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Submitted URL: http://secure.irusa.org/
Effective URL: https://secure.irusa.org/
Submission: On January 26 via manual from US — Scanned from DE
Effective URL: https://secure.irusa.org/
Submission: On January 26 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST /
<form class="webform-client-form fundraiser-donation-form jquery-once-6-processed" enctype="multipart/form-data" action="/" method="post" id="webform-client-form-2182" accept-charset="UTF-8" novalidate="novalidate">
<div class="form-item webform-component webform-component-radios control-group" id="webform-component-recurs-monthly">
<h3 class="gift-title">Make My Gift:</h3>
<label for="edit-submitted-recurs-monthly">Recurring Payment </label>
<div id="edit-submitted-recurs-monthly">
<div class="form-item form-type-radio form-item-submitted-recurs-monthly control-group">
<input type="radio" id="edit-submitted-recurs-monthly-1" name="submitted[recurs_monthly]" value="NO_RECURR" checked="checked"> <label class="option" for="edit-submitted-recurs-monthly-1">One Time </label>
</div>
<div class="form-item form-type-radio form-item-submitted-recurs-monthly control-group">
<input type="radio" id="edit-submitted-recurs-monthly-2" name="submitted[recurs_monthly]" value="recurs"> <label class="option" for="edit-submitted-recurs-monthly-2">Monthly </label>
</div>
</div>
</div>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-designations">
<legend><span class="fieldset-legend">Featured Efforts</span></legend>
<div class="fieldset-wrapper">
<div id="edit-submitted-designations-designation-box" class="form-item form-type-item form-item-submitted-designations-designation-box control-group">
<div class="feature-wrapper">
<div class="designation-group-wrapper desigation-group-first" id="designation-group-9481">
<div class="designation-group-title">
<h4>Kosovo Aid</h4>
</div>
<div class="designation-group-image"><img typeof="foaf:Image" src="https://secure.irusa.org/files/irusa/2023%20IRUSA%20Website_Donation%20Form_KosovoEmergency.jpg" width="900" height="650" alt="" title=""></div>
<div class="designation-group-description">Heavy rains have caused significant flooding across Kosovo, resulting in a lack of drinking water and hundreds of homes destroyed. Donate today to help Islamic Relief distribute emergency aid
including food, hygiene kits, and clothing. </div>
<div class="designation-group-funds-table-wrapper">
<table class="designation-group-funds-table">
<tbody>
<tr class="group-row-9481 odd" data-placeholder-fund-id="95">
<td align="right">
<div id="group-item-9481" class="form-item form-type-item form-item-submitted-designations-designation-box-9481 control-group">
<div id="funds-placeholder-9481" class="form-item form-type-item form-item-submitted-designations-designation-box-9481-funds-placeholder-9481 control-group" style="width: 1600px;">
<label for="funds-placeholder-9481">Kosovo Humanitarian Aid </label>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9481-default-amounts-9481 control-group">
<div id="default-amounts-9481">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9481-default-amounts-9481 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9481-default-amounts-9481-50" name="submitted[designations][designation_box][9481][default_amounts_9481]" value="50" checked="checked"> <label
class="option" for="edit-submitted-designations-designation-box-9481-default-amounts-9481-50">$50 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9481-default-amounts-9481 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9481-default-amounts-9481-250" name="submitted[designations][designation_box][9481][default_amounts_9481]" value="250"> <label class="option"
for="edit-submitted-designations-designation-box-9481-default-amounts-9481-250">$250 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9481-default-amounts-9481 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9481-default-amounts-9481-1000" name="submitted[designations][designation_box][9481][default_amounts_9481]" value="1000"> <label class="option"
for="edit-submitted-designations-designation-box-9481-default-amounts-9481-1000">$1000 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9481-default-amounts-9481 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9481-default-amounts-9481-1500" name="submitted[designations][designation_box][9481][default_amounts_9481]" value="1500"> <label class="option"
for="edit-submitted-designations-designation-box-9481-default-amounts-9481-1500">$1500 </label>
</div>
</div>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9481-recurring-amounts-9481 control-group" style="display: none;">
<div id="recurring-amounts-9481">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9481-recurring-amounts-9481 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9481-recurring-amounts-9481-25" name="submitted[designations][designation_box][9481][recurring_amounts_9481]" value="25" checked="checked"> <label
class="option" for="edit-submitted-designations-designation-box-9481-recurring-amounts-9481-25">$25 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9481-recurring-amounts-9481 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9481-recurring-amounts-9481-35" name="submitted[designations][designation_box][9481][recurring_amounts_9481]" value="35"> <label class="option"
for="edit-submitted-designations-designation-box-9481-recurring-amounts-9481-35">$35 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9481-recurring-amounts-9481 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9481-recurring-amounts-9481-50" name="submitted[designations][designation_box][9481][recurring_amounts_9481]" value="50"> <label class="option"
for="edit-submitted-designations-designation-box-9481-recurring-amounts-9481-50">$50 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9481-recurring-amounts-9481 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9481-recurring-amounts-9481-100" name="submitted[designations][designation_box][9481][recurring_amounts_9481]" value="100"> <label class="option"
for="edit-submitted-designations-designation-box-9481-recurring-amounts-9481-100">$100 </label>
</div>
</div>
</div>
<div class="form-item form-type-textfield form-item-submitted-designations-designation-box-9481-fd-other-9481 control-group other">
<label for="fd-other-9481">Other: $</label>
<input type="text" id="fd-other-9481" name="submitted[designations][designation_box][9481][fd_other_9481]" value="" size="60" maxlength="128" class="form-text">
<div class="description">Minimum payment $5.00.</div>
</div><input type="submit" id="add-9481" name="op" value="Add to Cart">
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="designation-group-wrapper desigation-group-middle" id="designation-group-9487">
<div class="designation-group-title">
<h4>Europe Aid</h4>
</div>
<div class="designation-group-subheader">
<h3>Other ways to give</h3>
</div>
<div class="designation-group-image"><img typeof="foaf:Image" src="https://secure.irusa.org/files/irusa/2023%20IRUSA%20Website_DonationForm_Europe.jpg" width="900" height="650" alt="" title=""></div>
<div class="designation-group-description">One in five Europeans experiences at least one form of poverty. Donate now and help make a difference in the lives of those in desperate need.</div>
<div class="designation-group-funds-table-wrapper">
<table class="designation-group-funds-table">
<tbody>
<tr class="group-row-9487 odd" data-placeholder-fund-id="402">
<td align="right">
<div id="group-item-9487" class="form-item form-type-item form-item-submitted-designations-designation-box-9487 control-group">
<div id="funds-placeholder-9487" class="form-item form-type-item form-item-submitted-designations-designation-box-9487-funds-placeholder-9487 control-group" style="width: 1600px;">
<label for="funds-placeholder-9487">Europe Humanitarian Aid </label>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9487-default-amounts-9487 control-group">
<div id="default-amounts-9487">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9487-default-amounts-9487 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9487-default-amounts-9487-30" name="submitted[designations][designation_box][9487][default_amounts_9487]" value="30"> <label class="option"
for="edit-submitted-designations-designation-box-9487-default-amounts-9487-30">$30 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9487-default-amounts-9487 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9487-default-amounts-9487-90" name="submitted[designations][designation_box][9487][default_amounts_9487]" value="90"> <label class="option"
for="edit-submitted-designations-designation-box-9487-default-amounts-9487-90">$90 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9487-default-amounts-9487 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9487-default-amounts-9487-120" name="submitted[designations][designation_box][9487][default_amounts_9487]" value="120"> <label class="option"
for="edit-submitted-designations-designation-box-9487-default-amounts-9487-120">$120 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9487-default-amounts-9487 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9487-default-amounts-9487-270" name="submitted[designations][designation_box][9487][default_amounts_9487]" value="270"> <label class="option"
for="edit-submitted-designations-designation-box-9487-default-amounts-9487-270">$270 </label>
</div>
</div>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9487-recurring-amounts-9487 control-group" style="display: none;">
<div id="recurring-amounts-9487">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9487-recurring-amounts-9487 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9487-recurring-amounts-9487-30" name="submitted[designations][designation_box][9487][recurring_amounts_9487]" value="30"> <label class="option"
for="edit-submitted-designations-designation-box-9487-recurring-amounts-9487-30">$30 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9487-recurring-amounts-9487 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9487-recurring-amounts-9487-90" name="submitted[designations][designation_box][9487][recurring_amounts_9487]" value="90"> <label class="option"
for="edit-submitted-designations-designation-box-9487-recurring-amounts-9487-90">$90 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9487-recurring-amounts-9487 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9487-recurring-amounts-9487-120" name="submitted[designations][designation_box][9487][recurring_amounts_9487]" value="120"> <label class="option"
for="edit-submitted-designations-designation-box-9487-recurring-amounts-9487-120">$120 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9487-recurring-amounts-9487 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9487-recurring-amounts-9487-270" name="submitted[designations][designation_box][9487][recurring_amounts_9487]" value="270"> <label class="option"
for="edit-submitted-designations-designation-box-9487-recurring-amounts-9487-270">$270 </label>
</div>
</div>
</div>
<div class="form-item form-type-textfield form-item-submitted-designations-designation-box-9487-fd-other-9487 control-group other">
<label for="fd-other-9487">Other: $</label>
<input type="text" id="fd-other-9487" name="submitted[designations][designation_box][9487][fd_other_9487]" value="" size="60" maxlength="128" class="form-text">
<div class="description">Minimum payment $5.00.</div>
</div><input type="submit" id="add-9487" name="op" value="Add to Cart">
