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Submitted URL: https://oigmxhdab.cc.rs6.net/tn.jsp?f=0015eWv9VlZbqMAP1W-43tlB9PhR8V8zWx3KUvMMJK2IX2A9dDu1Yt0g5mPPXZTknK6mg-MxAg9LccZtp-itdFH...
Effective URL: https://www.canadahelps.org/en/dn/125358
Submission: On December 20 via manual from IN — Scanned from US
Effective URL: https://www.canadahelps.org/en/dn/125358
Submission: On December 20 via manual from IN — Scanned from US
Form analysis
1 forms found in the DOM<form class="ff-container ff-width">
<header id="cdf-header" class="flex justify-between px-10 py-4 m:px-6 sm:px-3">
<div class="flex-none"><img class="mr-4 max-h-[70px] max-w-[130px]" src="/en/charities/logo/53270/" alt="PKD Foundation of Canada logo"></div>
<div class="flex-grow">
<h1 class="text-ink-charcoal text-display mx-0 mb-2 mt-0 xxs:text-h2">PKD Foundation of Canada</h1>
<h2 class="text-ink-bayoux text-h3 mb-2 xxs:h4">BN: 852683853RR0001</h2>
<p class="text-ink-charcoal" tabindex="-1" aria-hidden="true" id="expandableText" aria-live="polite">The mission of the PKD Foundation of Canada is to promote programs of research, advocacy, education, support and awareness in order to
discover...</p><button class="underline hover:text-blue-dark text-blue-ch" type="button" id="read-more-btn" aria-controls="expandableText" aria-expanded="false" style="color: rgb(247, 141, 30);">Read more</button>
</div>
<div class="ml-2"><a href="https://www.canadahelps.org/fr/dn/125358" class="bg-shade-lilac hover:bg-shade-zicron block cursor-pointer text-ink-bayoux rounded-full py-0 px-1 w-6" style="outline-color: rgb(247, 141, 30);">FR</a></div>
</header>
<fieldset id="donation-details" class="">
<legend class="ff-section-title" style="background-color: rgb(9, 129, 149); color: rgb(248, 245, 245);">Donation Details</legend>
<div class="ff-section">
<fieldset class="mb-4 max-w-[400px]">
<legend class="hidden-accessibility">Choose Donation Frequency</legend>
<div class="item-group xxs:flex-col flex w-full">
<div class="flex-auto w-1/2 xs:flex-1 xs:self-stretch xxs:w-auto"><input id="oneTime" name="donationFrequency" type="radio" class="border-0 w-0 height-px cursor-pointer -m-px p-0 overflow-hidden absolute peer focus:ring-0 -z-[10]" value="1"
checked=""><label
class="min-w-48 flex items-center justify-center text-center font-lato py-2 px-4 xs:px-2 peer-checked:border-blue-ch peer-checked:bg-blue-ch peer-checked:text-white font-semibold border-shade-solitude border-2 border-l-0 xxs:border-l-2 xxs:border-b-0 xxs:peer-checked:border-b-2 peer-checked:border-r-2 peer-checked:border-l-2 border-l-2 text-blue-ch text-default cursor-pointer rounded-l-ch xxs:rounded-t-ch xxs:rounded-bl-none from-[#FAFBFC] to-[#EBEFF2] xs:h-full xxs:h-auto"
for="oneTime" style="border-color: rgb(247, 141, 30); background: rgb(247, 141, 30);"><span>DONATE ONCE</span></label></div>
<div class="flex-auto w-1/2 xs:flex-1 xs:self-stretch xxs:w-auto"><input id="monthly" name="donationFrequency" type="radio" class="border-0 w-0 height-px cursor-pointer -m-px p-0 overflow-hidden absolute peer focus:ring-0 -z-[10]"
value="2"><label
class="min-w-48 flex items-center justify-center text-center font-lato py-2 px-4 xs:px-2 peer-checked:border-blue-ch peer-checked:bg-blue-ch peer-checked:text-white font-semibold border-shade-solitude border-2 border-l-0 xxs:border-l-2 xxs:border-b-0 xxs:border-b-2 xxs:peer-checked:border-b-2 peer-checked:border-r-2 peer-checked:border-l-2 border-r-2 xxs:rounded-t-none xxs:rounded-bl-ch text-blue-ch text-default cursor-pointer rounded-r-ch xxs:rounded-bl-none hover:bg-gradient-to-b from-[#FAFBFC] to-[#EBEFF2] xs:h-full xxs:h-auto"
for="monthly" style="color: rgb(247, 141, 30);"><span>DONATE MONTHLY</span></label></div>
</div>
</fieldset>
<fieldset class="">
<legend class="custom-label">Donation amount</legend>
<div class="amount-group flex flex-wrap">
<div class="mr-2 last:mr-0"><input id="donationPreset-1" name="donationPreset" type="radio" class="border-0 w-0 height-px cursor-pointer -m-px p-0 overflow-hidden absolute peer focus:ring-0 -z-[10]" value="50"><label
class="block font-lato font-bold p-2 mb-4 peer-checked:text-blue-ch peer-checked:border-blue-ch border-shade-solitude border-2 text-ink-bayoux text-default text-center cursor-pointer rounded-ch hover:bg-gradient-to-b from-[#FAFBFC] to-[#EBEFF2]"
for="donationPreset-1">$50</label></div>
<div class="mr-2 last:mr-0"><input id="donationPreset-2" name="donationPreset" type="radio" class="border-0 w-0 height-px cursor-pointer -m-px p-0 overflow-hidden absolute peer focus:ring-0 -z-[10]" value="100"><label
