&css%5BfontFamily%5D=monospace&css%5BlineHeight%5D=1&css%5BbackgroundColor%5D=%23fff&css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
frameborder="0" scrolling="0" allowtransparency="true" id="randomId16018195717791353028" form-id="randomId1604142237788905869" data-gtm-yt-inspected-666187_821="true" data-gtm-yt-inspected-61934708_454="true"></iframe></div>
</label></div>
<div class="at-row">
<div class="at-paypal-accepted-here" style="display: none;">
<div class="at-payment-integration-container" style="display: none;">
<img class="at-paypal-logo-img" src="//d3rse9xjbp8270.cloudfront.net/assets/images/paypal-logo.png" alt="PayPal">
<p class="at-paypal-authorized-text">You’ve authorized this payment through PayPal.</p>
<div>Contribution Amount: <b class="at-paypal-amount"></b></div>
<div>Account: <b class="at-paypal-account-info"></b></div>
</div>
<label class="paypal-label">
<input type="hidden" name="paypalNonce" value="">
<input type="hidden" name="payPalNonceType" value="">
</label>
</div>
</div>
<div class="at-row">
<div class="at-eft-accepted-here" style="display: none;">
<label class="account-type-label">Account Type <select title="Account Type" name="bankAccountType" id="bankAccountType" style="width:50%;" class="eft-input">
<option value="Checking">Checking</option>
<option value="Savings">Savings</option>
</select>
</label>
<label class="routing-number-label at-row-half">Routing Number <a class="at-whatsthis" tabindex="0">What's This?</a>
<input type="tel" name="routingNumber" id="routingNumber" placeholder="•••••••••" style="width:100%;" maxlength="9" class="eft-input">
</label>
<label class="account-number-label at-row-half">Account Number <a class="at-whatsthis" tabindex="0">What's This?</a>
<input type="tel" name="bankAccountNumber" id="bankAccountNumber" placeholder="•••••••••••••••••" style="width:100%;" maxlength="17" class="eft-input">
</label>
<label class="confirm-account-number-label at-row-half">Confirm Account Number <input type="tel" name="confirmBankAccountNumber" id="confirmBankAccountNumber" placeholder="•••••••••••••••••" style="width:100%;" maxlength="17"
class="eft-input">
</label>
<label class="at-check authorize-payment-label">
<input type="checkbox" name="authorizePayment" id="authorizePayment" class="eft-input">
<span>I authorize the use of my bank account as a payment method and authorize this organization to debit my bank account via the Automated Clearing House system to fulfill my donation commitment. This authority will remain in effect
until revoked in writing by the account holder.</span>
</label>
</div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset AdditionalInformation" id="NVContributionForm1182832-AdditionalInformation" style="display: none;">
<legend class="at-legend">Additional Information</legend>
<div class="at-fields">
<div class="at-row at-row-full CustomFieldHeaderHtml">
<div class="at-markup CustomFieldHeaderHtml" id="NVContributionForm1182832-AdditionalInformation-CustomFieldHeaderHtml" style="display: none;"></div>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_6308388360774211_MappedCustomFormFieldQuestion_39">
<label class="at-text CustomFormFieldQuestion_6308388360774211_MappedCustomFormFieldQuestion_39" id="NVContributionForm1182832-AdditionalInformation-CustomFormFieldQuestion_6308388360774211_MappedCustomFormFieldQuestion_39">Organization
<small>(Optional)</small><input type="text" autocomplete="on" false="" title="Organization" name="CustomFormFieldQuestion_6308388360774211_MappedCustomFormFieldQuestion_39" value="" maxlength="75">
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_3612949719869257_MappedCustomFormFieldQuestion_40">
<label class="at-text CustomFormFieldQuestion_3612949719869257_MappedCustomFormFieldQuestion_40" id="NVContributionForm1182832-AdditionalInformation-CustomFormFieldQuestion_3612949719869257_MappedCustomFormFieldQuestion_40">Percentage
<small>(Optional)</small><input type="text" autocomplete="on" pattern="^(\d+(\.\d{0,2})?)|((\.\d{1,2}))$" false="" title="Percentage" name="CustomFormFieldQuestion_3612949719869257_MappedCustomFormFieldQuestion_40" value="" maxlength="">
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_7757137705401395_MappedCustomFormFieldQuestion_46">
<label class="at-text CustomFormFieldQuestion_7757137705401395_MappedCustomFormFieldQuestion_46" id="NVContributionForm1182832-AdditionalInformation-CustomFormFieldQuestion_7757137705401395_MappedCustomFormFieldQuestion_46">Salesforce Code
<small>(Optional)</small><input type="text" autocomplete="on" false="" title="Salesforce Code" name="CustomFormFieldQuestion_7757137705401395_MappedCustomFormFieldQuestion_46" value="" maxlength="75">
</label>
</div>
<div class="at-row at-row-full CustomFieldFooterHtml">
<div class="at-markup CustomFieldFooterHtml" id="NVContributionForm1182832-AdditionalInformation-CustomFieldFooterHtml" style="display: none;"></div>
</div>
</div>
</fieldset>