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="designation-group-wrapper desigation-group-middle" id="designation-group-9484">
<div class="designation-group-title">
<h4>Afghanistan Aid</h4>
</div>
<div class="designation-group-image"><img typeof="foaf:Image" src="https://secure.irusa.org/files/irusa/2023_Afghanistan_Emergency_Donation_Form.png" width="900" height="650" alt="" title=""></div>
<div class="designation-group-description">Afghanistan suffers its coldest winter in a decade. Help give warmth to families who are facing brutal cold. Donate today to save lives. </div>
<div class="designation-group-funds-table-wrapper">
<table class="designation-group-funds-table">
<tbody>
<tr class="group-row-9484 odd" data-placeholder-fund-id="79">
<td align="right">
<div id="group-item-9484" class="form-item form-type-item form-item-submitted-designations-designation-box-9484 control-group">
<div id="funds-placeholder-9484" class="form-item form-type-item form-item-submitted-designations-designation-box-9484-funds-placeholder-9484 control-group" style="width: 1600px;">
<label for="funds-placeholder-9484">Afghanistan Humanitarian Aid </label>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9484-default-amounts-9484 control-group">
<div id="default-amounts-9484">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9484-default-amounts-9484 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9484-default-amounts-9484-50" name="submitted[designations][designation_box][9484][default_amounts_9484]" value="50" checked="checked"> <label
class="option" for="edit-submitted-designations-designation-box-9484-default-amounts-9484-50">$50 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9484-default-amounts-9484 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9484-default-amounts-9484-250" name="submitted[designations][designation_box][9484][default_amounts_9484]" value="250"> <label class="option"
for="edit-submitted-designations-designation-box-9484-default-amounts-9484-250">$250 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9484-default-amounts-9484 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9484-default-amounts-9484-1000" name="submitted[designations][designation_box][9484][default_amounts_9484]" value="1000"> <label class="option"
for="edit-submitted-designations-designation-box-9484-default-amounts-9484-1000">$1000 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9484-default-amounts-9484 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9484-default-amounts-9484-1500" name="submitted[designations][designation_box][9484][default_amounts_9484]" value="1500"> <label class="option"
for="edit-submitted-designations-designation-box-9484-default-amounts-9484-1500">$1500 </label>
</div>
</div>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9484-recurring-amounts-9484 control-group" style="display: none;">
<div id="recurring-amounts-9484">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9484-recurring-amounts-9484 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9484-recurring-amounts-9484-25" name="submitted[designations][designation_box][9484][recurring_amounts_9484]" value="25" checked="checked"> <label
class="option" for="edit-submitted-designations-designation-box-9484-recurring-amounts-9484-25">$25 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9484-recurring-amounts-9484 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9484-recurring-amounts-9484-35" name="submitted[designations][designation_box][9484][recurring_amounts_9484]" value="35"> <label class="option"
for="edit-submitted-designations-designation-box-9484-recurring-amounts-9484-35">$35 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9484-recurring-amounts-9484 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9484-recurring-amounts-9484-50" name="submitted[designations][designation_box][9484][recurring_amounts_9484]" value="50"> <label class="option"
for="edit-submitted-designations-designation-box-9484-recurring-amounts-9484-50">$50 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9484-recurring-amounts-9484 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9484-recurring-amounts-9484-100" name="submitted[designations][designation_box][9484][recurring_amounts_9484]" value="100"> <label class="option"
for="edit-submitted-designations-designation-box-9484-recurring-amounts-9484-100">$100 </label>
</div>
</div>
</div>
<div class="form-item form-type-textfield form-item-submitted-designations-designation-box-9484-fd-other-9484 control-group other">
<label for="fd-other-9484">Other: $</label>
<input type="text" id="fd-other-9484" name="submitted[designations][designation_box][9484][fd_other_9484]" value="" size="60" maxlength="128" class="form-text">
<div class="description">Minimum payment $5.00.</div>
</div><input type="submit" id="add-9484" name="op" value="Add to Cart">
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="designation-group-wrapper desigation-group-middle" id="designation-group-9478">
<div class="designation-group-title">
<h4>Winter Aid</h4>
</div>
<div class="designation-group-image"><img typeof="foaf:Image" src="https://secure.irusa.org/files/irusa/2022_Winter_donation_IRUSA.jpg" width="900" height="650" alt="" title=""></div>
<div class="designation-group-description">More people than ever before are in desperate need this winter. Donate to Islamic Relief today and help them survive this winter. </div>
<div class="designation-group-funds-table-wrapper">
<table class="designation-group-funds-table">
<tbody>
<tr class="group-row-9478 odd" data-placeholder-fund-id="38">
<td align="right">
<div id="group-item-9478" class="form-item form-type-item form-item-submitted-designations-designation-box-9478 control-group">
<div id="funds-placeholder-9478" class="form-item form-type-item form-item-submitted-designations-designation-box-9478-funds-placeholder-9478 control-group" style="width: 1600px;">
<label for="funds-placeholder-9478">Winterization </label>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9478-default-amounts-9478 control-group">
<div id="default-amounts-9478">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9478-default-amounts-9478 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9478-default-amounts-9478-50" name="submitted[designations][designation_box][9478][default_amounts_9478]" value="50" checked="checked"> <label
class="option" for="edit-submitted-designations-designation-box-9478-default-amounts-9478-50">$50 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9478-default-amounts-9478 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9478-default-amounts-9478-250" name="submitted[designations][designation_box][9478][default_amounts_9478]" value="250"> <label class="option"
for="edit-submitted-designations-designation-box-9478-default-amounts-9478-250">$250 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9478-default-amounts-9478 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9478-default-amounts-9478-1000" name="submitted[designations][designation_box][9478][default_amounts_9478]" value="1000"> <label class="option"
for="edit-submitted-designations-designation-box-9478-default-amounts-9478-1000">$1000 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9478-default-amounts-9478 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9478-default-amounts-9478-1500" name="submitted[designations][designation_box][9478][default_amounts_9478]" value="1500"> <label class="option"
for="edit-submitted-designations-designation-box-9478-default-amounts-9478-1500">$1500 </label>
</div>
</div>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9478-recurring-amounts-9478 control-group" style="display: none;">
<div id="recurring-amounts-9478">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9478-recurring-amounts-9478 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9478-recurring-amounts-9478-25" name="submitted[designations][designation_box][9478][recurring_amounts_9478]" value="25" checked="checked"> <label
class="option" for="edit-submitted-designations-designation-box-9478-recurring-amounts-9478-25">$25 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9478-recurring-amounts-9478 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9478-recurring-amounts-9478-35" name="submitted[designations][designation_box][9478][recurring_amounts_9478]" value="35"> <label class="option"
for="edit-submitted-designations-designation-box-9478-recurring-amounts-9478-35">$35 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9478-recurring-amounts-9478 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9478-recurring-amounts-9478-50" name="submitted[designations][designation_box][9478][recurring_amounts_9478]" value="50"> <label class="option"
for="edit-submitted-designations-designation-box-9478-recurring-amounts-9478-50">$50 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9478-recurring-amounts-9478 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9478-recurring-amounts-9478-100" name="submitted[designations][designation_box][9478][recurring_amounts_9478]" value="100"> <label class="option"
for="edit-submitted-designations-designation-box-9478-recurring-amounts-9478-100">$100 </label>
</div>
</div>
</div>
<div class="form-item form-type-textfield form-item-submitted-designations-designation-box-9478-fd-other-9478 control-group other">
<label for="fd-other-9478">Other: $</label>
<input type="text" id="fd-other-9478" name="submitted[designations][designation_box][9478][fd_other_9478]" value="" size="60" maxlength="128" class="form-text">
<div class="description">Minimum payment $5.00.</div>
</div><input type="submit" id="add-9478" name="op" value="Add to Cart">
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<div class="designation-group-wrapper desigation-group-middle" id="designation-group-9490">
<div class="designation-group-title">
<h4>Country/Regional</h4>
</div>
<div class="designation-group-image"></div>
<div class="designation-group-description">Is there a place that’s especially close to your heart? You can choose to send your gift to people there. These contributions may be used for rapid relief in emergencies or development projects
that improve lives. </div>
<div class="designation-group-funds-table-wrapper">
<table class="designation-group-funds-table">
<tbody>
<tr class="group-row-9490 odd">
<td align="right">
<div id="group-item-9490" class="form-item form-type-item form-item-submitted-designations-designation-box-9490 control-group">
<div class="form-item form-type-select form-item-submitted-designations-designation-box-9490-funds-select-9490 control-group" style="width: 1600px;">
<select id="funds-select-9490" name="submitted[designations][designation_box][9490][funds_select_9490]" class="form-select">
<option value="0">Select</option>
<option value="650">Global Emergency Response</option>
<option value="46">Where Needed Most</option>
<option value="422">Africa Humanitarian Aid</option>
<option value="372">Asia Humanitarian Aid</option>
<option value="402">Europe Humanitarian Aid</option>
<option value="231">Latin America Humanitarian Aid</option>
<option value="412">Middle East Humanitarian Aid</option>
<option value="113">USA Humanitarian Aid</option>
<option value="79">Afghanistan Humanitarian Aid</option>
<option value="80">Albania Humanitarian Aid</option>
<option value="81">Bangladesh Humanitarian Aid</option>
<option value="83">Bosnia Humanitarian Aid</option>
<option value="86">Chechnya Humanitarian Aid</option>
<option value="89">Ethiopia Humanitarian Aid</option>