class="block font-lato font-bold p-2 mb-4 peer-checked:text-blue-ch peer-checked:border-blue-ch border-shade-solitude border-2 text-ink-bayoux text-default text-center cursor-pointer rounded-ch hover:bg-gradient-to-b from-[#FAFBFC] to-[#EBEFF2]"
for="donationPreset-2">$100</label></div>
<div class="mr-2 last:mr-0"><input id="donationPreset-3" name="donationPreset" type="radio" class="border-0 w-0 height-px cursor-pointer -m-px p-0 overflow-hidden absolute peer focus:ring-0 -z-[10]" value="250"><label
class="block font-lato font-bold p-2 mb-4 peer-checked:text-blue-ch peer-checked:border-blue-ch border-shade-solitude border-2 text-ink-bayoux text-default text-center cursor-pointer rounded-ch hover:bg-gradient-to-b from-[#FAFBFC] to-[#EBEFF2]"
for="donationPreset-3">$250</label></div>
<div class="mr-2 last:mr-0"><input id="donationPreset-4" name="donationPreset" type="radio" class="border-0 w-0 height-px cursor-pointer -m-px p-0 overflow-hidden absolute peer focus:ring-0 -z-[10]" value="500"><label
class="block font-lato font-bold p-2 mb-4 peer-checked:text-blue-ch peer-checked:border-blue-ch border-shade-solitude border-2 text-ink-bayoux text-default text-center cursor-pointer rounded-ch hover:bg-gradient-to-b from-[#FAFBFC] to-[#EBEFF2]"
for="donationPreset-4">$500</label></div>
</div>
<div class="mb-4">
<div class="flex"><span class="inline-flex items-center rounded-l-ch border border-r-0 border-shade-solitude bg-shade-lilac px-2 font-lato text-ink-charcoal" aria-hidden="true">$</span>
<div class="relative w-36"><input id="donationAmount" aria-errormessage="donationAmount-error" aria-invalid="false"
class="h-10 rounded-ch block w-full min-w-0 rounded-none border-shade-solitude p-2 ring-0 peer hover:border-blue-dark focus:border-blue-dark active:border-blue-dark appearance-none focus:ring-0 rounded-r-ch hover:rounded-ch focus:rounded-ch active:rounded-ch placeholder-transparent"
name="donationAmount" type="number" step="0.01" min="3" placeholder="Custom amount" value=""><label
class="absolute left-2 text-ink-bayoux px-1.2 font-lato scale-75 peer-focus:scale-75 transition-all duration-200 cursor-text -translate-y-5 -translate-x-2.5 top-3 peer-focus:-translate-y-5 peer-focus:-translate-x-2.5 bg-white peer-focus:text-blue-dark peer-placeholder-shown:-translate-x-1 peer-placeholder-shown:-translate-y-0.5 peer-placeholder-shown:scale-100 peer-placeholder-shown:bg-white"
for="donationAmount">Custom amount</label></div>
</div>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</fieldset>
<div class="mb-4">
<div class="relative"><label
class="absolute left-2 text-ink-bayoux px-1.2 font-lato scale-75 peer-placeholder-shown:scale-100 transition-all duration-200 cursor-text -translate-y-5 -translate-x-2.5 top-3 peer-placeholder-shown:-translate-y-0.5 peer-placeholder-shown:-translate-x-1.2 bg-white peer-placeholder-shown:bg-white"
for="donationFund">Fund</label><select id="donationFund" name="donationFund" aria-label="Fund"
class="font-lato h-10 w-full p-2 pr-8 whitespace-nowrap text-ellipsis text-ink-charcoal text-default cursor-pointer rounded-ch focus:ring-0 border-shade-solitude pl-2 hover:border-blue-dark focus:border-blue-dark focus:ring-blue-dark active:border-blue-dark">
<option value="173816">General Donation</option>
<option value="11137">PKD Research</option>
</select></div>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
<div class="relative mb-4"><input name="messageForCharity" type="text" aria-invalid="false" aria-errormessage="id-messageForCharity-error" placeholder="Write a private message to us (optional)"
aria-label="Write a private message to us (optional)" maxlength="255"
class="h-10 font-lato w-full p-2 rounded-ch border-shade-solitude hover:border-blue-dark focus:border-blue-dark active:border-blue-dark focus:outline-none peer focus:shadow-none focus:ring-0 text-default border-solid text-ink-charcoal placeholder-transparent"
id="id-messageForCharity" inputmode="text" value=""><label
class="text-default absolute left-2 text-ink-bayoux pl-1.2 font-lato scale-75 peer-focus:scale-75 peer-placeholder-shown:scale-100 transition-all duration-200 cursor-text -translate-y-6 -translate-x-2.5 top-3 peer-placeholder-shown:-translate-y-1 peer-focus:-translate-y-6 peer-placeholder-shown:-translate-x-1.2 peer-focus:-translate-x-2.5 bg-white peer-placeholder-shown:bg-white peer-focus:text-blue-dark"
for="id-messageForCharity">Write a private message to us (optional)</label>
<div aria-live="polite"><span id="id-messageForCharity-counter" class="mt-2 text-caption text-ink-bayoux block">255 characters remaining</span></div>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