<div class="at-form-submit clearfix">
<input type="submit" value="Donate Now" class="at-submit btn-at btn-at-primary" style="display: none;">
<div class="at-markup secure-processing-single-step-div" style="display: none;">
<label class="secure-processing-label at-text"> Your donation will be securely processed.<div class="glyphicons glyphicons-lock" aria-hidden="true"></div>
</label>
</div>
</div>
</form>
Text Content
Go to Content * Back to Planned Parenthood * Back to Planned Parenthood of Greater Washington and North Idaho * Get Care * Learn * Get Involved * About Us * Donate * Español Make your tax deductible gift today. * $200 * $100 * $35 * Other * Back to PlannedParenthood.org Español Planned Parenthood Planned Parenthood of Greater Washington and North Idaho * Get Care * Location and Hours * Patient Portal * Our Services * Health Insurance * Patient Forms and Education * Insurance, Payment, & Pricing * Learn * Sex Education * Community Programs & Workshops * Trainings for Professionals * For Teens * For Parents * Get Involved * Become a Donor * Become an Activist * Become a Volunteer * Become a Member of Generation Action * Become a Voter * Clinical Education Program * About Us * Our Leadership * Legislative and Policy Agenda * Press Releases * Annual Reports * PPGWNI Jobs * Contact Us * Open Search Search * Donate * Search Find YOUR HEALTH, OUR PRIORITY. BOOK AN APPOINTMENT. Visit one of our 11 health centers in Central and Eastern Washington for trusted, reliable healthcare. Book your appointment online. Book Now Previous JOIN THE TEAM We are hiring medical staff and administrative professionals - join the team and make a difference in your community! View open positions VISIT THE PATIENT PORTAL Our Patient Portal is a secure, easy, and reliable way to communicate with your healthcare provider online. Patient Portal JOIN US AT AN EVENT Find upcoming events in your community. Events JOIN THE TEAM We are hiring medical staff and administrative professionals - join the team and make a difference in your community! View open positions VISIT THE PATIENT PORTAL Our Patient Portal is a secure, easy, and reliable way to communicate with your healthcare provider online. Patient Portal JOIN US AT AN EVENT Find upcoming events in your community. Events JOIN THE TEAM We are hiring medical staff and administrative professionals - join the team and make a difference in your community! View open positions Next * 1 * 2 * 3 20170629_mobile_icons_d05 BOOK AN APPOINTMENT Book An Appointment Health Center Icon HEALTH CENTER LOCATIONS Locations OUR SERVICES Services Donate MAKE A DONATION Donate Volunteers icon BECOME A VOLUNTEER Volunteer BECOME AN ACTIVIST Advocacy "PLAN B" VENDING MACHINES Learn More WE'RE PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO, AND WE'RE HERE FOR YOU. PPGWNI is here for you! Play PPGWNI is here for you! Here for you, no matter what. WE'RE PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO, AND WE'RE HERE FOR YOU. The mission of Planned Parenthood of Greater Washington and North Idaho is to provide exceptional reproductive and complementary health care services, honest education, and fearless advocacy for all. NEED HELP? CHAT NOW. Chat online or text "PPNOW" to 774636 (PPINFO) to get answers about pregnancy, birth control, emergency contraception, STDs, and abortion. Standard message and data rates may apply. Text STOP to quit at anytime, and HELP for info. Chat Now CONNECT WITH US ON SOCIAL MEDIA Follow us on Follow us on Follow us on Follow us on BOOK AN APPOINTMENT Service Zip, City, or State Appointment Type All Telehealth In-person Search Icon JUST A COUPLE MORE QUESTIONS. For more accurate abortion options, please enter your age and the first day of your last period. Your information is private and anonymous. First day of your last period The first day of your last period helps estimate how far along you are in pregnancy so we can give you more personalized search results. I'm not sure Age Some states have special requirements if you're under 18. Providing this helps us give you more personalized search results. Find an abortion Provider Close PLANNED PARENTHOOD NEEDS YOU — GIVE NOW. We’ll do whatever it takes to protect abortion access and expand reproductive care — but we urgently need your help. Don’t wait: Make your tax-deductible year-end gift before midnight on December 31 so we can continue to protect and provide care, no matter what. REMIND ME LATER With reproductive health and rights on the line, it’s going to take all of us to step up and chip in however we can. We understand now might not be the best time to give, but let us know how to get in touch and we’ll remind you to make a gift to Planned Parenthood later. In the meantime, we’ll keep sharing ways to give, take action, and get involved to support Planned Parenthood and protect reproductive health and rights. Remind Me LaterBack Give To Planned