<option value="591">Indonesia Humanitarian Aid</option>
<option value="92">Iraq Humanitarian Aid</option>
<option value="93">Jordan Humanitarian Aid</option>
<option value="94">Kenya Humanitarian Aid</option>
<option value="95">Kosovo Humanitarian Aid</option>
<option value="96">Lebanon Humanitarian Aid</option>
<option value="97">Malawi Humanitarian Aid</option>
<option value="98">Mali Humanitarian Aid</option>
<option value="99">Myanmar Humanitarian Aid</option>
<option value="100">Nepal Humanitarian Aid</option>
<option value="101">Niger Humanitarian Aid</option>
<option value="382">North Macedonia Humanitarian Aid</option>
<option value="602">Oceania Humanitarian Aid</option>
<option value="102">Pakistan Humanitarian Aid</option>
<option value="103">Palestine Humanitarian Aid</option>
<option value="104">Philippines Humanitarian Aid</option>
<option value="106">Somalia Humanitarian Aid</option>
<option value="107">South Africa Humanitarian Aid</option>
<option value="108">South Sudan Humanitarian Aid</option>
<option value="109">Sri Lanka Humanitarian Aid</option>
<option value="110">Sudan Humanitarian Aid</option>
<option value="111">Syria Humanitarian Aid</option>
<option value="605">Turkey Humanitarian Aid</option>
<option value="114">Yemen Humanitarian Aid</option>
</select>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9490-default-amounts-9490 control-group">
<div id="default-amounts-9490">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9490-default-amounts-9490 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9490-default-amounts-9490-50" name="submitted[designations][designation_box][9490][default_amounts_9490]" value="50" checked="checked"> <label
class="option" for="edit-submitted-designations-designation-box-9490-default-amounts-9490-50">$50 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9490-default-amounts-9490 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9490-default-amounts-9490-250" name="submitted[designations][designation_box][9490][default_amounts_9490]" value="250"> <label class="option"
for="edit-submitted-designations-designation-box-9490-default-amounts-9490-250">$250 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9490-default-amounts-9490 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9490-default-amounts-9490-1000" name="submitted[designations][designation_box][9490][default_amounts_9490]" value="1000"> <label class="option"
for="edit-submitted-designations-designation-box-9490-default-amounts-9490-1000">$1000 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9490-default-amounts-9490 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9490-default-amounts-9490-1500" name="submitted[designations][designation_box][9490][default_amounts_9490]" value="1500"> <label class="option"
for="edit-submitted-designations-designation-box-9490-default-amounts-9490-1500">$1500 </label>
</div>
</div>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9490-recurring-amounts-9490 control-group" style="display: none;">
<div id="recurring-amounts-9490">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9490-recurring-amounts-9490 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9490-recurring-amounts-9490-25" name="submitted[designations][designation_box][9490][recurring_amounts_9490]" value="25" checked="checked"> <label
class="option" for="edit-submitted-designations-designation-box-9490-recurring-amounts-9490-25">$25 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9490-recurring-amounts-9490 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9490-recurring-amounts-9490-35" name="submitted[designations][designation_box][9490][recurring_amounts_9490]" value="35"> <label class="option"
for="edit-submitted-designations-designation-box-9490-recurring-amounts-9490-35">$35 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9490-recurring-amounts-9490 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9490-recurring-amounts-9490-50" name="submitted[designations][designation_box][9490][recurring_amounts_9490]" value="50"> <label class="option"
for="edit-submitted-designations-designation-box-9490-recurring-amounts-9490-50">$50 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9490-recurring-amounts-9490 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9490-recurring-amounts-9490-100" name="submitted[designations][designation_box][9490][recurring_amounts_9490]" value="100"> <label class="option"
for="edit-submitted-designations-designation-box-9490-recurring-amounts-9490-100">$100 </label>
</div>
</div>
</div>
<div class="form-item form-type-textfield form-item-submitted-designations-designation-box-9490-fd-other-9490 control-group other">
<label for="fd-other-9490">Other: $</label>
<input type="text" id="fd-other-9490" name="submitted[designations][designation_box][9490][fd_other_9490]" value="" size="60" maxlength="128" class="form-text">
<div class="description">Minimum payment $5.00.</div>
</div><input type="submit" id="add-9490" name="op" value="Add to Cart">
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="designation-group-wrapper desigation-group-middle" id="designation-group-9493">
<div class="designation-group-title">
<h4>Islamic Giving</h4>
</div>
<div class="designation-group-image"></div>
<div class="designation-group-description">Islamic Relief USA is honored to handle your zakat and fidya/kaffara obligations. Your contributions will be distributed to community members who truly need it, in accordance with Islamic
principles. </div>
<div class="designation-group-funds-table-wrapper">
<table class="designation-group-funds-table">
<tbody>
<tr class="group-row-9493 odd">
<td align="right">
<div id="group-item-9493" class="form-item form-type-item form-item-submitted-designations-designation-box-9493 control-group">
<div class="form-item form-type-select form-item-submitted-designations-designation-box-9493-funds-select-9493 control-group" style="width: 1600px;">
<select id="funds-select-9493" name="submitted[designations][designation_box][9493][funds_select_9493]" class="form-select">
<option value="0">Select</option>
<option value="41">Global Qurbani/Udhiyah</option>
<option value="48">Global Zakat</option>
<option value="42">Fidya/Kaffara</option>
<option value="43">Sadaqah</option>
<option value="211">Sadaqah Jariyah</option>
<option value="221">Waqf</option>
<option value="44">Zakat Al Fitr</option>
<option value="157">Afghanistan Zakat</option>
<option value="158">Bangladesh Zakat</option>
<option value="159">Bosnia Zakat</option>
<option value="160">Chechnya Zakat</option>
<option value="161">Ethiopia Zakat</option>
<option value="163">Iraq Zakat</option>
<option value="164">Kenya Zakat</option>
<option value="165">Kosovo Zakat</option>
<option value="166">Lebanon Zakat</option>
<option value="341">Malawi Zakat</option>
<option value="167">Mali Zakat</option>
<option value="381">Myanmar Zakat</option>
<option value="168">Niger Zakat</option>
<option value="432">North Macedonia Zakat</option>
<option value="169">Pakistan Zakat</option>
<option value="170">Palestine Zakat</option>
<option value="171">Somalia Zakat</option>
<option value="302">Sri Lanka Zakat</option>
<option value="172">Sudan Zakat</option>
<option value="173">Syria Zakat</option>
<option value="174">USA Zakat</option>
<option value="175">Yemen Zakat</option>
</select>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9493-default-amounts-9493 control-group">
<div id="default-amounts-9493">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9493-default-amounts-9493 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9493-default-amounts-9493-50" name="submitted[designations][designation_box][9493][default_amounts_9493]" value="50" checked="checked"> <label
class="option" for="edit-submitted-designations-designation-box-9493-default-amounts-9493-50">$50 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9493-default-amounts-9493 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9493-default-amounts-9493-250" name="submitted[designations][designation_box][9493][default_amounts_9493]" value="250"> <label class="option"
for="edit-submitted-designations-designation-box-9493-default-amounts-9493-250">$250 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9493-default-amounts-9493 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9493-default-amounts-9493-1000" name="submitted[designations][designation_box][9493][default_amounts_9493]" value="1000"> <label class="option"
for="edit-submitted-designations-designation-box-9493-default-amounts-9493-1000">$1000 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9493-default-amounts-9493 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9493-default-amounts-9493-1500" name="submitted[designations][designation_box][9493][default_amounts_9493]" value="1500"> <label class="option"
for="edit-submitted-designations-designation-box-9493-default-amounts-9493-1500">$1500 </label>
</div>
</div>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9493-recurring-amounts-9493 control-group" style="display: none;">
<div id="recurring-amounts-9493">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9493-recurring-amounts-9493 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9493-recurring-amounts-9493-25" name="submitted[designations][designation_box][9493][recurring_amounts_9493]" value="25" checked="checked"> <label
class="option" for="edit-submitted-designations-designation-box-9493-recurring-amounts-9493-25">$25 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9493-recurring-amounts-9493 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9493-recurring-amounts-9493-35" name="submitted[designations][designation_box][9493][recurring_amounts_9493]" value="35"> <label class="option"
for="edit-submitted-designations-designation-box-9493-recurring-amounts-9493-35">$35 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9493-recurring-amounts-9493 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9493-recurring-amounts-9493-50" name="submitted[designations][designation_box][9493][recurring_amounts_9493]" value="50"> <label class="option"
for="edit-submitted-designations-designation-box-9493-recurring-amounts-9493-50">$50 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9493-recurring-amounts-9493 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9493-recurring-amounts-9493-100" name="submitted[designations][designation_box][9493][recurring_amounts_9493]" value="100"> <label class="option"
for="edit-submitted-designations-designation-box-9493-recurring-amounts-9493-100">$100 </label>
</div>
</div>
</div>
<div class="form-item form-type-textfield form-item-submitted-designations-designation-box-9493-fd-other-9493 control-group other">
<label for="fd-other-9493">Other: $</label>
<input type="text" id="fd-other-9493" name="submitted[designations][designation_box][9493][fd_other_9493]" value="" size="60" maxlength="128" class="form-text">
<div class="description">Minimum payment $5.00.</div>
</div><input type="submit" id="add-9493" name="op" value="Add to Cart">
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="designation-group-wrapper desigation-group-middle" id="designation-group-9505">
<div class="designation-group-title">
<h4>Programs/Sectors</h4>
</div>
<div class="designation-group-image"></div>
<div class="designation-group-description">Water, education, health—these are basic needs that all of us should have regular access to. Support these funds to help build programming that will strengthen these resources around the world.