</div>
</fieldset>
<fieldset id="donor-info" class="">
<legend class="ff-section-title" style="background-color: rgb(9, 129, 149); color: rgb(248, 245, 245);">Donor & Tax Receipt Information</legend>
<div class="ff-section">
<div role="alert" aria-atomic="true"></div>
<div>
<div>
<div class="relative mb-4"><input name="donorEmail" type="email" aria-invalid="false" aria-errormessage="donorEmail-error" placeholder="Email Address" aria-label="Email Address" maxlength="60"
class="h-10 font-lato w-full p-2 rounded-ch border-shade-solitude hover:border-blue-dark focus:border-blue-dark active:border-blue-dark focus:outline-none peer focus:shadow-none focus:ring-0 text-default border-solid text-ink-charcoal placeholder-transparent"
id="donorEmail" inputmode="text" value=""><label
class="text-default absolute left-2 text-ink-bayoux pl-1.2 font-lato scale-75 peer-focus:scale-75 peer-placeholder-shown:scale-100 transition-all duration-200 cursor-text -translate-y-6 -translate-x-2.5 top-3 peer-placeholder-shown:-translate-y-1 peer-focus:-translate-y-6 peer-placeholder-shown:-translate-x-1.2 peer-focus:-translate-x-2.5 bg-white peer-placeholder-shown:bg-white peer-focus:text-blue-dark"
for="donorEmail">Email Address<span class="hide-for-sr text-error-solid" aria-hidden="true" title="This field is required">*</span><span class="hidden-accessibility">This field is required</span></label>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
</div>
</div>
<div class="mb-4 flex content-start" data-radium="true"><input id="isCorporateDonation" name="isCorporateDonation" data-is-checked="false" type="checkbox"
class="align-top mr-2 mt-0.5 h-[18px] w-[18px] cursor-pointer rounded-ch ring-0 focus:ring-0 focus:ring-offset-0 focus:shadow-none border-shade-iron checked:border-blue-ch checked:bg-blue-ch indeterminate:bg-blue-ch hover:border-blue-ch checked:hover:bg-blue-ch indeterminate:hover:bg-blue-ch focus:border-blue-ch checked:focus:bg-blue-ch indeterminate:focus:bg-blue-ch "
data-radium="true">
<div data-radium="true">
<div class="flex" data-radium="true"><label for="isCorporateDonation" class="font-lato cursor-pointer select-none font-normal text-default">This is a corporate donation</label></div>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
</div>
<div class="flex mb-4 xxs:flex-col">
<div class="flex-col w-1/2 pr-2 xxs:w-full xxs:pr-0 xxs:mb-4">
<div class="relative"><input name="donorFirstName" type="text" aria-invalid="false" aria-errormessage="donorFirstName-error" placeholder="First Name" aria-label="First Name" maxlength="20"
class="h-10 font-lato w-full p-2 rounded-ch border-shade-solitude hover:border-blue-dark focus:border-blue-dark active:border-blue-dark focus:outline-none peer focus:shadow-none focus:ring-0 text-default border-solid text-ink-charcoal placeholder-transparent"
id="donorFirstName" inputmode="text" value=""><label
class="text-default absolute left-2 text-ink-bayoux pl-1.2 font-lato scale-75 peer-focus:scale-75 peer-placeholder-shown:scale-100 transition-all duration-200 cursor-text -translate-y-6 -translate-x-2.5 top-3 peer-placeholder-shown:-translate-y-1 peer-focus:-translate-y-6 peer-placeholder-shown:-translate-x-1.2 peer-focus:-translate-x-2.5 bg-white peer-placeholder-shown:bg-white peer-focus:text-blue-dark"
for="donorFirstName">First Name<span class="hide-for-sr text-error-solid" aria-hidden="true" title="This field is required">*</span><span class="hidden-accessibility">This field is required</span></label>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
</div>
<div class="flex-col w-1/2 pl-2 xxs:w-full xxs:pl-0">
<div class="relative"><input name="donorLastName" type="text" aria-invalid="false" aria-errormessage="donorLastName-error" placeholder="Last Name" aria-label="Last Name" maxlength="20"
class="h-10 font-lato w-full p-2 rounded-ch border-shade-solitude hover:border-blue-dark focus:border-blue-dark active:border-blue-dark focus:outline-none peer focus:shadow-none focus:ring-0 text-default border-solid text-ink-charcoal placeholder-transparent"
id="donorLastName" inputmode="text" value=""><label
class="text-default absolute left-2 text-ink-bayoux pl-1.2 font-lato scale-75 peer-focus:scale-75 peer-placeholder-shown:scale-100 transition-all duration-200 cursor-text -translate-y-6 -translate-x-2.5 top-3 peer-placeholder-shown:-translate-y-1 peer-focus:-translate-y-6 peer-placeholder-shown:-translate-x-1.2 peer-focus:-translate-x-2.5 bg-white peer-placeholder-shown:bg-white peer-focus:text-blue-dark"
