changingworlds.app.neoncrm.com
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3.218.54.15
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URL:
https://changingworlds.app.neoncrm.com/forms/lidonation
Submission: On September 25 via manual from IN — Scanned from DE
Submission: On September 25 via manual from IN — Scanned from DE
Form analysis
2 forms found in the DOM<form class="row" id="neonform_12"><input type="hidden" name="id" value="12"><input type="hidden" name="requestId" value="bffce751-2ee0-4e5c-af1f-a3910b384bff"><input type="hidden" name="recaptchaResponse" value="">
<div class="col-12 mb-4">
<div class="row g-3 neonfront-form">
<div class="col-md-12 neonfront_element position-relative"><button type="button" class="btn btn-link neonfront-btn-link neonfront-form-back-button" style="display: none;"><i class="far fa-chevron-left"></i></button>
<div class="neonfront_steppers row justify-content-between">
<div class="neonfront_stepper on" style="width: 32%;"></div>
<div class="neonfront_stepper" style="width: 32%;"></div>
<div class="neonfront_stepper" style="width: 32%;"></div>
</div>
<div>
<div class="neonfront_stepper_title">
<div class="neonfront_stepper_num">1</div><span class="neonfront_stepper_desc_text">Amount</span>
</div>
<div class="neonfront_page_desc"></div>
</div>
<div style="display: none;">
<div class="neonfront_stepper_title">
<div class="neonfront_stepper_num">2</div><span class="neonfront_stepper_desc_text">Amount</span>
</div>
<div class="neonfront_page_desc"></div>
</div>
<div style="display: none;">
<div class="neonfront_stepper_title">
<div class="neonfront_stepper_num">3</div><span class="neonfront_stepper_desc_text">Amount</span>
</div>
<div class="neonfront_page_desc"></div>
</div>
</div>
</div>
</div>
<div class="col-12" id="neon-page-1">
<div class="row g-3 neonfront-form">
<div class="col-md-12 neonfront_element mt-0"></div>
<div class="neonfront_element col-md-12">
<div class="btn-group" role="group"><input type="hidden" name="frequency" value="donationOnce"><label class="btn neonfront-btn-outline-primary btn-nm fs-875 donationFrequencyChecked"
style="color: rgb(84, 105, 141); border: 1px solid rgb(192, 200, 215); border-radius: 3px 0px 0px 3px; padding-right: 2px; padding-left: 2px;">Donate Once</label><label class="btn neonfront-btn-outline-primary btn-nm fs-875"
style="color: rgb(84, 105, 141); border: 1px solid rgb(192, 200, 215); padding-right: 2px; padding-left: 2px;">Donate Monthly</label></div>
<div id="'frequency'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-12">
<div class="row g-2" id="donation-amount-container">
<div class="col-6"><input type="radio" class="btn-check" name="amount.donationOnce" value="25.00" id="amount-radio-1" autocomplete="off"><label class="btn neonfront-btn-outline-primary btn-nm px-0 fs-875" for="amount-radio-1"
style="color: rgb(84, 105, 141); border: 1px solid rgb(192, 200, 215);">$25.00</label></div>
<div class="col-6"><input type="radio" class="btn-check" name="amount.donationOnce" value="100.00" id="amount-radio-2" autocomplete="off"><label class="btn neonfront-btn-outline-primary btn-nm px-0 fs-875" for="amount-radio-2"
style="color: rgb(84, 105, 141); border: 1px solid rgb(192, 200, 215);">$100.00</label></div>
<div class="col-6"><input type="radio" class="btn-check" name="amount.donationOnce" value="500.00" id="amount-radio-3" autocomplete="off"><label class="btn neonfront-btn-outline-primary btn-nm px-0 fs-875" for="amount-radio-3"
style="color: rgb(84, 105, 141); border: 1px solid rgb(192, 200, 215);">$500.00</label></div>
<div class="col-6"><input type="radio" class="btn-check" name="amount.donationOnce" value="1000.00" id="amount-radio-4" autocomplete="off"><label class="btn neonfront-btn-outline-primary btn-nm px-0 fs-875" for="amount-radio-4"
style="color: rgb(84, 105, 141); border: 1px solid rgb(192, 200, 215);">$1,000.00</label></div>
<div class="col-6" style="display: none;"><input type="radio" class="btn-check" name="amount.recurring" value="25.00" id="amount-radio-5" autocomplete="off"><label class="btn neonfront-btn-outline-primary btn-nm px-0 fs-875"
for="amount-radio-5" style="color: rgb(84, 105, 141); border: 1px solid rgb(192, 200, 215);">$25.00</label></div>
<div class="col-6" style="display: none;"><input type="radio" class="btn-check" name="amount.recurring" value="100.00" id="amount-radio-6" autocomplete="off"><label class="btn neonfront-btn-outline-primary btn-nm px-0 fs-875"
for="amount-radio-6" style="color: rgb(84, 105, 141); border: 1px solid rgb(192, 200, 215);">$100.00</label></div>
<div class="col-6" style="display: none;"><input type="radio" class="btn-check" name="amount.recurring" value="500.00" id="amount-radio-7" autocomplete="off"><label class="btn neonfront-btn-outline-primary btn-nm px-0 fs-875"
for="amount-radio-7" style="color: rgb(84, 105, 141); border: 1px solid rgb(192, 200, 215);">$500.00</label></div>