</div>
<div class="designation-group-funds-table-wrapper">
<table class="designation-group-funds-table">
<tbody>
<tr class="group-row-9505 odd">
<td align="right">
<div id="group-item-9505" class="form-item form-type-item form-item-submitted-designations-designation-box-9505 control-group">
<div class="form-item form-type-select form-item-submitted-designations-designation-box-9505-funds-select-9505 control-group" style="width: 1600px;">
<select id="funds-select-9505" name="submitted[designations][designation_box][9505][funds_select_9505]" class="form-select">
<option value="0">Select</option>
<option value="45">Global Food Aid</option>
<option value="650">Global Emergency Response</option>
<option value="34">Education</option>
<option value="47">Global Orphans and Children Programs</option>
<option value="35">Health</option>
<option value="36">Livelihood</option>
<option value="232">Operational Support</option>
<option value="37">Water and Sanitation</option>
<option value="39">Womens Programs</option>
</select>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9505-default-amounts-9505 control-group">
<div id="default-amounts-9505">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9505-default-amounts-9505 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9505-default-amounts-9505-50" name="submitted[designations][designation_box][9505][default_amounts_9505]" value="50" checked="checked"> <label
class="option" for="edit-submitted-designations-designation-box-9505-default-amounts-9505-50">$50 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9505-default-amounts-9505 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9505-default-amounts-9505-250" name="submitted[designations][designation_box][9505][default_amounts_9505]" value="250"> <label class="option"
for="edit-submitted-designations-designation-box-9505-default-amounts-9505-250">$250 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9505-default-amounts-9505 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9505-default-amounts-9505-1000" name="submitted[designations][designation_box][9505][default_amounts_9505]" value="1000"> <label class="option"
for="edit-submitted-designations-designation-box-9505-default-amounts-9505-1000">$1000 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9505-default-amounts-9505 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9505-default-amounts-9505-1500" name="submitted[designations][designation_box][9505][default_amounts_9505]" value="1500"> <label class="option"
for="edit-submitted-designations-designation-box-9505-default-amounts-9505-1500">$1500 </label>
</div>
</div>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9505-recurring-amounts-9505 control-group" style="display: none;">
<div id="recurring-amounts-9505">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9505-recurring-amounts-9505 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9505-recurring-amounts-9505-25" name="submitted[designations][designation_box][9505][recurring_amounts_9505]" value="25" checked="checked"> <label
class="option" for="edit-submitted-designations-designation-box-9505-recurring-amounts-9505-25">$25 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9505-recurring-amounts-9505 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9505-recurring-amounts-9505-35" name="submitted[designations][designation_box][9505][recurring_amounts_9505]" value="35"> <label class="option"
for="edit-submitted-designations-designation-box-9505-recurring-amounts-9505-35">$35 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9505-recurring-amounts-9505 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9505-recurring-amounts-9505-50" name="submitted[designations][designation_box][9505][recurring_amounts_9505]" value="50"> <label class="option"
for="edit-submitted-designations-designation-box-9505-recurring-amounts-9505-50">$50 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9505-recurring-amounts-9505 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9505-recurring-amounts-9505-100" name="submitted[designations][designation_box][9505][recurring_amounts_9505]" value="100"> <label class="option"
for="edit-submitted-designations-designation-box-9505-recurring-amounts-9505-100">$100 </label>
</div>
</div>
</div>
<div class="form-item form-type-textfield form-item-submitted-designations-designation-box-9505-fd-other-9505 control-group other">
<label for="fd-other-9505">Other: $</label>
<input type="text" id="fd-other-9505" name="submitted[designations][designation_box][9505][fd_other_9505]" value="" size="60" maxlength="128" class="form-text">
<div class="description">Minimum payment $5.00.</div>
</div><input type="submit" id="add-9505" name="op" value="Add to Cart">
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="designation-group-wrapper desigation-group-middle" id="designation-group-9508">
<div class="designation-group-title">
<h4>ORPHAN FAMILY SUPPORT </h4>
</div>
<div class="designation-group-image"></div>
<div class="designation-group-description">Orphan Family Support is an amazing way to build innovative programming that helps orphans, their families, and their communities break the chains of poverty, and build a sustainable living for
themselves. Give to a country of your choice or select general support to help where it's needed most. </div>
<div class="designation-group-funds-table-wrapper">
<table class="designation-group-funds-table">
<tbody>
<tr class="group-row-9508 odd">
<td align="right">
<div id="group-item-9508" class="form-item form-type-item form-item-submitted-designations-designation-box-9508 control-group">
<div class="form-item form-type-select form-item-submitted-designations-designation-box-9508-funds-select-9508 control-group" style="width: 1600px;">
<select id="funds-select-9508" name="submitted[designations][designation_box][9508][funds_select_9508]" class="form-select">
<option value="0">Select</option>
<option value="47">Global Orphans and Children Programs</option>
<option value="136">Afghanistan Orphans</option>
<option value="137">Albania Orphans</option>
<option value="138">Bangladesh Orphans</option>
<option value="139">Bosnia Orphans</option>
<option value="141">Ethiopia Orphans</option>
<option value="143">Indonesia Orphans</option>
<option value="145">Jordan Orphans</option>
<option value="146">Kenya Orphans</option>
<option value="147">Kosovo Orphans</option>
<option value="512">Malawi Orphans</option>
<option value="149">Mali Orphans</option>
<option value="150">Niger Orphans</option>
<option value="151">Pakistan Orphans</option>
<option value="735">Palestine Gaza Orphans</option>
<option value="152">Palestine Refugee Orphans</option>
<option value="153">Somalia Orphans</option>
<option value="154">South Africa Orphans</option>
<option value="155">Sri Lanka Orphans</option>
<option value="656">Sudan Orphans</option>
<option value="321">Syrian Refugee Orphans</option>
<option value="156">Yemen Orphans</option>
</select>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9508-default-amounts-9508 control-group">
<div id="default-amounts-9508">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9508-default-amounts-9508 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9508-default-amounts-9508-50" name="submitted[designations][designation_box][9508][default_amounts_9508]" value="50" checked="checked"> <label
class="option" for="edit-submitted-designations-designation-box-9508-default-amounts-9508-50">$50 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9508-default-amounts-9508 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9508-default-amounts-9508-250" name="submitted[designations][designation_box][9508][default_amounts_9508]" value="250"> <label class="option"
for="edit-submitted-designations-designation-box-9508-default-amounts-9508-250">$250 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9508-default-amounts-9508 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9508-default-amounts-9508-1000" name="submitted[designations][designation_box][9508][default_amounts_9508]" value="1000"> <label class="option"
for="edit-submitted-designations-designation-box-9508-default-amounts-9508-1000">$1000 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9508-default-amounts-9508 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9508-default-amounts-9508-1500" name="submitted[designations][designation_box][9508][default_amounts_9508]" value="1500"> <label class="option"
for="edit-submitted-designations-designation-box-9508-default-amounts-9508-1500">$1500 </label>
</div>
</div>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9508-recurring-amounts-9508 control-group" style="display: none;">
<div id="recurring-amounts-9508">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9508-recurring-amounts-9508 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9508-recurring-amounts-9508-25" name="submitted[designations][designation_box][9508][recurring_amounts_9508]" value="25" checked="checked"> <label
class="option" for="edit-submitted-designations-designation-box-9508-recurring-amounts-9508-25">$25 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9508-recurring-amounts-9508 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9508-recurring-amounts-9508-35" name="submitted[designations][designation_box][9508][recurring_amounts_9508]" value="35"> <label class="option"
for="edit-submitted-designations-designation-box-9508-recurring-amounts-9508-35">$35 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9508-recurring-amounts-9508 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9508-recurring-amounts-9508-50" name="submitted[designations][designation_box][9508][recurring_amounts_9508]" value="50"> <label class="option"
for="edit-submitted-designations-designation-box-9508-recurring-amounts-9508-50">$50 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9508-recurring-amounts-9508 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9508-recurring-amounts-9508-100" name="submitted[designations][designation_box][9508][recurring_amounts_9508]" value="100"> <label class="option"
for="edit-submitted-designations-designation-box-9508-recurring-amounts-9508-100">$100 </label>
</div>
</div>
</div>
<div class="form-item form-type-textfield form-item-submitted-designations-designation-box-9508-fd-other-9508 control-group other">
<label for="fd-other-9508">Other: $</label>
<input type="text" id="fd-other-9508" name="submitted[designations][designation_box][9508][fd_other_9508]" value="" size="60" maxlength="128" class="form-text">
<div class="description">Minimum payment $5.00.</div>
</div><input type="submit" id="add-9508" name="op" value="Add to Cart">
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="designation-group-wrapper desigation-group-last gift-box" id="designation-group-9511">
<div class="designation-group-title">
<h4>Gift Box</h4>
</div>
<div class="designation-group-image"></div>
<div class="designation-group-description"></div>
<div class="designation-group-funds-table-wrapper">
<table class="designation-group-funds-table">
<tbody>
<tr class="group-row-9511 odd" data-placeholder-fund-id="232">
<td align="right">
<div id="group-item-9511" class="form-item form-type-item form-item-submitted-designations-designation-box-9511 control-group">
<div id="funds-placeholder-9511" class="form-item form-type-item form-item-submitted-designations-designation-box-9511-funds-placeholder-9511 control-group" style="width: 1600px;">
<label for="funds-placeholder-9511">Operational Support </label>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9511-default-amounts-9511 control-group">
<div id="default-amounts-9511">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9511-default-amounts-9511 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9511-default-amounts-9511-25" name="submitted[designations][designation_box][9511][default_amounts_9511]" value="25"> <label class="option"
for="edit-submitted-designations-designation-box-9511-default-amounts-9511-25">$25 </label>
</div>