for="donorLastName">Last Name<span class="hide-for-sr text-error-solid" aria-hidden="true" title="This field is required">*</span><span class="hidden-accessibility">This field is required</span></label>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
</div>
</div>
<fieldset>
<legend class="custom-label">Address<span class="hide-for-sr text-error-solid" aria-hidden="true" title="This field is required">*</span><span class="hidden-accessibility">This field is required</span></legend>
<div>
<div class="relative mb-4"><input name="donorAddressLine1" type="text" aria-invalid="false" aria-errormessage="donorAddressLine1-error" placeholder="Address line 1" aria-label="Address line 1"
class="h-10 font-lato w-full p-2 rounded-ch border-shade-solitude hover:border-blue-dark focus:border-blue-dark active:border-blue-dark focus:outline-none peer focus:shadow-none focus:ring-0 text-default border-solid text-ink-charcoal placeholder-transparent pac-target-input"
id="donorAddressLine1" inputmode="text" value="" autocomplete="off"><label
class="text-default absolute left-2 text-ink-bayoux pl-1.2 font-lato scale-75 peer-focus:scale-75 peer-placeholder-shown:scale-100 transition-all duration-200 cursor-text -translate-y-6 -translate-x-2.5 top-3 peer-placeholder-shown:-translate-y-1 peer-focus:-translate-y-6 peer-placeholder-shown:-translate-x-1.2 peer-focus:-translate-x-2.5 bg-white peer-placeholder-shown:bg-white peer-focus:text-blue-dark"
for="donorAddressLine1">Address line 1<span class="hide-for-sr text-error-solid" aria-hidden="true" title="This field is required">*</span><span class="hidden-accessibility">This field is required</span></label>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
</div>
<div class="relative mb-4"><input name="donorAddressLine2" type="text" aria-invalid="false" aria-errormessage="donorAddressLine2-error" placeholder="Address line 2 (optional)" aria-label="Address line 2 (optional)"
class="h-10 font-lato w-full p-2 rounded-ch border-shade-solitude hover:border-blue-dark focus:border-blue-dark active:border-blue-dark focus:outline-none peer focus:shadow-none focus:ring-0 text-default border-solid text-ink-charcoal placeholder-transparent"
id="donorAddressLine2" inputmode="text" value=""><label
class="text-default absolute left-2 text-ink-bayoux pl-1.2 font-lato scale-75 peer-focus:scale-75 peer-placeholder-shown:scale-100 transition-all duration-200 cursor-text -translate-y-6 -translate-x-2.5 top-3 peer-placeholder-shown:-translate-y-1 peer-focus:-translate-y-6 peer-placeholder-shown:-translate-x-1.2 peer-focus:-translate-x-2.5 bg-white peer-placeholder-shown:bg-white peer-focus:text-blue-dark"
for="donorAddressLine2">Address line 2 (optional)</label>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
<div class="flex mb-4 xxs:flex-col">
<div class="flex-col w-1/2 pr-2 xxs:w-full xxs:pr-0 xxs:mb-4">
<div class="relative"><input name="donorCity" type="text" aria-invalid="false" aria-errormessage="donorCity-error" placeholder="City" aria-label="City"
class="h-10 font-lato w-full p-2 rounded-ch border-shade-solitude hover:border-blue-dark focus:border-blue-dark active:border-blue-dark focus:outline-none peer focus:shadow-none focus:ring-0 text-default border-solid text-ink-charcoal placeholder-transparent"
id="donorCity" inputmode="text" value=""><label
class="text-default absolute left-2 text-ink-bayoux pl-1.2 font-lato scale-75 peer-focus:scale-75 peer-placeholder-shown:scale-100 transition-all duration-200 cursor-text -translate-y-6 -translate-x-2.5 top-3 peer-placeholder-shown:-translate-y-1 peer-focus:-translate-y-6 peer-placeholder-shown:-translate-x-1.2 peer-focus:-translate-x-2.5 bg-white peer-placeholder-shown:bg-white peer-focus:text-blue-dark"
for="donorCity">City<span class="hide-for-sr text-error-solid" aria-hidden="true" title="This field is required">*</span><span class="hidden-accessibility">This field is required</span></label>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
</div>
<div class="flex-col w-1/2 pl-2 xxs:w-full xxs:pl-0">
<div class="">
<div class="relative"><select id="donorCountry" name="donorCountry" aria-label="Country"
class="font-lato h-10 w-full p-2 pr-8 whitespace-nowrap text-ellipsis text-ink-charcoal text-default cursor-pointer rounded-ch focus:ring-0 border-shade-solitude pl-2 hover:border-blue-dark focus:border-blue-dark focus:ring-blue-dark active:border-blue-dark">
<option value="" disabled="">Select Country</option>
<option value="CA">Canada</option>
<option value="US">United States</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="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="BN">Brunei</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Cote D'Ivoire</option>