ParenthoodSpecific Giving Your gift will go to the Planned Parenthood organization of your choice. Patients need us, and we need you. Make your tax-deductible year-end gift today so we can continue to protect and provide care, no matter what. Organization- Select -Planned Parenthood Federation of AmericaPlanned Parenthood Federation of America Global ProgramsAL - Planned Parenthood SoutheastAK - Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, KentuckyAR - Planned Parenthood Great PlainsAZ - Planned Parenthood ArizonaCA - Planned Parenthood Los AngelesCA - Planned Parenthood Pasadena and San Gabriel ValleyCA - Planned Parenthood of the Pacific SouthwestCA - Planned Parenthood Mar MonteCA - Planned Parenthood of Orange & San Bernardino CountiesCA - Planned Parenthood California Central CoastCA - Planned Parenthood Northern CaliforniaCO - Planned Parenthood of the Rocky MountainsCT - Planned Parenthood of Southern New EnglandDC - Planned Parenthood of Metropolitan Washington, DCDE - Planned Parenthood of DelawareFL - Planned Parenthood of Southwest and Central FloridaFL - Planned Parenthood of South, East and North FloridaGA - Planned Parenthood SoutheastHI - Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, KentuckyIA - Planned Parenthood North Central StatesID - Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, KentuckyID - Planned Parenthood of Greater Washington and North IdahoIL - Planned Parenthood of IllinoisIL - Planned Parenthood Great RiversIN - Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, KentuckyKS - Planned Parenthood Great PlainsKY - Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, KentuckyKY - Planned Parenthood Southwest Ohio RegionLA - Planned Parenthood Gulf CoastMA - Planned Parenthood League of MassachusettsMD - Planned Parenthood of MarylandMD - Planned Parenthood of Metropolitan Washington, DCME - Planned Parenthood of Northern New EnglandMI - Planned Parenthood of MichiganMN - Planned Parenthood North Central StatesMO - Planned Parenthood Great PlainsMO - Planned Parenthood Great RiversMS - Planned Parenthood of Tennessee and North MississippiMS - Planned Parenthood SoutheastMT - Planned Parenthood of MontanaNC - Planned Parenthood South AtlanticND - Planned Parenthood North Central StatesNE - Planned Parenthood North Central StatesNH - Planned Parenthood of Northern New EnglandNJ - Planned Parenthood of Northern, Central, and Southern New JerseyNJ - Planned Parenthood of Metropolitan New JerseyNM - Planned Parenthood of the Rocky MountainsNV - Planned Parenthood Mar MonteNV - Planned Parenthood of the Rocky MountainsNY - Upper Hudson Planned ParenthoodNY - Planned Parenthood of Central and Western New YorkNY - Planned Parenthood of Greater New YorkNY - Planned Parenthood of the North Country New YorkNY - Planned Parenthood Hudson PeconicOH - Planned Parenthood of Greater OhioOH - Planned Parenthood Southwest Ohio RegionOK - Planned Parenthood Great PlainsOR - Planned Parenthood of Southwestern OregonOR - Planned Parenthood Columbia WillamettePA - Planned Parenthood Southeastern PennsylvaniaPA - Planned Parenthood of Western PennsylvaniaPA - Planned Parenthood KeystoneRI - Planned Parenthood of Southern New EnglandSC - Planned Parenthood South AtlanticSD - Planned Parenthood North Central StatesTN - Planned Parenthood of Tennessee and North MississippiTX - Planned Parenthood of Greater TexasTX - Planned Parenthood Gulf CoastTX - Planned Parenthood South TexasUT - Planned Parenthood Association of UtahVA - Planned Parenthood South AtlanticVA - Planned Parenthood of Metropolitan Washington, DCVA - Virginia League for Planned ParenthoodVT - Planned Parenthood of Northern New EnglandWA - Mt. Baker Planned ParenthoodWA - Planned Parenthood Columbia WillametteWA - Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, KentuckyWA - Planned Parenthood of Greater Washington and North IdahoWI - Planned Parenthood of WisconsinWV - Planned Parenthood South AtlanticWY - Planned Parenthood of the Rocky Mountains Donate Online Today Planned Parenthood health centers will never stop caring for patients, and will continue to provide affordable, high-quality health care for the millions of patients they serve. Gift Information One-Time Monthly A monthly gift does even more to protect reproductive rights $200 $100 $60 $35 Other $ I'd like to help cover the transaction fees for my contributionI'd like to cover the processing fees, making my total gift $103.25, so $100.00 goes to protect reproductive health. I'd like to make this gift in honor or in memory of someone special Is this an Honorary or Memorial Gift? In honor of In memory of Honoree Name I'd like to notify someone of this contribution I'd like an e-card to be sent via email (delivered instantly or on a specific date of your choosing) I'd like a physical card to be sent via the mail (delivered within 2 - 3 weeks) Who would you like to notify? We will send an email notification to