</div>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9511-recurring-amounts-9511 control-group" style="display: none;">
<div id="recurring-amounts-9511">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9511-recurring-amounts-9511 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9511-recurring-amounts-9511-25" name="submitted[designations][designation_box][9511][recurring_amounts_9511]" value="25" checked="checked"> <label
class="option" for="edit-submitted-designations-designation-box-9511-recurring-amounts-9511-25">$25 </label>
</div>
</div>
</div><input type="submit" id="add-9511" name="op" value="Add to Cart">
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="sponsor-wrapper">
<div class="designation-group-title sponsor-title">
<h4>Orphan Sponsorship</h4>
</div>
<div class="designation-group-description sponsor-description">Orphan sponsorship directly helps one orphan get access to essentials, such as food, clothing, health care, or education. Choose a destination from one of the following
categories.</div>
<div class="designation-group-wrapper desigation-group-middle overridden" id="designation-group-9496">
<div class="designation-group-title">
<h4>$43/month ($516/year)</h4>
</div>
<div class="designation-group-image"></div>
<div class="designation-group-description"></div>
<div class="designation-group-funds-table-wrapper">
<table class="designation-group-funds-table">
<tbody>
<tr class="group-row-9496 odd">
<td align="right">
<div id="group-item-9496" class="form-item form-type-item form-item-submitted-designations-designation-box-9496 control-group">
<div class="form-item form-type-select form-item-submitted-designations-designation-box-9496-funds-select-9496 control-group" style="width: 1600px;">
<select id="funds-select-9496" name="submitted[designations][designation_box][9496][funds_select_9496]" class="form-select">
<option value="0">Select</option>
<option value="138">Bangladesh Orphans</option>
<option value="512">Malawi Orphans</option>
<option value="149">Mali Orphans</option>
<option value="153">Somalia Orphans</option>
<option value="154">South Africa Orphans</option>
<option value="155">Sri Lanka Orphans</option>
</select>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9496-default-amounts-9496 control-group">
<div id="default-amounts-9496">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9496-default-amounts-9496 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9496-default-amounts-9496-516" name="submitted[designations][designation_box][9496][default_amounts_9496]" value="516" class="success"> <label
class="option" for="edit-submitted-designations-designation-box-9496-default-amounts-9496-516">$516 </label>
</div>
</div>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9496-recurring-amounts-9496 control-group" style="display: none;">
<div id="recurring-amounts-9496">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9496-recurring-amounts-9496 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9496-recurring-amounts-9496-43" name="submitted[designations][designation_box][9496][recurring_amounts_9496]" value="43"> <label class="option"
for="edit-submitted-designations-designation-box-9496-recurring-amounts-9496-43">$43 </label>
</div>
</div>
</div><input type="submit" id="add-9496" name="op" value="Add to Cart">
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="designation-group-wrapper desigation-group-middle overridden" id="designation-group-9499">
<div class="designation-group-title">
<h4>$49/month ($588/year)</h4>
</div>
<div class="designation-group-image"></div>
<div class="designation-group-description"></div>
<div class="designation-group-funds-table-wrapper">
<table class="designation-group-funds-table">
<tbody>
<tr class="group-row-9499 odd">
<td align="right">
<div id="group-item-9499" class="form-item form-type-item form-item-submitted-designations-designation-box-9499 control-group">
<div class="form-item form-type-select form-item-submitted-designations-designation-box-9499-funds-select-9499 control-group" style="width: 1600px;">
<select id="funds-select-9499" name="submitted[designations][designation_box][9499][funds_select_9499]" class="form-select">
<option value="0">Select</option>
<option value="136">Afghanistan Orphans</option>
<option value="137">Albania Orphans</option>
<option value="143">Indonesia Orphans</option>
<option value="146">Kenya Orphans</option>
<option value="150">Niger Orphans</option>
<option value="151">Pakistan Orphans</option>
</select>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9499-default-amounts-9499 control-group">
<div id="default-amounts-9499">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9499-default-amounts-9499 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9499-default-amounts-9499-588" name="submitted[designations][designation_box][9499][default_amounts_9499]" value="588" class="success"> <label
class="option" for="edit-submitted-designations-designation-box-9499-default-amounts-9499-588">$588 </label>
</div>
</div>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9499-recurring-amounts-9499 control-group" style="display: none;">
<div id="recurring-amounts-9499">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9499-recurring-amounts-9499 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9499-recurring-amounts-9499-49" name="submitted[designations][designation_box][9499][recurring_amounts_9499]" value="49"> <label class="option"
for="edit-submitted-designations-designation-box-9499-recurring-amounts-9499-49">$49 </label>
</div>
</div>
</div><input type="submit" id="add-9499" name="op" value="Add to Cart">
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="designation-group-wrapper desigation-group-middle overridden" id="designation-group-9502">
<div class="designation-group-title">
<h4>$65/month ($780/year)</h4>
</div>
<div class="designation-group-image"></div>
<div class="designation-group-description"></div>
<div class="designation-group-funds-table-wrapper">
<table class="designation-group-funds-table">
<tbody>
<tr class="group-row-9502 odd">
<td align="right">
<div id="group-item-9502" class="form-item form-type-item form-item-submitted-designations-designation-box-9502 control-group">
<div class="form-item form-type-select form-item-submitted-designations-designation-box-9502-funds-select-9502 control-group" style="width: 1600px;">
<select id="funds-select-9502" name="submitted[designations][designation_box][9502][funds_select_9502]" class="form-select">
<option value="0">Select</option>
<option value="145">Jordan Orphans</option>
<option value="147">Kosovo Orphans</option>
<option value="321">Syrian Refugee Orphans</option>
</select>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9502-default-amounts-9502 control-group">
<div id="default-amounts-9502">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9502-default-amounts-9502 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9502-default-amounts-9502-780" name="submitted[designations][designation_box][9502][default_amounts_9502]" value="780" class="success"> <label
class="option" for="edit-submitted-designations-designation-box-9502-default-amounts-9502-780">$780 </label>
</div>
</div>
</div>
<div class="form-item form-type-radios form-item-submitted-designations-designation-box-9502-recurring-amounts-9502 control-group" style="display: none;">
<div id="recurring-amounts-9502">
<div class="form-item form-type-radio form-item-submitted-designations-designation-box-9502-recurring-amounts-9502 control-group">
<input type="radio" id="edit-submitted-designations-designation-box-9502-recurring-amounts-9502-65" name="submitted[designations][designation_box][9502][recurring_amounts_9502]" value="65"> <label class="option"
for="edit-submitted-designations-designation-box-9502-recurring-amounts-9502-65">$65 </label>
</div>
</div>
</div><input type="submit" id="add-9502" name="op" value="Add to Cart">
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</div>
</div>
</fieldset>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-fd-cart-container">
<legend><span class="fieldset-legend">Your Donation Cart</span></legend>
<div class="fieldset-wrapper">
<div id="edit-submitted-fd-cart-container-fd-cart" class="form-item form-type-item form-item-submitted-fd-cart-container-fd-cart control-group">
<div class="fundraiser-designation-cart-wrapper">
<div class="fundraiser-designation-cart-table-wrapper">
<table class="sticky-header" style="position: fixed; top: 0px; left: 220px; visibility: hidden;">
<thead style="">
<tr>
<th></th>
<th>Your Fund Selections</th>
<th>Amount</th>
</tr>
</thead>
</table>
<table class="fundraiser-designation-cart-table sticky-enabled tableheader-processed sticky-table">
<thead>
<tr>
<th></th>
<th>Your Fund Selections</th>
<th>Amount</th>
</tr>
</thead>
<tbody>
<tr class="cart-fund-row cart-fund-empty odd">
<td> </td>
<td class="fund-name">No funds selected</td>
<td class="fund-amount-empty"> </td>
</tr>
<tr class="cart-total-row even">
<td colspan="2">Total</td>
<td class="cart-total-cell">
<div class="form-item form-type-textfield form-item-submitted-fd-cart-container-fd-cart-cart-body-cart-total control-group">
<input disabled="disabled" type="text" id="cart_total" name="submitted[fd_cart_container][fd_cart][cart_body][cart_total]" value="" size="60" maxlength="128" class="form-text">
</div>
</td>
</tr>
</tbody>
</table>
</div>
<div id="fund-catcher"><input type="hidden" name="submitted[fd_cart_container][fd_cart][cart_body][fund_catcher]" value="">
</div>
</div>
</div><a class="add-on" href="#webform-component-designations">Add More Donations</a>
</div>
</fieldset>
<input type="hidden" name="submitted[ms]" value="default_ms">
<div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-tribute-giving">
<div id="edit-submitted-tribute-giving">
<div class="form-item form-type-checkbox form-item-submitted-tribute-giving-Y control-group">
<input type="checkbox" id="edit-submitted-tribute-giving-1" name="submitted[tribute_giving][Y]" value="Y" class="form-checkbox"> <label class="option" for="edit-submitted-tribute-giving-1">Dedicate my donation in honor or in memory of someone
</label>
</div>
</div>
</div>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-tribute-wrapper" style="display: none;">
<legend><span class="fieldset-legend">Honoree Information</span></legend>
<div class="fieldset-wrapper">
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-tribute-wrapper--honoree-first-name">
<label for="edit-submitted-tribute-wrapper-honoree-first-name">First Name </label>
<input type="text" id="edit-submitted-tribute-wrapper-honoree-first-name" name="submitted[tribute_wrapper][honoree_first_name]" value="" size="60" maxlength="128" class="form-text">
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-tribute-wrapper--honoree-last-name">
<label for="edit-submitted-tribute-wrapper-honoree-last-name">Last Name </label>
<input type="text" id="edit-submitted-tribute-wrapper-honoree-last-name" name="submitted[tribute_wrapper][honoree_last_name]" value="" size="60" maxlength="128" class="form-text">
</div>
<div class="form-item webform-component webform-component-email control-group" id="webform-component-tribute-wrapper--honoree-email">
<label for="edit-submitted-tribute-wrapper-honoree-email">Email </label>
<input class="email form-text form-email" type="email" id="edit-submitted-tribute-wrapper-honoree-email" name="submitted[tribute_wrapper][honoree_email]" size="60">
</div>
<div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-tribute-wrapper--honoree-gift-box">
<div id="edit-submitted-tribute-wrapper-honoree-gift-box">
<div class="form-item form-type-checkbox form-item-submitted-tribute-wrapper-honoree-gift-box-gift control-group">
<input type="checkbox" id="edit-submitted-tribute-wrapper-honoree-gift-box-1" name="submitted[tribute_wrapper][honoree_gift_box][gift]" value="gift" class="form-checkbox"> <label class="option"
for="edit-submitted-tribute-wrapper-honoree-gift-box-1">Would you like your honoree to receive an Islamic Relief Gift box for $25 to show them you care? </label>
</div>
</div>