<option value="HR">Croatia</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="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands</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="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Lao</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</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 Is.</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="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="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestinian Terr.</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Fed.</option>
<option value="RW">Rwanda</option>
<option value="SH">Saint Helena</option>
<option value="LC">Saint Lucia</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="CS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</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="KR">South Korea</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania</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</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="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela</option>
<option value="VN">Viet Nam</option>
<option value="VG">Virgin Islands</option>
<option value="WF">Wallis And Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select></div>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
</div>
</div>
<div class="flex mb-4 xxs:flex-col">
<div class="flex-col w-1/2 pr-2 xxs:w-full xxs:pr-0 xxs:mb-4">
<div class="">
<div class="relative"><select id="donorProvince" name="donorProvince" aria-label="Province"
class="font-lato h-10 w-full p-2 pr-8 whitespace-nowrap text-ellipsis text-ink-charcoal text-default cursor-pointer rounded-ch focus:ring-0 border-shade-solitude pl-2 hover:border-blue-dark focus:border-blue-dark focus:ring-blue-dark active:border-blue-dark">
<option value="" disabled="">Select Province</option>
<option value="AB">Alberta</option>
<option value="BC">British Columbia</option>
<option value="MB">Manitoba</option>
<option value="NB">New Brunswick</option>
<option value="NL">Newfoundland and Labrador</option>
<option value="NT">Northwest Territories</option>
<option value="NS">Nova Scotia</option>
<option value="NU">Nunavut</option>
<option value="ON">Ontario</option>
<option value="PE">Prince Edward Island</option>
<option value="QC">Quebec</option>
<option value="SK">Saskatchewan</option>
<option value="YT">Yukon</option>
</select></div>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
</div>
<div class="flex-col w-1/2 pl-2 xxs:w-full xxs:pl-0">
<div class="relative"><input name="donorPostalCode" type="text" aria-invalid="false" aria-errormessage="donorPostalCode-error" placeholder="Postal code" aria-label="Postal code"
class="h-10 font-lato w-full p-2 rounded-ch border-shade-solitude hover:border-blue-dark focus:border-blue-dark active:border-blue-dark focus:outline-none peer focus:shadow-none focus:ring-0 text-default border-solid text-ink-charcoal placeholder-transparent"
id="donorPostalCode" inputmode="text" value=""><label
class="text-default absolute left-2 text-ink-bayoux pl-1.2 font-lato scale-75 peer-focus:scale-75 peer-placeholder-shown:scale-100 transition-all duration-200 cursor-text -translate-y-6 -translate-x-2.5 top-3 peer-placeholder-shown:-translate-y-1 peer-focus:-translate-y-6 peer-placeholder-shown:-translate-x-1.2 peer-focus:-translate-x-2.5 bg-white peer-placeholder-shown:bg-white peer-focus:text-blue-dark"
for="donorPostalCode">Postal code</label>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</fieldset>
<fieldset id="payment-info" class="">
<legend class="ff-section-title" style="background-color: rgb(9, 129, 149); color: rgb(248, 245, 245);">Payment Information</legend>
<div class="ff-section">
<fieldset id="paymentType" data-radium="true">
<legend class="custom-label" data-radium="true"><span class="flex items-center" data-radium="true"><svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="shield-check"
class="svg-inline--fa fa-shield-check text-blue-ch mr-2.5 h-4 w-4 cursor-pointer" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512">
<path fill="currentColor"
d="M73 127L256 49.4 439 127c5.9 2.5 9.1 7.8 9 12.8c-.4 91.4-38.4 249.3-186.3 320.1c-3.6 1.7-7.8 1.7-11.3 0C102.4 389 64.5 231.2 64 139.7c0-5 3.1-10.2 9-12.8zM457.7 82.8L269.4 2.9C265.2 1 260.7 0 256 0s-9.2 1-13.4 2.9L54.3 82.8c-22 9.3-38.4 31-38.3 57.2c.5 99.2 41.3 280.7 213.6 363.2c16.7 8 36.1 8 52.8 0C454.8 420.7 495.5 239.2 496 140c.1-26.2-16.3-47.9-38.3-57.2zM369 209c9.4-9.4 9.4-24.6 0-33.9s-24.6-9.4-33.9 0l-111 111-47-47c-9.4-9.4-24.6-9.4-33.9 0s-9.4 24.6 0 33.9l64 64c9.4 9.4 24.6 9.4 33.9 0L369 209z">