<div class="col-6" style="display: none;"><input type="radio" class="btn-check" name="amount.recurring" value="1000.00" id="amount-radio-8" autocomplete="off"><label class="btn neonfront-btn-outline-primary btn-nm px-0 fs-875"
for="amount-radio-8" style="color: rgb(84, 105, 141); border: 1px solid rgb(192, 200, 215);">$1,000.00</label></div>
<div class="col-md-12" style="display: none;"><label class="form-label" for="amount-other-input" style="color: rgb(84, 105, 141);">Other Amount *</label>
<div class="input-group amount-other-group"><span class="input-group-text"><i class="far fa-dollar-sign"></i></span><input type="number" class="form-control neonfront_input neon-field--donation-amount" id="amount-other-input"
name="amount" aria-describedby="amount_feedback" placeholder="0.00"><span class="input-group-text" style="background-color: rgb(255, 255, 255);">USD</span></div>
<div id="'amount'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="invalid-feedback d-block mt-2">
<div style="display: none;"></div>
</div>
</div>
<div id="'amount'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-12 d-none"><label for="campaign" class="form-label">Campaign</label><select id="campaign" name="campaign" class="form-select neonfront_input neon-field--donation-campaign"
aria-describedby="campaign_feedback">
<option></option>
<option value="286">Donations</option>
</select>
<div id="'campaign'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="col-md-12 neonfront_element">
<div class="row g-2">
<div class="col"><button type="button" class="btn neonfront-btn-primary btn-lg">Next</button></div>
</div>
</div><!---->
</div>
</div>
<div class="col-12" id="neon-page-2" style="display: none;">
<div class="row g-3 neonfront-form">
<div class="col-md-12 neonfront_element mt-0"></div>
<div class="neonfront_element col-md-6"><label for="account.name.firstName" class="form-label">First Name *</label><input id="account.name.firstName" name="account.name.firstName" type="text"
class="form-control neonfront_input neon-field--donation-account-name-firstName" aria-describedby="account.name.firstName_feedback">
<div id="'account.name.firstName'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-6"><label for="account.name.lastName" class="form-label">Last Name *</label><input id="account.name.lastName" name="account.name.lastName" autocomplete="family-name" type="text"
class="form-control neonfront_input neon-field--donation-account-name-lastName" aria-describedby="account.name.lastName_feedback">
<div id="'account.name.lastName'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-12">
<div class="row">
<div class="form-check"><input class="form-check-input neonfront_checkbox neon-field--donation-account-asCompany" type="checkbox" id="account.asCompany" name="account.asCompany" value="true"><label
class="form-check-label neonfront_checkbox_label" for="account.asCompany">Submit as a company</label></div>
</div>
<div id="'account.asCompany'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-12"><label for="account.company.name" class="form-label">Company Name</label><input id="account.company.name" name="account.company.name" type="text"
class="form-control neonfront_input neon-field--donation-account-company-name" aria-describedby="account.company.name_feedback">
<div id="'account.company.name'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-12"><label for="account.email1" class="form-label">Email *</label><input id="account.email1" name="account.email1" type="text" class="form-control neonfront_input neon-field--donation-account-email1"
aria-describedby="account.email1_feedback">
<div id="'account.email1'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-12"><label for="account.address.line1" class="form-label">Address Line 1</label>
<div class="row">
<div class="input-group"><input id="account.address.line1" name="account.address.line1.line1" autocomplete="address-line1" type="text" class="form-control neonfront_input" style="width: 42%;"><select
class="form-select input-group-text neonfront_input" name="account.address.line1.type" style="border-top-right-radius: 0.25rem; border-bottom-right-radius: 0.25rem; padding-right: 36px;">
<option value="1">Home</option>
<option value="2">Work</option>
<option value="3">School</option>
<option value="999">Other</option>
</select>
<div id="account.address.line1.line1_feedback" class="invalid-feedback"></div>
<div id="account.address.line1.type_feedback" class="invalid-feedback"></div>
</div>
</div>
<div id="'account.address.line1'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-12"><label for="account.address.line2" class="form-label">Address Line 2</label><input id="account.address.line2" name="account.address.line2" autocomplete="address-line2" type="text"
class="form-control neonfront_input neon-field--donation-account-address-line2" aria-describedby="account.address.line2_feedback">