<div class="description">(NOTE: boxes will only be able to ship to a US address. )</div>
</div>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-tribute-wrapper--honoree-address-wrapper" style="display: none;">
<div class="fieldset-wrapper">
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-tribute-wrapper--honoree-address-wrapper--honoree-address">
<label for="edit-submitted-tribute-wrapper-honoree-address-wrapper-honoree-address">Address </label>
<input type="text" id="edit-submitted-tribute-wrapper-honoree-address-wrapper-honoree-address" name="submitted[tribute_wrapper][honoree_address_wrapper][honoree_address]" value="" size="60" maxlength="128" class="form-text">
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-tribute-wrapper--honoree-address-wrapper--honoree-city">
<label for="edit-submitted-tribute-wrapper-honoree-address-wrapper-honoree-city">City </label>
<input type="text" id="edit-submitted-tribute-wrapper-honoree-address-wrapper-honoree-city" name="submitted[tribute_wrapper][honoree_address_wrapper][honoree_city]" value="" size="60" maxlength="128" class="form-text">
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-tribute-wrapper--honoree-address-wrapper--honoree-state">
<label for="edit-submitted-tribute-wrapper-honoree-address-wrapper-honoree-state">State/Province </label>
<input type="text" id="edit-submitted-tribute-wrapper-honoree-address-wrapper-honoree-state" name="submitted[tribute_wrapper][honoree_address_wrapper][honoree_state]" value="" size="60" maxlength="128" class="form-text">
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-tribute-wrapper--honoree-address-wrapper--honoree-zip">
<label for="edit-submitted-tribute-wrapper-honoree-address-wrapper-honoree-zip">Zip/Postal Code </label>
<input type="text" id="edit-submitted-tribute-wrapper-honoree-address-wrapper-honoree-zip" name="submitted[tribute_wrapper][honoree_address_wrapper][honoree_zip]" value="" size="60" maxlength="128" class="form-text">
</div>
<div class="form-item webform-component webform-component-select control-group" id="webform-component-tribute-wrapper--honoree-address-wrapper--honoree-country">
<label for="edit-submitted-tribute-wrapper-honoree-address-wrapper-honoree-country">Country </label>
<select id="edit-submitted-tribute-wrapper-honoree-address-wrapper-honoree-country" name="submitted[tribute_wrapper][honoree_address_wrapper][honoree_country]" class="form-select">
<option value="" selected="selected">- None -</option>
<option value="AF">Afghanistan</option>
<option value="AX">Aland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia</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</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CV">Cape Verde</option>
<option value="BQ">Caribbean Netherlands</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 (Brazzaville)</option>
<option value="CD">Congo (Kinshasa)</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong S.A.R., China</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</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="CI">Ivory Coast</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="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Laos</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 S.A.R., China</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 Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia</option>
<option value="MD">Moldova</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="AN">Netherlands Antilles</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MP">Northern Mariana Islands</option>
<option value="KP">North Korea</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 Territory</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">Russia</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena</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</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="KR">South Korea</option>
<option value="SS">South Sudan</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syria</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 Islands</option>
<option value="TV">Tuvalu</option>
<option value="VI">U.S. Virgin Islands</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="VA">Vatican</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</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>
</fieldset>
</div>
</fieldset>
<input type="hidden" name="submitted[cid]" value="70136000000cE2mAAE">
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-donor-information">
<legend><span class="fieldset-legend">Personal Information</span></legend>
<div id="cof-inline">
<div id="ocd-login-message">Already have a donor account?</div><a href="/user?destination=node/2182">Click here to login</a>
</div>
<div class="fieldset-wrapper">
<div class="form-item webform-component webform-component-select control-group" id="webform-component-donor-information--sbp-salutation">
<label for="edit-submitted-donor-information-sbp-salutation">Title </label>
<select id="edit-submitted-donor-information-sbp-salutation" name="submitted[donor_information][sbp_salutation]" class="form-select">
<option value="" selected="selected">- None -</option>
<option value="Mr">Mr.</option>
<option value="Ms">Ms.</option>
<option value="Miss">Miss</option>
<option value="Mrs">Mrs.</option>
<option value="Dr">Dr.</option>
</select>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--first-name">
<label for="edit-submitted-donor-information-first-name">First Name <span class="form-required" title="This field is required.">*</span></label>
<input type="text" id="edit-submitted-donor-information-first-name" name="submitted[donor_information][first_name]" value="" size="60" maxlength="128" class="form-text required">
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--last-name">
<label for="edit-submitted-donor-information-last-name">Last Name <span class="form-required" title="This field is required.">*</span></label>
<input type="text" id="edit-submitted-donor-information-last-name" name="submitted[donor_information][last_name]" value="" size="60" maxlength="128" class="form-text required">
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--address">
<label for="edit-submitted-donor-information-address">Address 1 <span class="form-required" title="This field is required.">*</span></label>
<input type="text" id="edit-submitted-donor-information-address" name="submitted[donor_information][address]" value="" size="60" maxlength="128" class="form-text required">
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--address-line-2">
<label for="edit-submitted-donor-information-address-line-2">Address 2 </label>
<input type="text" id="edit-submitted-donor-information-address-line-2" name="submitted[donor_information][address_line_2]" value="" size="60" maxlength="128" class="form-text">
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--zip">
<label for="edit-submitted-donor-information-zip">ZIP/Postal Code <span class="form-required" title="This field is required.">*</span></label>
<input class="input-medium form-text required springboard-ztc-processed" type="text" id="edit-submitted-donor-information-zip" name="submitted[donor_information][zip]" value="" size="10" maxlength="10">
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--city">
<label for="edit-submitted-donor-information-city">City <span class="form-required" title="This field is required.">*</span></label>
<input type="text" id="edit-submitted-donor-information-city" name="submitted[donor_information][city]" value="" size="60" maxlength="128" class="form-text required">
</div>
<div id="zone-select-wrapper">
<div class="form-item webform-component webform-component-select control-group" id="webform-component-donor-information--state">
<label for="edit-submitted-donor-information-state">State/Province <span class="form-required" title="This field is required.">*</span></label>
<select id="edit-submitted-donor-information-state" name="submitted[donor_information][state]" class="form-select required">
<option value="" selected="selected">- Select -</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value=" ">--</option>
<option value="AA">Armed Forces (Americas)</option>
<option value="AE">Armed Forces (Europe, Canada, Middle East, Africa)</option>
<option value="AP">Armed Forces (Pacific)</option>
<option value="AS">American Samoa</option>
<option value="FM">Federated States of Micronesia</option>
<option value="GU">Guam</option>
<option value="MH">Marshall Islands</option>
<option value="MP">Northern Mariana Islands</option>
<option value="PW">Palau</option>
<option value="PR">Puerto Rico</option>
<option value="VI">Virgin Islands</option>
</select>
</div>
</div>
<div class="form-item webform-component webform-component-select control-group" id="webform-component-donor-information--country">
<label for="edit-submitted-donor-information-country">Country <span class="form-required" title="This field is required.">*</span></label>
<select id="edit-submitted-donor-information-country" name="submitted[donor_information][country]" class="form-select required ajax-processed">
<option value="AF">Afghanistan</option>
<option value="AX">Aland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia</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</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CV">Cape Verde</option>
<option value="BQ">Caribbean Netherlands</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 (Brazzaville)</option>
<option value="CD">Congo (Kinshasa)</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong S.A.R., China</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</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="CI">Ivory Coast</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="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Laos</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 S.A.R., China</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 Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia</option>
<option value="MD">Moldova</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="AN">Netherlands Antilles</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MP">Northern Mariana Islands</option>
<option value="KP">North Korea</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 Territory</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">Russia</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena</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</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="KR">South Korea</option>
<option value="SS">South Sudan</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syria</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 Islands</option>
<option value="TV">Tuvalu</option>
<option value="VI">U.S. Virgin Islands</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US" selected="selected">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VA">Vatican</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</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="form-item webform-component webform-component-email control-group" id="webform-component-donor-information--mail">
<label for="edit-submitted-donor-information-mail">E-mail address <span class="form-required" title="This field is required.">*</span></label>
<input class="email form-text form-email required" type="email" id="edit-submitted-donor-information-mail" name="submitted[donor_information][mail]" size="60">
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--phone">
<label for="edit-submitted-donor-information-phone">Phone </label>
<input type="text" id="edit-submitted-donor-information-phone" name="submitted[donor_information][phone]" value="" size="60" maxlength="128" class="form-text">
</div>
<div class="form-item webform-component webform-component-select control-group" id="webform-component-donor-information--how-did-you-hear-about-us">
<label for="edit-submitted-donor-information-how-did-you-hear-about-us">How did you hear about us? </label>