</path>
</svg>Secure Payment Options</span></legend>
<div class="xxs:flex-col ml-0.5 flex flex-wrap" data-radium="true">
<div class="mr-4 mb-4 flex content-start" data-radium="true"><input id="paymentType-0" type="radio" name="paymentType"
class="mt-0.8 cursor-pointer mr-2 h-[18px] w-[18px] p-0.5 focus:ring-1 focus:ring-offset-2 focus:shadow-none checked:bg-none border-none ring-1 ring-offset-2 ring-shade-iron checked:bg-blue-ch checked:ring-shade-iron hover:ring-blue-ch checked:hover:bg-blue-ch focus:ring-blue-ch checked:focus:bg-blue-ch"
data-radium="true" value="CreditCard" checked="" style="background-color: rgb(247, 141, 30);">
<div data-radium="true">
<div class="flex" data-radium="true"><label for="paymentType-0" class="font-lato cursor-pointer font-normal text-ink-charcoal text-default">Credit Card</label></div>
</div>
</div>
<div class="mr-4 mb-4 flex content-start" data-radium="true"><input id="paymentType-1" type="radio" name="paymentType"
class="mt-0.8 cursor-pointer mr-2 h-[18px] w-[18px] p-0.5 focus:ring-1 focus:ring-offset-2 focus:shadow-none checked:bg-none border-none ring-1 ring-offset-2 ring-shade-iron checked:bg-blue-ch checked:ring-shade-iron hover:ring-blue-ch checked:hover:bg-blue-ch focus:ring-blue-ch checked:focus:bg-blue-ch"
data-radium="true" value="Paypal">
<div data-radium="true">
<div class="flex" data-radium="true"><label for="paymentType-1" class="font-lato cursor-pointer font-normal text-ink-charcoal text-default">PayPal</label></div>
</div>
</div>
<div class="mr-4 mb-4 flex content-start" data-radium="true"><input id="paymentType-2" type="radio" name="paymentType"
class="mt-0.8 cursor-pointer mr-2 h-[18px] w-[18px] p-0.5 focus:ring-1 focus:ring-offset-2 focus:shadow-none checked:bg-none border-none ring-1 ring-offset-2 ring-shade-iron checked:bg-blue-ch checked:ring-shade-iron hover:ring-blue-ch checked:hover:bg-blue-ch focus:ring-blue-ch checked:focus:bg-blue-ch"
data-radium="true" value="GooglePay">
<div data-radium="true">
<div class="flex" data-radium="true"><label for="paymentType-2" class="font-lato cursor-pointer font-normal text-ink-charcoal text-default">Google Pay</label></div>
</div>
</div>
<div class="mr-4 mb-4 flex content-start" data-radium="true"><input id="paymentType-3" type="radio" name="paymentType"
class="mt-0.8 cursor-pointer mr-2 h-[18px] w-[18px] p-0.5 focus:ring-1 focus:ring-offset-2 focus:shadow-none checked:bg-none border-none ring-1 ring-offset-2 ring-shade-iron checked:bg-blue-ch checked:ring-shade-iron hover:ring-blue-ch checked:hover:bg-blue-ch focus:ring-blue-ch checked:focus:bg-blue-ch"
data-radium="true" value="GiftCard">
<div data-radium="true">
<div class="flex" data-radium="true"><label for="paymentType-3" class="font-lato cursor-pointer font-normal text-ink-charcoal text-default">Gift Card</label></div>
</div>
</div>
</div>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</fieldset>
<div class="flex flex-col">
<div class="relative">
<div class="relative mb-4"><input name="creditCardNumber" type="text" aria-invalid="false" aria-errormessage="id-creditCardNumber-error" placeholder="Credit card number" aria-label="Credit card number"
class="h-10 font-lato w-full p-2 rounded-ch border-shade-solitude hover:border-blue-dark focus:border-blue-dark active:border-blue-dark focus:outline-none peer focus:shadow-none focus:ring-0 text-default border-solid text-ink-charcoal placeholder-transparent"
id="id-creditCardNumber" inputmode="text" value=""><label
class="text-default absolute left-2 text-ink-bayoux pl-1.2 font-lato scale-75 peer-focus:scale-75 peer-placeholder-shown:scale-100 transition-all duration-200 cursor-text -translate-y-6 -translate-x-2.5 top-3 peer-placeholder-shown:-translate-y-1 peer-focus:-translate-y-6 peer-placeholder-shown:-translate-x-1.2 peer-focus:-translate-x-2.5 bg-white peer-placeholder-shown:bg-white peer-focus:text-blue-dark"
for="id-creditCardNumber">Credit card number<span class="hide-for-sr text-error-solid" aria-hidden="true" title="This field is required">*</span><span class="hidden-accessibility">This field is required</span></label>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div><span class="card-type-logos absolute right-0 top-0 m-0.5 flex p-2"><img aria-hidden="true" tabindex="-1" class="xs:h-4 xs:mt-1 h-5 pl-0.5 pr-1 " src="https://www.canadahelps.org/secure/img/visa_logo.svg" alt="VISA"><img