the email address you provide below. We are unable to send anonymous notifications — the recipient will see your name and email address. First Name* Last Name* Street Address* Country*- Select -AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuela (Bolivarian Republic of)Viet NamWallis and FutunaWestern SaharaYemenZambiaZimbabweUnited States Postal Code* City* State/Province*- State -AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYASFMGUMHMPPRPWVIAAAEAP Email* (Optional) Select an Ecard Preview Ecard Send Date (Optional) Message* (Optional) Credit Card Pay with Bank Account Billing Information First Name Last Name Street Address Address Line 2 (Optional) Country (Optional)- Select -AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuela (Bolivarian Republic of)Viet NamWallis and FutunaWestern SaharaYemenZambiaZimbabweUnited States Postal Code City Province/State- State -AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYASFMGUMHMPPRPWVIAAAEAP Email Mobile Phone (Optional) By providing your cell phone number, you agree to receive calls and texts to that number from Planned Parenthood organizations that may be automatically dialed or prerecorded on Planned Parenthood issues and other ways to get involved. Msg freq varies. STOP to quit. Msg & Data Rates May Apply. Terms. You'll receive emails from Planned Parenthood organizations. You may unsubscribe at any time. (Optional) Payment Information Card Number Expiration Date You’ve authorized this payment through PayPal. Contribution Amount: Account: Account Type Checking Savings Routing Number What's This? Account Number What's This? Confirm Account Number I authorize the use of my bank account as a payment method and authorize this organization to debit my bank account via the Automated Clearing House system to fulfill my donation commitment. This authority will remain in effect until revoked in writing by the account holder. Additional Information Organization (Optional) Percentage (Optional) Salesforce Code (Optional) Your donation will be securely processed. Planned Parenthood respects your privacy, and works to ensure your information is kept confidential. Feel free to review our privacy policy and our website's terms of use, and reach out with any questions. YOUR CONTRIBUTION TO PPFA IS TAX-DEDUCTIBLE TO THE FULLEST EXTENT ALLOWABLE Our Latest Financial Report & Registration © 2024 Planned Parenthood Federation of America Inc. Close WE NEED YOUR SUPPORT DONATE footer Planned Parenthood is America’s most trusted provider of reproductive health care. Call Planned Parenthood Donate Follow us on Follow us on Follow us on Follow us on Follow us on * About This Site Toggle Navigation * Privacy Policy * Terms of Use * HIPAA * Cookie Settings * Privacy Policy * Terms of Use * HIPAA © 2024 Planned Parenthood of Greater Washington and North Idaho THIS WEBSITE USES COOKIES Planned Parenthood cares about your healthcare privacy and information preferences. We and our third-party vendors use cookies and other tools to collect, store, monitor, and analyze information about your interaction with our site, to improve performance, analyze your use of our sites and assist in our marketing efforts. We also use analytics to better understand how users book appointments. You may edit the use of these cookies and other tools at any time by visiting Cookie Settings. By clicking “Allow All Cookies” you consent to our collection and use of such data, and our Terms of Use. For more information, see our Privacy Notice. Español Cookie settings Allow all COOKIE SETTINGS We, and our third-party partners, use cookies, pixels, and other tracking technologies to collect, store, monitor, and process certain information about you when you access and use our services, read our emails, or otherwise engage with us. The information collected might relate to you, your preferences, or your device. We use that information to make the site work, analyze performance and traffic on our website, to provide a more personalized web experience, and assist in our marketing efforts. We also share information with our social media, advertising, and analytics partners. You can change your default settings according to your preference. You cannot opt-out of required cookies when utilizing our site; this includes necessary cookies that help our site to function (such as remembering your cookie preference settings). For more information, please see our Privacy Notice. MARKETING On We use online advertising to promote our mission and help constituents find our services. Marketing pixels help us measure the success of our campaigns. PERFORMANCE On We use qualitative data, including session replay, to learn about your user experience and improve our products and services. ANALYTICS On We use web analytics to help us understand user engagement with our website, trends, and overall reach of our products. Reject All Save settings Allow all Preview ×