<select id="edit-submitted-donor-information-how-did-you-hear-about-us" name="submitted[donor_information][how_did_you_hear_about_us]" class="form-select">
<option value="" selected="selected">- None -</option>
<option value="email">Email</option>
<option value="event">Event</option>
<option value="internet_search">Internet Search</option>
<option value="IR_staff ">IR staff or representative</option>
<option value="mail">Mail</option>
<option value="online_ad">Online Ad</option>
<option value="mgi">MGI</option>
<option value="print_ad">Print Ad</option>
<option value="radio">Radio Spot</option>
<option value="regular">Regular Contribution</option>
<option value="social_media">Social Media</option>
<option value="tv_ad">TV Ad</option>
<option value="tv_show">TV Show</option>
<option value="word_mouth">Word of Mouth</option>
<option value="other">Other</option>
</select>
</div>
</div>
</fieldset>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-payment-information">
<legend><span class="fieldset-legend">Billing and Payment Information</span></legend>
<div class="fieldset-wrapper"><input type="hidden" name="submitted[payment_information][eft_disclaimer_text]" value="">
<div class="form-item webform-component webform-component-radios control-group" id="webform-component-payment-information--payment-method">
<label for="edit-submitted-payment-information-payment-method">Payment Method <span class="form-required" title="This field is required.">*</span></label>
<div id="edit-submitted-payment-information-payment-method">
<div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group">
<input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-1" name="submitted[payment_information][payment_method]" value="credit" checked="checked"> <label class="option"
for="edit-submitted-payment-information-payment-method-1">Credit Card </label>
</div>
<div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group">
<input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-2" name="submitted[payment_information][payment_method]" value="bank account"> <label class="option"
for="edit-submitted-payment-information-payment-method-2">Direct Debit </label>
</div>
</div>
</div>
<div class="webform-component-fieldset form-wrapper" id="webform-component-payment-information--payment-fields">
<fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-credit">
<div class="fieldset-wrapper">
<div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-number control-group">
<label for="edit-submitted-payment-information-payment-fields-credit-card-number">Credit card number <span class="form-required">*</span></label>
<input class="input-large form-text" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-number" name="submitted[payment_information][payment_fields][credit][card_number]" value="" size="20" maxlength="128"
autocomplete="off">
</div>
<div class="expiration-date-wrapper clear-block">
<div class="form-item form-type-select form-item-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month control-group">
<label for="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month">Expiration date <span class="form-required">*</span></label>
<select class="input-small form-select" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month"
name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_month]">
<option value="1" selected="selected">January</option>
<option value="2">February</option>
<option value="3">March</option>
<option value="4">April</option>
<option value="5">May</option>
<option value="6">June</option>
<option value="7">July</option>
<option value="8">August</option>
<option value="9">September</option>
<option value="10">October</option>
<option value="11">November</option>
<option value="12">December</option>
</select><select class="input-small form-select spacer" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-year"
name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_year]">
<option value="2023" selected="selected">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
<option value="2031">2031</option>
<option value="2032">2032</option>
<option value="2033">2033</option>
<option value="2034">2034</option>
<option value="2035">2035</option>
<option value="2036">2036</option>
<option value="2037">2037</option>
<option value="2038">2038</option>
</select>
</div>
</div>
<div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-cvv control-group">
<label for="edit-submitted-payment-information-payment-fields-credit-card-cvv">CVV <span class="form-required">*</span></label>
<input class="input-small form-text" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-cvv" name="submitted[payment_information][payment_fields][credit][card_cvv]" value="" size="6" maxlength="128"
autocomplete="off">
</div><input type="hidden" name="submitted[payment_information][payment_fields][credit][card_type]" value="">
<input type="hidden" name="submitted[payment_information][payment_fields][credit][account_name][credit]" value="IRUSA.ORG SBS">
<input type="hidden" name="submitted[payment_information][payment_fields][credit][radar_session]" value="rse_1MUct1D3fa3PMFmliUCBxx5s">
<div class="form-item form-type-checkbox form-item-submitted-payment-information-payment-fields-credit-ocd control-group">
<input type="checkbox" id="edit-submitted-payment-information-payment-fields-credit-ocd" name="submitted[payment_information][payment_fields][credit][ocd]" value="1" class="form-checkbox"> <label class="option"
for="edit-submitted-payment-information-payment-fields-credit-ocd">Save this card for future use <span class="form-required">*</span></label>
<div class="description">
<p>Save your card details and donate faster next time. We may email you from time to time with IRUSA Express Donate opportunities. You can update your card details or cancel your enrollment at any time.</p>
</div>
</div> <input type="hidden" name="submitted[payment_information][payment_fields][credit][cardonfile]" value="new">
</div>
</fieldset>
<fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-bank-account" style="display: none;">
<div class="fieldset-wrapper">
<div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-bank account-routing-number control-group">
<label for="edit-submitted-payment-information-payment-fields-bank-account-routing-number">Routing Number </label>
<input type="text" id="edit-submitted-payment-information-payment-fields-bank-account-routing-number" name="submitted[payment_information][payment_fields][bank account][routing_number]" value="" size="60" maxlength="128"
class="form-text">
</div>
<div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-bank account-account-number control-group">
<label for="edit-submitted-payment-information-payment-fields-bank-account-account-number">Account Number </label>
<input type="text" id="edit-submitted-payment-information-payment-fields-bank-account-account-number" name="submitted[payment_information][payment_fields][bank account][account_number]" value="" size="60" maxlength="128"
class="form-text">
</div>
<div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-bank account-confirm-account-number control-group">
<label for="edit-submitted-payment-information-payment-fields-bank-account-confirm-account-number">Confirm Account Number </label>
<input type="text" id="edit-submitted-payment-information-payment-fields-bank-account-confirm-account-number" name="submitted[payment_information][payment_fields][bank account][confirm_account_number]" value="" size="60" maxlength="128"
class="form-text">
</div>
<div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-bank account-bank-name control-group">
<label for="edit-submitted-payment-information-payment-fields-bank-account-bank-name">Bank Name </label>
<input type="text" id="edit-submitted-payment-information-payment-fields-bank-account-bank-name" name="submitted[payment_information][payment_fields][bank account][bank_name]" value="" size="60" maxlength="128" class="form-text">
</div>
<div class="form-item form-type-select form-item-submitted-payment-information-payment-fields-bank account-account-type control-group">
<label for="edit-submitted-payment-information-payment-fields-bank-account-account-type">Account Type </label>
<select id="edit-submitted-payment-information-payment-fields-bank-account-account-type" name="submitted[payment_information][payment_fields][bank account][account_type]" class="form-select">
<option value="Checking">Checking</option>
<option value="Savings">Savings</option>
</select>
</div>
<div id="eft-disclaimer" class="donation-total-token-container" style="display: none;">I authorize Islamic Relief USA to electronically debit my account in the amount of <span class="js-formatted-donation-amount">$0.00</span> on the
agreed upon schedule. I understand that a recovery fee may be charged if the payment is dishonored or returned for any reason and that it is my responsibility to retain a copy of this authorization for my records.</div>
</div>
</fieldset>
</div>
<div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-payment-information--processing-fee" style="display: block;">
<label for="edit-submitted-payment-information-processing-fee">Processing fee </label>
<div id="edit-submitted-payment-information-processing-fee">
<div class="form-item form-type-checkbox form-item-submitted-payment-information-processing-fee-1 control-group">
<input type="checkbox" id="edit-submitted-payment-information-processing-fee-1" name="submitted[payment_information][processing_fee][1]" value="1" class="form-checkbox"> <label class="option"
for="edit-submitted-payment-information-processing-fee-1">Would you like to add 3% toward our Operations fund to help us cover processing fees for your donation? If so, check the box.</label>
</div>
</div>
</div><input type="hidden" name="submitted[payment_information][processing_fee_amount]" value="">
<input type="hidden" name="submitted[payment_information][bacs_disclaimer_text]" value="">
<input type="hidden" name="submitted[payment_information][cybersource_eft_disclaimer_text]" value="">
</div>
</fieldset>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-fd-addon-container">
<legend><span class="fieldset-legend">Upgrade Your Donation</span></legend>
<div class="fieldset-wrapper">
<div class="fieldset-description">One more chance to give where help is needed most</div>
<div id="edit-submitted-fd-addon-container-fd-addon" class="form-item form-type-item form-item-submitted-fd-addon-container-fd-addon control-group">
<div class="designation-addon-wrapper" id="designation-addon-221">
<div class="designation-addon-funds-table-wrapper">
<table class="designation-addon-funds-table">
<tbody>
<tr data-placeholder-fund-id="221" class="odd">
<td align="right">
<div id="addon-item-221" class="form-item form-type-item form-item-submitted-fd-addon-container-fd-addon-221 control-group">
<div id="funds-placeholder-221" class="form-item form-type-item form-item-submitted-fd-addon-container-fd-addon-221-funds-placeholder-221 control-group">
<label for="funds-placeholder-221"></label>
</div>
<div class="form-item form-type-radios form-item-submitted-fd-addon-container-fd-addon-221-default-amounts-221 control-group">
<div id="default-amounts-221">
<div class="form-item form-type-radio form-item-submitted-fd-addon-container-fd-addon-221-default-amounts-221 control-group">
<input type="radio" id="edit-submitted-fd-addon-container-fd-addon-221-default-amounts-221-25" name="submitted[fd_addon_container][fd_addon][221][default_amounts_221]" value="25"> <label class="option"
for="edit-submitted-fd-addon-container-fd-addon-221-default-amounts-221-25"><span class="firstWord">$25</span> helps lay down the foundation for endowments</label>
</div>
<div class="form-item form-type-radio form-item-submitted-fd-addon-container-fd-addon-221-default-amounts-221 control-group">
<input type="radio" id="edit-submitted-fd-addon-container-fd-addon-221-default-amounts-221-75" name="submitted[fd_addon_container][fd_addon][221][default_amounts_221]" value="75"> <label class="option"
for="edit-submitted-fd-addon-container-fd-addon-221-default-amounts-221-75"><span class="firstWord">$75</span> supplements endowments to help Waqf achieve more</label>