aria-hidden="true" tabindex="-1" class="xs:h-4 xs:mt-1 h-5 pl-0.5 pr-1 " src="https://www.canadahelps.org/secure/img/visa_debit_logo.svg" alt="VISA Debit"><img aria-hidden="true" tabindex="-1" class="xs:h-4 xs:mt-1 h-5 pl-0.5 pr-1 "
src="https://www.canadahelps.org/secure/img/mastercard_logo.svg" alt="Mastercard"><img aria-hidden="true" tabindex="-1" class="xs:h-4 xs:mt-1 h-5 pl-0.5 pr-1 " src="https://www.canadahelps.org/secure/img/american_express_logo.svg"
alt="American Express"></span>
</div>
<div class="xxs:flex-col mb-4 flex w-full">
<div class="relative flex-grow mr-2 xxs:mr-0 xxs:mb-4"><input name="creditCardExpiryDate" type="text" aria-invalid="false" aria-errormessage="id-creditCardExpiryDate-error" placeholder="Expiry (MM/YY)" aria-label="Expiry (MM/YY)"
maxlength="5"
class="h-10 font-lato w-full p-2 rounded-ch border-shade-solitude hover:border-blue-dark focus:border-blue-dark active:border-blue-dark focus:outline-none peer focus:shadow-none focus:ring-0 text-default border-solid text-ink-charcoal placeholder-transparent"
id="id-creditCardExpiryDate" inputmode="text" value=""><label
class="text-default absolute left-2 text-ink-bayoux pl-1.2 font-lato scale-75 peer-focus:scale-75 peer-placeholder-shown:scale-100 transition-all duration-200 cursor-text -translate-y-6 -translate-x-2.5 top-3 peer-placeholder-shown:-translate-y-1 peer-focus:-translate-y-6 peer-placeholder-shown:-translate-x-1.2 peer-focus:-translate-x-2.5 bg-white peer-placeholder-shown:bg-white peer-focus:text-blue-dark"
for="id-creditCardExpiryDate">Expiry (MM/YY)<span class="hide-for-sr text-error-solid" aria-hidden="true" title="This field is required">*</span><span class="hidden-accessibility">This field is required</span></label>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
<div class="xxs:items-center flex">
<div class="relative flex-grow ml-2 xxs:ml-0"><input name="creditCardCVV" type="text" aria-invalid="false" aria-errormessage="id-creditCardCVV-error" placeholder="CVV" aria-label="CVV" maxlength="3"
class="h-10 font-lato w-full p-2 rounded-ch border-shade-solitude hover:border-blue-dark focus:border-blue-dark active:border-blue-dark focus:outline-none peer focus:shadow-none focus:ring-0 text-default border-solid text-ink-charcoal placeholder-transparent"
id="id-creditCardCVV" inputmode="text" value=""><label
class="text-default absolute left-2 text-ink-bayoux pl-1.2 font-lato scale-75 peer-focus:scale-75 peer-placeholder-shown:scale-100 transition-all duration-200 cursor-text -translate-y-6 -translate-x-2.5 top-3 peer-placeholder-shown:-translate-y-1 peer-focus:-translate-y-6 peer-placeholder-shown:-translate-x-1.2 peer-focus:-translate-x-2.5 bg-white peer-placeholder-shown:bg-white peer-focus:text-blue-dark"
for="id-creditCardCVV">CVV<span class="hide-for-sr text-error-solid" aria-hidden="true" title="This field is required">*</span><span class="hidden-accessibility">This field is required</span></label>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
<div aria-label="The CVV is a three- or four- digit security code usually found on the back of your credit card. For American Express, the four-digit security code is located on the front of the card." class="relative self-start"
role="img" tabindex="0" data-radium="true"><svg aria-hidden="true" focusable="false" data-prefix="fas" data-icon="circle-question" class="svg-inline--fa fa-circle-question ch-question-circle text-blue-ch h-3 w-3 cursor-pointer ml-2.5"
role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" style="color: rgb(247, 141, 30);">
<path fill="currentColor"
d="M256 512A256 256 0 1 0 256 0a256 256 0 1 0 0 512zM169.8 165.3c7.9-22.3 29.1-37.3 52.8-37.3h58.3c34.9 0 63.1 28.3 63.1 63.1c0 22.6-12.1 43.5-31.7 54.8L280 264.4c-.2 13-10.9 23.6-24 23.6c-13.3 0-24-10.7-24-24V250.5c0-8.6 4.6-16.5 12.1-20.8l44.3-25.4c4.7-2.7 7.6-7.7 7.6-13.1c0-8.4-6.8-15.1-15.1-15.1H222.6c-3.4 0-6.4 2.1-7.5 5.3l-.4 1.2c-4.4 12.5-18.2 19-30.6 14.6s-19-18.2-14.6-30.6l.4-1.2zM224 352a32 32 0 1 1 64 0 32 32 0 1 1 -64 0z">
</path>
</svg></div>
</div>
</div>
<div class="relative"><input name="creditCardName" type="text" aria-invalid="false" aria-errormessage="id-creditCardName-error" placeholder="Name on card" aria-label="Name on card"
class="h-10 font-lato w-full p-2 rounded-ch border-shade-solitude hover:border-blue-dark focus:border-blue-dark active:border-blue-dark focus:outline-none peer focus:shadow-none focus:ring-0 text-default border-solid text-ink-charcoal placeholder-transparent"
id="id-creditCardName" inputmode="text" value=""><label