<div id="'account.address.line2'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-6"><label for="account.address.city" class="form-label">City</label><input id="account.address.city" name="account.address.city" type="text"
class="form-control neonfront_input neon-field--donation-account-address-city" aria-describedby="account.address.city_feedback">
<div id="'account.address.city'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-6"><label for="account.address.stateOrProvince" class="form-label">State/Province</label><select id="account.address.stateOrProvince" name="account.address.stateOrProvince"
class="form-select neonfront_input neon-field--donation-account-address-stateOrProvince" aria-describedby="account.address.stateOrProvince_feedback">
<option></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="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="UM">U.S. Minor Outlying Islands</option>
<option value="VI">Virgin Islands</option>
<option value="AA">Armed Forces Americas</option>
<option value="AE">Armed Forces Europe, the Middle East, an</option>
<option value="AP">Armed Forces Pacific</option>
<option value="AB">Alberta</option>
<option value="BC">British Columbia</option>
<option value="MB">Manitoba</option>
<option value="NB">New Brunswick</option>
<option value="NL">Newfoundland and Labrador</option>
<option value="NS">Nova Scotia</option>
<option value="NT">Northwest Territories</option>
<option value="NU">Nunavut Territory</option>
<option value="ON">Ontario</option>
<option value="PE">Prince Edward Island</option>
<option value="QC">Quebec</option>
<option value="SK">Saskatchewan</option>
<option value="YT">Yukon Territory</option>
</select>
<div id="'account.address.stateOrProvince'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-6"><label for="account.address.zipCode" class="form-label">Zip/Postal Code</label><input id="account.address.zipCode" name="account.address.zipCode" type="text"
class="form-control neonfront_input neon-field--donation-account-address-zipCode" aria-describedby="account.address.zipCode_feedback">
<div id="'account.address.zipCode'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-6"><label for="account.address.country" class="form-label">Country</label><select id="account.address.country" name="account.address.country"
class="form-select neonfront_input neon-field--donation-account-address-country" aria-describedby="account.address.country_feedback">
<option></option>
<option value="1">United States of America</option>
<option value="2">Canada</option>
<option value="3">Afghanistan</option>
<option value="247">Åland Islands</option>
<option value="4">Albania</option>
<option value="5">Algeria</option>
<option value="6">American Samoa</option>
<option value="7">Andorra</option>
<option value="8">Angola</option>
<option value="242">Anguilla</option>
<option value="9">Antarctica</option>
<option value="10">Antigua and Barbuda</option>
<option value="11">Argentina</option>
<option value="12">Armenia</option>
<option value="13">Aruba</option>
<option value="14">Australia</option>
<option value="15">Austria</option>
<option value="16">Azerbaijan</option>
<option value="17">Bahamas</option>
<option value="18">Bahrain</option>
<option value="19">Bangladesh</option>
<option value="20">Barbados</option>
<option value="21">Belarus</option>
<option value="22">Belgium</option>
<option value="23">Belize</option>
<option value="24">Benin</option>
<option value="25">Bermuda</option>
<option value="26">Bhutan</option>
<option value="27">Bolivia (Plurinational State of)</option>
<option value="248">Bonaire, Sint Eustatius and Saba</option>
<option value="28">Bosnia and Herzegovina</option>
<option value="29">Botswana</option>
<option value="30">Bouvet Island</option>
<option value="31">Brazil</option>
<option value="32">British Indian Ocean Territory</option>
<option value="33">Brunei Darussalam</option>
<option value="34">Bulgaria</option>
<option value="35">Burkina Faso</option>
<option value="36">Burundi</option>
<option value="39">Cabo Verde</option>
<option value="37">Cambodia</option>
<option value="38">Cameroon</option>
<option value="40">Cayman Islands</option>
<option value="41">Central African Republic</option>
<option value="42">Chad</option>
<option value="43">Chile</option>
<option value="44">China</option>
<option value="45">Christmas Island</option>
<option value="46">Cocos (Keeling) Islands</option>
<option value="47">Colombia</option>
<option value="48">Comoros</option>
<option value="49">Congo</option>
<option value="238">Congo (the Democratic Republic of the)</option>
<option value="50">Cook Islands</option>
<option value="51">Costa Rica</option>
<option value="106">Côte d'Ivoire</option>
<option value="52">Croatia</option>
<option value="53">Cuba</option>
<option value="249">Curaçao</option>
<option value="54">Cyprus</option>
<option value="55">Czechia</option>