</div>
<div class="form-item form-type-radio form-item-submitted-fd-addon-container-fd-addon-221-default-amounts-221 control-group">
<input type="radio" id="edit-submitted-fd-addon-container-fd-addon-221-default-amounts-221-100" name="submitted[fd_addon_container][fd_addon][221][default_amounts_221]" value="100"> <label class="option"
for="edit-submitted-fd-addon-container-fd-addon-221-default-amounts-221-100"><span class="firstWord">$100</span> helps Waqf go further faster to support IRUSA's work</label>
</div>
</div>
</div>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</div>
</fieldset>
<input type="hidden" name="submitted[referrer]" value="">
<input type="hidden" name="submitted[initial_referrer]" value="">
<input type="hidden" name="submitted[search_engine]" value="">
<input type="hidden" name="submitted[search_string]" value="">
<input type="hidden" name="submitted[user_agent]" value="Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/109.0.5414.119 Safari/537.36" class="marketsource-processed">
<input type="hidden" name="submitted[s_src]" value="online">
<input type="hidden" name="submitted[s_subsrc]" value="">
<input type="hidden" name="submitted[group]" value="">
<input type="hidden" name="submitted[utm_term]" value="">
<input type="hidden" name="submitted[device_type]" value="">
<input type="hidden" name="submitted[amount]" value="">
<input type="hidden" name="submitted[device_name]" value="">
<input type="hidden" name="submitted[device_os]" value="">
<input type="hidden" name="submitted[device_browser]" value="">
<input type="hidden" name="submitted[utm_source]" value="">
<input type="hidden" name="submitted[utm_medium]" value="">
<input type="hidden" name="submitted[utm_content]" value="">
<input type="hidden" name="submitted[field_sbp_referrer_long]" value="">
<input type="hidden" name="submitted[utm_campaign]" value="">
<input type="hidden" name="submitted[field_sbp_initial_referrer_long]" value="">
<input type="hidden" name="submitted[eml_name]" value="">
<input type="hidden" name="submitted[field_form]" value="">
<input type="hidden" name="submitted[eml_id]" value="">
<input type="hidden" name="submitted[field_form_url]" value="">
<input type="hidden" name="submitted[social_referer_transaction]" value="">
<input type="hidden" name="submitted[p2p_pcid]" value="">
<input type="hidden" name="submitted[sbp_zip_plus_four]" value="">
<div class="form-item webform-component webform-component-markup control-group" id="webform-component-submit-message">
<h3>Select <span class="donate-highlight">COMPLETE MY DONATION</span> to make your $<span class="donation-total">0.00</span> <span class="recurs-status">(one-time)</span> donation<span class="donation-segue"> now!</span><span
class="addon"></span></h3>
<a href="https://irusa.org/disclaimer-and-disclosure/">Disclaimer/Refund policy</a>
</div><input type="hidden" name="submitted[secure_prepop_autofilled]" value="0">
<input type="hidden" name="submitted[gs_flag]" value="None">
<input type="hidden" name="submitted[new_orphan_sponsorship]" value="">
<input type="hidden" name="submitted[springboard_cookie_autofilled]" value="disabled">
<input type="hidden" name="submitted[opportunity_type]" value="Cash">
<input type="hidden" name="details[sid]">
<input type="hidden" name="details[page_num]" value="1">
<input type="hidden" name="details[page_count]" value="1">
<input type="hidden" name="details[finished]" value="0">
<input type="hidden" name="form_build_id" value="form-pqj8NORTpEItY2cpn5k-R9vhQZBZZAH6dZDOAABGIjI">
<input type="hidden" name="form_id" value="webform_client_form_2182">
<input type="hidden" name="springboard_fraud_token" value="" class="springboardFraudToken-processed">
<input type="hidden" name="springboard_fraud_js_detect" value="1">
<div class="Interests-textfield">
<div class="form-item form-type-textfield form-item-Interests control-group">
<label for="edit-interests">Leave this field blank </label>
<input autocomplete="off" type="text" id="edit-interests" name="Interests" value="" size="20" maxlength="128" class="form-text">
</div>
</div>
<fieldset class="captcha form-wrapper">
<legend><span class="fieldset-legend">CAPTCHA</span></legend>
<div class="fieldset-wrapper">
<div class="fieldset-description">Check the reCaptcha box below and click COMPLETE MY DONATION to process your donation securely.</div><input type="hidden" name="captcha_sid" value="44943578">
<input type="hidden" name="captcha_token" value="ac3453bd5eb09e404c32fdbd825f140f">
<input type="hidden" name="captcha_response" value="Google no captcha">
<div class="g-recaptcha" data-sitekey="6LcfpjQUAAAAAKgqg216edyKc8n2qPOnE8Ccc60P" data-theme="light" data-type="image">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcfpjQUAAAAAKgqg216edyKc8n2qPOnE8Ccc60P&co=aHR0cHM6Ly9zZWN1cmUuaXJ1c2Eub3JnOjQ0Mw..&hl=en&type=image&v=Gg72x2_SHmxi8X0BLo33HMpr&theme=light&size=normal&cb=f0ieprfod245"
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sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</div>
</fieldset>
<div class="form-actions form-wrapper" id="edit-actions"><input class="btn jquery-once-5-processed" type="submit" id="edit-submit" name="op" value="Complete My Donation">
<div class="donation-processing-wrapper" style="display: none;">
<p class="donation-processing">Processing <span class="donation-processing-spinner"></span></p>
</div>
</div>
<fieldset class="form-wrapper" id="edit-recent-donations-block">
<div class="fieldset-wrapper"></div>
</fieldset>
</form>
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Skip to main content DONOR PORTAL 1-855-447-1001 IRUSA.ORG GIVE A GIFT MAKE MY GIFT: Recurring Payment One Time Monthly Featured Efforts KOSOVO AID Heavy rains have caused significant flooding across Kosovo, resulting in a lack of drinking water and hundreds of homes destroyed. Donate today to help Islamic Relief distribute emergency aid including food, hygiene kits, and clothing. Kosovo Humanitarian Aid $50 $250 $1000 $1500 $25 $35 $50 $100 Other: $ Minimum payment $5.00. EUROPE AID OTHER WAYS TO GIVE One in five Europeans experiences at least one form of poverty. Donate now and help make a difference in the lives of those in desperate need. Europe Humanitarian Aid $30 $90 $120 $270 $30 $90 $120 $270 Other: $ Minimum payment $5.00. AFGHANISTAN AID Afghanistan suffers its coldest winter in a decade. Help give warmth to families who are facing brutal cold. Donate today to save lives. Afghanistan Humanitarian Aid $50 $250 $1000 $1500 $25 $35 $50 $100 Other: $ Minimum payment $5.00. WINTER AID More people than ever before are in desperate need this winter. Donate to Islamic Relief today and help them survive this winter. Winterization $50 $250 $1000 $1500 $25 $35 $50 $100 Other: $ Minimum payment $5.00. COUNTRY/REGIONAL Is there a place that’s especially close to your heart? You can choose to send your gift to people there. These contributions may be used for rapid relief in emergencies or development projects that improve lives. SelectGlobal Emergency ResponseWhere Needed MostAfrica Humanitarian AidAsia Humanitarian AidEurope Humanitarian AidLatin America Humanitarian AidMiddle East Humanitarian AidUSA Humanitarian AidAfghanistan Humanitarian AidAlbania Humanitarian AidBangladesh Humanitarian AidBosnia Humanitarian AidChechnya Humanitarian AidEthiopia Humanitarian AidIndonesia Humanitarian AidIraq Humanitarian AidJordan Humanitarian AidKenya Humanitarian AidKosovo Humanitarian AidLebanon Humanitarian AidMalawi Humanitarian AidMali Humanitarian AidMyanmar Humanitarian AidNepal Humanitarian AidNiger Humanitarian AidNorth Macedonia Humanitarian AidOceania Humanitarian AidPakistan Humanitarian AidPalestine Humanitarian AidPhilippines Humanitarian AidSomalia Humanitarian AidSouth Africa Humanitarian AidSouth Sudan Humanitarian AidSri Lanka Humanitarian AidSudan Humanitarian AidSyria Humanitarian AidTurkey Humanitarian AidYemen Humanitarian Aid $50 $250 $1000 $1500 $25 $35 $50 $100 Other: $ Minimum payment $5.00. ISLAMIC GIVING Islamic Relief USA is honored to handle your zakat and fidya/kaffara obligations. Your contributions will be distributed to community members who truly need it, in accordance with Islamic principles. SelectGlobal Qurbani/UdhiyahGlobal ZakatFidya/KaffaraSadaqahSadaqah JariyahWaqfZakat Al FitrAfghanistan ZakatBangladesh ZakatBosnia ZakatChechnya ZakatEthiopia ZakatIraq ZakatKenya ZakatKosovo ZakatLebanon ZakatMalawi ZakatMali ZakatMyanmar ZakatNiger ZakatNorth Macedonia ZakatPakistan ZakatPalestine ZakatSomalia ZakatSri Lanka ZakatSudan ZakatSyria ZakatUSA ZakatYemen Zakat $50 $250 $1000 $1500 $25 $35 $50 $100 Other: $ Minimum payment $5.00. PROGRAMS/SECTORS Water, education, health—these are basic needs that all of us should have regular access to. Support these funds to help build programming that will strengthen these resources around the world. SelectGlobal Food AidGlobal Emergency ResponseEducationGlobal Orphans and Children ProgramsHealthLivelihoodOperational SupportWater and SanitationWomens Programs $50 $250 $1000 $1500 $25 $35 $50 $100 Other: $ Minimum payment $5.00. ORPHAN FAMILY SUPPORT Orphan Family Support is an amazing way to build innovative programming that helps orphans, their families, and their communities break the chains of poverty, and build a sustainable living for themselves. Give to a country of your choice or select general support to help where it's needed most. SelectGlobal Orphans and Children ProgramsAfghanistan OrphansAlbania OrphansBangladesh OrphansBosnia OrphansEthiopia OrphansIndonesia OrphansJordan OrphansKenya OrphansKosovo OrphansMalawi OrphansMali OrphansNiger OrphansPakistan OrphansPalestine Gaza OrphansPalestine Refugee OrphansSomalia OrphansSouth Africa OrphansSri Lanka OrphansSudan OrphansSyrian Refugee OrphansYemen Orphans $50 $250 $1000 $1500 $25 $35 $50 $100 Other: $ Minimum payment $5.00. GIFT BOX Operational Support $25 $25 ORPHAN SPONSORSHIP Orphan sponsorship directly helps one orphan get access to essentials, such as food, clothing, health care, or education. Choose a destination from one of the following categories. $43/MONTH ($516/YEAR) SelectBangladesh OrphansMalawi OrphansMali OrphansSomalia OrphansSouth Africa OrphansSri Lanka Orphans $516 $43 $49/MONTH ($588/YEAR) SelectAfghanistan OrphansAlbania OrphansIndonesia OrphansKenya OrphansNiger OrphansPakistan Orphans $588 $49 $65/MONTH ($780/YEAR) SelectJordan OrphansKosovo OrphansSyrian Refugee Orphans $780 $65 Your Donation Cart Your Fund SelectionsAmount Your Fund SelectionsAmount No funds selected Total Add More Donations Dedicate my donation in honor or in memory of someone Honoree Information First Name Last Name Email Would you like your honoree to receive an Islamic Relief Gift box for $25 to show them you care? (NOTE: boxes will only be able to ship to a US address. ) Address City State/Province Zip/Postal Code Country - None -AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Personal Information Already have a donor account? Click here to login Title - None -Mr.Ms.MissMrs.Dr. First Name * Last Name * Address 1 * Address 2 ZIP/Postal Code * City * State/Province * - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--Armed Forces (Americas)Armed Forces (Europe, Canada, Middle East, Africa)Armed Forces (Pacific)American SamoaFederated States of MicronesiaGuamMarshall IslandsNorthern Mariana IslandsPalauPuerto RicoVirgin Islands Country * AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe E-mail address * Phone How did you hear about us? - None -EmailEventInternet SearchIR staff or representativeMailOnline AdMGIPrint AdRadio SpotRegular ContributionSocial MediaTV AdTV ShowWord of MouthOther Billing and Payment Information Payment Method * Credit Card Direct Debit Credit card number * Expiration date * JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember2023202420252026202720282029203020312032203320342035203620372038 CVV * Save this card for future use * Save your card details and donate faster next time. 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