class="text-default absolute left-2 text-ink-bayoux pl-1.2 font-lato scale-75 peer-focus:scale-75 peer-placeholder-shown:scale-100 transition-all duration-200 cursor-text -translate-y-6 -translate-x-2.5 top-3 peer-placeholder-shown:-translate-y-1 peer-focus:-translate-y-6 peer-placeholder-shown:-translate-x-1.2 peer-focus:-translate-x-2.5 bg-white peer-placeholder-shown:bg-white peer-focus:text-blue-dark"
for="id-creditCardName">Name on card<span class="hide-for-sr text-error-solid" aria-hidden="true" title="This field is required">*</span><span class="hidden-accessibility">This field is required</span></label>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
</div>
</div>
</fieldset>
<fieldset id="dedication-info" class="">
<legend class="ff-section-title" style="background-color: rgb(9, 129, 149); color: rgb(248, 245, 245);">Dedication Information</legend>
<div class="ff-section">
<fieldset class="mb-4">
<legend class="hidden-accessibility">Dedicate your donation</legend>
<div class="item-group xxs:flex-col flex false">
<div class="xs:flex-1 xs:self-stretch"><input id="in-memory-of" name="dedicationType" type="radio" class="border-0 w-0 height-px cursor-pointer -m-px p-0 overflow-hidden absolute peer focus:ring-0 -z-[10]" value="2"><label
class="min-w-28 flex items-center justify-center text-center font-lato py-2 px-4 xs:px-2 peer-checked:text-blue-ch peer-checked:border-blue-ch peer-checked:font-bold border-shade-solitude border-2 border-l-0 xxs:border-l-2 xxs:border-b-0 xxs:peer-checked:border-b-2 peer-checked:border-r-2 peer-checked:border-l-2 border-l-2 text-ink-bayoux text-default cursor-pointer rounded-l-ch xxs:rounded-t-ch xxs:rounded-bl-none hover:bg-gradient-to-b from-[#FAFBFC] to-[#EBEFF2] xs:h-full xxs:h-auto"
for="in-memory-of" style="color: rgb(247, 141, 30);">In Memory Of</label></div>
<div class="xs:flex-1 xs:self-stretch"><input id="in-honour-of" name="dedicationType" type="radio" class="border-0 w-0 height-px cursor-pointer -m-px p-0 overflow-hidden absolute peer focus:ring-0 -z-[10]" value="1"><label
class="min-w-28 flex items-center justify-center text-center font-lato py-2 px-4 xs:px-2 peer-checked:text-blue-ch peer-checked:border-blue-ch peer-checked:font-bold border-shade-solitude border-2 border-l-0 xxs:border-l-2 xxs:border-b-0 xxs:peer-checked:border-b-2 peer-checked:border-r-2 peer-checked:border-l-2 text-ink-bayoux text-default cursor-pointer xxs:rounded-bl-none hover:bg-gradient-to-b from-[#FAFBFC] to-[#EBEFF2] xs:h-full xxs:h-auto"
for="in-honour-of" style="color: rgb(247, 141, 30);">In Honour Of</label></div>
<div class="xs:flex-1 xs:self-stretch"><input id="no-dedication" name="dedicationType" type="radio" class="border-0 w-0 height-px cursor-pointer -m-px p-0 overflow-hidden absolute peer focus:ring-0 -z-[10]" value="0" checked=""><label
class="min-w-28 flex items-center justify-center text-center font-lato py-2 px-4 xs:px-2 peer-checked:text-blue-ch peer-checked:border-blue-ch peer-checked:font-bold border-shade-solitude border-2 border-l-0 xxs:border-l-2 xxs:border-b-0 xxs:border-b-2 xxs:peer-checked:border-b-2 peer-checked:border-r-2 peer-checked:border-l-2 border-r-2 xxs:rounded-t-none xxs:rounded-bl-ch text-ink-bayoux text-default cursor-pointer rounded-r-ch xxs:rounded-bl-none font-bold from-[#FAFBFC] to-[#EBEFF2] xs:h-full xxs:h-auto"
for="no-dedication" style="border-color: rgb(247, 141, 30); color: rgb(247, 141, 30);">No dedication</label></div>
</div>
</fieldset>
</div>
</fieldset>
<fieldset id="anonymity-details" class="">
<legend class="ff-section-title" style="background-color: rgb(9, 129, 149); color: rgb(248, 245, 245);">Anonymity</legend>
<div class="ff-section">
<div class="flex content-start" data-radium="true"><input id="id-anonymousDonation" name="anonymousDonation" data-is-checked="false" type="checkbox"
class="align-top mr-2 mt-0.5 h-[18px] w-[18px] cursor-pointer rounded-ch ring-0 focus:ring-0 focus:ring-offset-0 focus:shadow-none border-shade-iron checked:border-blue-ch checked:bg-blue-ch indeterminate:bg-blue-ch hover:border-blue-ch checked:hover:bg-blue-ch indeterminate:hover:bg-blue-ch focus:border-blue-ch checked:focus:bg-blue-ch indeterminate:focus:bg-blue-ch "
data-radium="true">
<div data-radium="true">
<div class="flex" data-radium="true"><label for="id-anonymousDonation" class="font-lato cursor-pointer select-none font-normal text-default">Make my donation anonymous.</label></div>
<div class="">
<div aria-live="polite" aria-atomic="true" class="font-lato text-error-solid text-caption mt-2 hidden"></div>
</div>
</div>
</div>
</div>
</fieldset>
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