<option value="56">Denmark</option>
<option value="57">Djibouti</option>
<option value="58">Dominica</option>
<option value="59">Dominican Republic</option>
<option value="61">Ecuador</option>
<option value="62">Egypt</option>
<option value="63">El Salvador</option>
<option value="64">Equatorial Guinea</option>
<option value="65">Eritrea</option>
<option value="66">Estonia</option>
<option value="67">Ethiopia</option>
<option value="68">Falkland Islands [Malvinas]</option>
<option value="69">Faroe Islands</option>
<option value="70">Fiji</option>
<option value="71">Finland</option>
<option value="73">France</option>
<option value="75">French Guiana</option>
<option value="171">French Polynesia</option>
<option value="76">French Southern Territories</option>
<option value="77">Gabon</option>
<option value="78">Gambia</option>
<option value="79">Georgia</option>
<option value="80">Germany</option>
<option value="81">Ghana</option>
<option value="82">Gibraltar</option>
<option value="84">Greece</option>
<option value="85">Greenland</option>
<option value="86">Grenada</option>
<option value="87">Guadeloupe</option>
<option value="88">Guam</option>
<option value="89">Guatemala</option>
<option value="250">Guernsey</option>
<option value="90">Guinea</option>
<option value="91">Guinea-Bissau</option>
<option value="92">Guyana</option>
<option value="93">Haiti</option>
<option value="94">Heard Island and McDonald Islands</option>
<option value="229">Holy See</option>
<option value="95">Honduras</option>
<option value="96">Hong Kong</option>
<option value="97">Hungary</option>
<option value="98">Iceland</option>
<option value="99">India</option>
<option value="100">Indonesia</option>
<option value="101">Iran (Islamic Republic of)</option>
<option value="102">Iraq</option>
<option value="103">Ireland</option>
<option value="251">Isle of Man</option>
<option value="104">Israel</option>
<option value="105">Italy</option>
<option value="107">Jamaica</option>
<option value="108">Japan</option>
<option value="252">Jersey</option>
<option value="109">Jordan</option>
<option value="110">Kazakhstan</option>
<option value="111">Kenya</option>
<option value="112">Kiribati</option>
<option value="158">Korea (the Democratic People's Republic of)</option>
<option value="198">Korea (the Republic of)</option>
<option value="113">Kuwait</option>
<option value="114">Kyrgyzstan</option>
<option value="115">Lao People's Democratic Republic</option>
<option value="116">Latvia</option>
<option value="117">Lebanon</option>
<option value="118">Lesotho</option>
<option value="119">Liberia</option>
<option value="120">Libya</option>
<option value="121">Liechtenstein</option>
<option value="122">Lithuania</option>
<option value="123">Luxembourg</option>
<option value="124">Macao</option>
<option value="125">Macedonia (the former Yugoslav Republic of)</option>
<option value="126">Madagascar</option>
<option value="127">Malawi</option>
<option value="128">Malaysia</option>
<option value="129">Maldives</option>
<option value="130">Mali</option>
<option value="131">Malta</option>
<option value="132">Marshall Islands</option>
<option value="133">Martinique</option>
<option value="134">Mauritania</option>
<option value="135">Mauritius</option>
<option value="136">Mayotte</option>
<option value="137">Mexico</option>
<option value="138">Micronesia (Federated States of)</option>
<option value="139">Moldova (the Republic of)</option>
<option value="140">Monaco</option>
<option value="141">Mongolia</option>
<option value="253">Montenegro</option>
<option value="142">Montserrat</option>
<option value="143">Morocco</option>
<option value="144">Mozambique</option>
<option value="145">Myanmar</option>
<option value="146">Namibia</option>
<option value="147">Nauru</option>
<option value="148">Nepal</option>
<option value="149">Netherlands</option>
<option value="151">New Caledonia</option>
<option value="152">New Zealand</option>
<option value="153">Nicaragua</option>
<option value="154">Niger</option>
<option value="155">Nigeria</option>
<option value="156">Niue</option>
<option value="157">Norfolk Island</option>
<option value="159">Northern Mariana Islands</option>
<option value="160">Norway</option>
<option value="161">Oman</option>
<option value="162">Pakistan</option>
<option value="163">Palau</option>
<option value="246">Palestine, State of</option>
<option value="164">Panama</option>
<option value="165">Papua New Guinea</option>
<option value="166">Paraguay</option>
<option value="167">Peru</option>
<option value="168">Philippines</option>
<option value="169">Pitcairn</option>
<option value="170">Poland</option>
<option value="172">Portugal</option>
<option value="173">Puerto Rico</option>
<option value="174">Qatar</option>
<option value="175">Réunion</option>
<option value="176">Romania</option>
<option value="177">Russian Federation</option>
<option value="178">Rwanda</option>
<option value="254">Saint Barthélemy</option>
<option value="180">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="181">Saint Kitts and Nevis</option>
<option value="182">Saint Lucia</option>
<option value="255">Saint Martin (French part)</option>
<option value="183">Saint Pierre and Miquelon</option>
<option value="185">Saint Vincent and the Grenadines</option>
<option value="186">Samoa</option>
<option value="187">San Marino</option>
<option value="184">Sao Tome and Principe</option>
<option value="188">Saudi Arabia</option>
<option value="189">Senegal</option>
<option value="256">Serbia</option>
<option value="190">Seychelles</option>
<option value="191">Sierra Leone</option>
<option value="192">Singapore</option>
<option value="245">Sint Maarten (Dutch part)</option>
<option value="193">Slovakia</option>
<option value="194">Slovenia</option>
<option value="195">Solomon Islands</option>
<option value="196">Somalia</option>
<option value="197">South Africa</option>
<option value="179">South Georgia and the South Sandwich Islands</option>
<option value="243">South Sudan</option>
<option value="199">Spain</option>
<option value="200">Sri Lanka</option>
<option value="201">Sudan</option>
<option value="202">Suriname</option>
<option value="203">Svalbard and Jan Mayen</option>
<option value="204">Swaziland</option>
<option value="205">Sweden</option>
<option value="206">Switzerland</option>
<option value="207">Syrian Arab Republic</option>
<option value="209">Taiwan (Province of China)</option>
<option value="208">Tajikistan</option>
<option value="210">Tanzania, United Republic of</option>
<option value="211">Thailand</option>
<option value="60">Timor-Leste</option>
<option value="212">Togo</option>
<option value="213">Tokelau</option>
<option value="214">Tonga</option>
<option value="215">Trinidad and Tobago</option>
<option value="216">Tunisia</option>
<option value="217">Turkey</option>
<option value="218">Turkmenistan</option>
<option value="219">Turks and Caicos Islands</option>
<option value="220">Tuvalu</option>
<option value="221">Uganda</option>
<option value="222">Ukraine</option>
<option value="223">United Arab Emirates</option>
<option value="83">United Kingdom of Great Britain and Northern Ireland</option>
<option value="226">United States Minor Outlying Islands</option>
<option value="225">Uruguay</option>
<option value="227">Uzbekistan</option>
<option value="228">Vanuatu</option>
<option value="230">Venezuela (Bolivarian Republic of)</option>
<option value="231">Viet Nam</option>
<option value="232">Virgin Islands (British)</option>
<option value="233">Virgin Islands (U.S.)</option>
<option value="234">Wallis and Futuna</option>
<option value="235">Western Sahara*</option>
<option value="236">Yemen</option>
<option value="239">Zambia</option>
<option value="240">Zimbabwe</option>
</select>
<div id="'account.address.country'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="col-md-12 neonfront_element">
<div class="row g-2" style="display: none;">
<div class="col"><button type="button" class="btn neonfront-btn-primary btn-lg">Next</button></div>
</div>
</div><!---->
</div>
</div>
<div class="col-12" id="neon-page-3" style="display: none;">
<div class="row g-3 neonfront-form">
<div class="col-md-12 neonfront_element mt-0">
<div id="globalError" class="row mt-3 neonfront_form_failed_container" style="display: none;">
<div class="col-2"><span class="fa fa-exclamation-circle mt-1" style="font-size: 2.25rem;"></span></div>
<div class="col-10">
<h5 class="fs-6 mb-1">Oh no, your payment failed</h5>
<p class="mb-0" style="font-size: 0.875rem;"></p>
</div>
</div>
</div>
<div class="neonfront_element col-md-12">
<div class="row mx-0 neonfront_payment_tab"><input type="hidden" name="payment.type" value="CARD">
<div class="col active">Card</div>
</div>
<div class="row g-3 mt-0">
<div class="neonfront_element col-md-12">
<div class="form-check"><input class="form-check-input neonfront_checkbox" type="checkbox" value="true" name="payment.card.donorCoveredFeeOpt" id="payment.card.donorCoveredFeeOpt"><label class="form-check-label neonfront_checkbox_label"
for="payment.card.donorCoveredFeeOpt">I want to make an additional donation to cover online processing fees, so that my entire contribution goes to Changing Worlds. ($3.39)</label></div>
</div>
<div class="neonfront_element col-md-12"><input type="hidden" name="payment.card.payWithApplePay" value="false"><input type="hidden" name="payment.card.payWithGooglePay" value="false">
<div id="payment-apple-container"></div>
<div id="payment-google-container" style="display: block;">
<div class="NeonPay__field"
style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important; min-height: 40px; height: inherit;">
<iframe frameborder="0" allowtransparency="true" sandbox="allow-same-origin allow-scripts allow-popups allow-top-navigation-by-user-activation" allow="payment" name="payframe-googlepay-lmzh223o0xfkbya524rf"
id="payframe-googlepay-lmzh223o0xfkbya524rf"
style="border: none !important; margin: 0 !important; width: 1px; overflow: hidden !important; display: block !important; user-select: none !important; min-width: 186px !important; width: 100%; min-height: 40px !important; height: 40px;"
src="https://app.neononepay.com/token?v=2.0"></iframe></div>
</div>
<div style="display: none;"><button class="btn neonfront-btn-primary btn-lg" type="button" disabled=""> Processing <span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span></button></div>
</div>
<div class="neonfront_element col-md-12">
<div class="line-text-splitter">
<div class="line"></div>
<div class="text">or enter your card details below</div>
</div>
</div>
<div class="neonfront_element col-md-12"><button type="button" class="btn neonfront-btn-primary btn-lg"><i class="fas fa-credit-card"></i> <span>Pay With Card</span></button></div>
<div class="neonfront_element col-md-12" style="display: none;"><label for="payment.card.holderFirstName" class="form-label">Cardholder First Name <span>*</span></label><input id="payment.card.holderFirstName"
name="payment.card.holderFirstName" type="text" class="form-control neonfront_input" aria-describedby="payment.card.holderFirstName_feedback">
<div id="payment.card.holderFirstName_feedback" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-12" style="display: none;"><label for="payment.card.holderLastName" class="form-label">Cardholder Last Name <span>*</span></label><input id="payment.card.holderLastName"
name="payment.card.holderLastName" type="text" class="form-control neonfront_input" aria-describedby="payment.card.holderLastName_feedback">
<div id="payment.card.holderLastName_feedback" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-12" style="display: none;"><label for="payment.card.holderEmail" class="form-label">Cardholder Email </label><input id="payment.card.holderEmail" name="payment.card.holderEmail" type="text"
class="form-control neonfront_input" aria-describedby="payment.card.holderEmail_feedback">
<div id="payment.card.holderEmail_feedback" class="invalid-feedback"></div>
</div>
<div class="col-md-12" style="display: none;"><input type="hidden" name="payment.card.token" id="payment.card.token"><label class="form-label" for="payment-card-container">Card *</label>
<div id="payment-card-container" class="form-control">
<div class="NeonPay__field" style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important;"><iframe
frameborder="0" allowtransparency="true" sandbox="allow-same-origin allow-scripts allow-popups allow-top-navigation-by-user-activation" allow="payment" name="payframe-card-lmzh229npg99yj1dweb" id="payframe-card-lmzh229npg99yj1dweb"
style="border: none !important; margin: 0 !important; width: 1px; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; height: 2px"
src="https://app.neononepay.com/token?v=2.0"></iframe></div>
</div>
</div>
<div class="neonfront_element col-md-12" style="display: none;">
<div class="form-check"><input class="form-check-input neonfront_checkbox" type="checkbox" value="true" id="sameAsBillingAddress"><label class="form-check-label neonfront_checkbox_label" for="sameAsBillingAddress">Billing address is the
same as mailing address</label></div>
</div>
<div class="neonfront_element col-md-12" style="display: none;"><label for="payment.card.address.line1.line1" class="form-label">Address Line 1 </label><input id="payment.card.address.line1.line1" name="payment.card.address.line1.line1"
type="text" class="form-control neonfront_input" aria-describedby="payment.card.address.line1.line1_feedback">
<div id="payment.card.address.line1.line1_feedback" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-12" style="display: none;"><label for="payment.card.address.line2" class="form-label">Address Line 2 </label><input id="payment.card.address.line2" name="payment.card.address.line2" type="text"
class="form-control neonfront_input" aria-describedby="payment.card.address.line2_feedback">
<div id="payment.card.address.line2_feedback" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-6" style="display: none;"><label for="payment.card.address.city" class="form-label">City </label><input id="payment.card.address.city" name="payment.card.address.city" type="text"
class="form-control neonfront_input" aria-describedby="payment.card.address.city_feedback">
<div id="payment.card.address.city_feedback" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-6" style="display: none;"><label for="payment.card.address.stateOrProvince" class="form-label">State/Province </label><select id="payment.card.address.stateOrProvince"
name="payment.card.address.stateOrProvince" class="form-select neonfront_input" aria-describedby="payment.card.address.stateOrProvince_feedback">
<option></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="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="UM">U.S. Minor Outlying Islands</option>
<option value="VI">Virgin Islands</option>
<option value="AA">Armed Forces Americas</option>
<option value="AE">Armed Forces Europe, the Middle East, an</option>
<option value="AP">Armed Forces Pacific</option>
<option value="AB">Alberta</option>
<option value="BC">British Columbia</option>
<option value="MB">Manitoba</option>
<option value="NB">New Brunswick</option>
<option value="NL">Newfoundland and Labrador</option>
<option value="NS">Nova Scotia</option>
<option value="NT">Northwest Territories</option>
<option value="NU">Nunavut Territory</option>
<option value="ON">Ontario</option>
<option value="PE">Prince Edward Island</option>
<option value="QC">Quebec</option>
<option value="SK">Saskatchewan</option>
<option value="YT">Yukon Territory</option>
</select>
<div id="payment.card.address.stateOrProvince_feedback" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-6" style="display: none;"><label for="payment.card.address.zipCode" class="form-label">Zip <span>*</span></label><input id="payment.card.address.zipCode" name="payment.card.address.zipCode" type="text"
class="form-control neonfront_input" aria-describedby="payment.card.address.zipCode_feedback">
<div id="payment.card.address.zipCode_feedback" class="invalid-feedback"></div>
</div>
<div class="neonfront_element col-md-6" style="display: none;"><label for="payment.card.address.country" class="form-label">Country </label><select id="payment.card.address.country" name="payment.card.address.country"
class="form-select neonfront_input" aria-describedby="payment.card.address.country_feedback">
<option></option>
<option value="1">United States of America</option>
<option value="2">Canada</option>
<option value="3">Afghanistan</option>
<option value="247">Åland Islands</option>
<option value="4">Albania</option>
<option value="5">Algeria</option>
<option value="6">American Samoa</option>
<option value="7">Andorra</option>
<option value="8">Angola</option>
<option value="242">Anguilla</option>
<option value="9">Antarctica</option>
<option value="10">Antigua and Barbuda</option>
<option value="11">Argentina</option>
<option value="12">Armenia</option>
<option value="13">Aruba</option>
<option value="14">Australia</option>
<option value="15">Austria</option>
<option value="16">Azerbaijan</option>
<option value="17">Bahamas</option>
<option value="18">Bahrain</option>
<option value="19">Bangladesh</option>
<option value="20">Barbados</option>
<option value="21">Belarus</option>
<option value="22">Belgium</option>
<option value="23">Belize</option>
<option value="24">Benin</option>
<option value="25">Bermuda</option>
<option value="26">Bhutan</option>
<option value="27">Bolivia (Plurinational State of)</option>
<option value="248">Bonaire, Sint Eustatius and Saba</option>
<option value="28">Bosnia and Herzegovina</option>
<option value="29">Botswana</option>
<option value="30">Bouvet Island</option>
<option value="31">Brazil</option>
<option value="32">British Indian Ocean Territory</option>
<option value="33">Brunei Darussalam</option>
<option value="34">Bulgaria</option>
<option value="35">Burkina Faso</option>
<option value="36">Burundi</option>
<option value="39">Cabo Verde</option>
<option value="37">Cambodia</option>
<option value="38">Cameroon</option>
<option value="40">Cayman Islands</option>
<option value="41">Central African Republic</option>
<option value="42">Chad</option>
<option value="43">Chile</option>
<option value="44">China</option>
<option value="45">Christmas Island</option>
<option value="46">Cocos (Keeling) Islands</option>
<option value="47">Colombia</option>
<option value="48">Comoros</option>
<option value="49">Congo</option>
<option value="238">Congo (the Democratic Republic of the)</option>
<option value="50">Cook Islands</option>
<option value="51">Costa Rica</option>
<option value="106">Côte d'Ivoire</option>
<option value="52">Croatia</option>
<option value="53">Cuba</option>
<option value="249">Curaçao</option>
<option value="54">Cyprus</option>
<option value="55">Czechia</option>
<option value="56">Denmark</option>
<option value="57">Djibouti</option>
<option value="58">Dominica</option>
<option value="59">Dominican Republic</option>
<option value="61">Ecuador</option>
<option value="62">Egypt</option>
<option value="63">El Salvador</option>
<option value="64">Equatorial Guinea</option>
<option value="65">Eritrea</option>
<option value="66">Estonia</option>
<option value="67">Ethiopia</option>
<option value="68">Falkland Islands [Malvinas]</option>
<option value="69">Faroe Islands</option>
<option value="70">Fiji</option>
<option value="71">Finland</option>
<option value="73">France</option>
<option value="75">French Guiana</option>
<option value="171">French Polynesia</option>
<option value="76">French Southern Territories</option>
<option value="77">Gabon</option>
<option value="78">Gambia</option>
<option value="79">Georgia</option>
<option value="80">Germany</option>
<option value="81">Ghana</option>
<option value="82">Gibraltar</option>
<option value="84">Greece</option>
<option value="85">Greenland</option>
<option value="86">Grenada</option>
<option value="87">Guadeloupe</option>
<option value="88">Guam</option>
<option value="89">Guatemala</option>
<option value="250">Guernsey</option>
<option value="90">Guinea</option>
<option value="91">Guinea-Bissau</option>
<option value="92">Guyana</option>
<option value="93">Haiti</option>
<option value="94">Heard Island and McDonald Islands</option>
<option value="229">Holy See</option>
<option value="95">Honduras</option>
<option value="96">Hong Kong</option>
<option value="97">Hungary</option>
<option value="98">Iceland</option>
<option value="99">India</option>
<option value="100">Indonesia</option>
<option value="101">Iran (Islamic Republic of)</option>
<option value="102">Iraq</option>
<option value="103">Ireland</option>
<option value="251">Isle of Man</option>
<option value="104">Israel</option>
<option value="105">Italy</option>
<option value="107">Jamaica</option>
<option value="108">Japan</option>
<option value="252">Jersey</option>
<option value="109">Jordan</option>
<option value="110">Kazakhstan</option>
<option value="111">Kenya</option>
<option value="112">Kiribati</option>
<option value="158">Korea (the Democratic People's Republic of)</option>
<option value="198">Korea (the Republic of)</option>
<option value="113">Kuwait</option>
<option value="114">Kyrgyzstan</option>
<option value="115">Lao People's Democratic Republic</option>
<option value="116">Latvia</option>
<option value="117">Lebanon</option>
<option value="118">Lesotho</option>
<option value="119">Liberia</option>
<option value="120">Libya</option>
<option value="121">Liechtenstein</option>
<option value="122">Lithuania</option>
<option value="123">Luxembourg</option>
<option value="124">Macao</option>
<option value="125">Macedonia (the former Yugoslav Republic of)</option>
<option value="126">Madagascar</option>
<option value="127">Malawi</option>
<option value="128">Malaysia</option>
<option value="129">Maldives</option>
<option value="130">Mali</option>
<option value="131">Malta</option>
<option value="132">Marshall Islands</option>
<option value="133">Martinique</option>
<option value="134">Mauritania</option>
<option value="135">Mauritius</option>
<option value="136">Mayotte</option>
<option value="137">Mexico</option>
<option value="138">Micronesia (Federated States of)</option>
<option value="139">Moldova (the Republic of)</option>
<option value="140">Monaco</option>
<option value="141">Mongolia</option>
<option value="253">Montenegro</option>
<option value="142">Montserrat</option>
<option value="143">Morocco</option>
<option value="144">Mozambique</option>
<option value="145">Myanmar</option>
<option value="146">Namibia</option>
<option value="147">Nauru</option>
<option value="148">Nepal</option>
<option value="149">Netherlands</option>
<option value="151">New Caledonia</option>
<option value="152">New Zealand</option>
<option value="153">Nicaragua</option>
<option value="154">Niger</option>
<option value="155">Nigeria</option>
<option value="156">Niue</option>
<option value="157">Norfolk Island</option>
<option value="159">Northern Mariana Islands</option>
<option value="160">Norway</option>
<option value="161">Oman</option>
<option value="162">Pakistan</option>
<option value="163">Palau</option>
<option value="246">Palestine, State of</option>
<option value="164">Panama</option>
<option value="165">Papua New Guinea</option>
<option value="166">Paraguay</option>
<option value="167">Peru</option>
<option value="168">Philippines</option>
<option value="169">Pitcairn</option>
<option value="170">Poland</option>
<option value="172">Portugal</option>
<option value="173">Puerto Rico</option>
<option value="174">Qatar</option>
<option value="175">Réunion</option>
<option value="176">Romania</option>
<option value="177">Russian Federation</option>
<option value="178">Rwanda</option>
<option value="254">Saint Barthélemy</option>
<option value="180">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="181">Saint Kitts and Nevis</option>
<option value="182">Saint Lucia</option>
<option value="255">Saint Martin (French part)</option>
<option value="183">Saint Pierre and Miquelon</option>
<option value="185">Saint Vincent and the Grenadines</option>
<option value="186">Samoa</option>
<option value="187">San Marino</option>
<option value="184">Sao Tome and Principe</option>
<option value="188">Saudi Arabia</option>
<option value="189">Senegal</option>
<option value="256">Serbia</option>
<option value="190">Seychelles</option>
<option value="191">Sierra Leone</option>
<option value="192">Singapore</option>
<option value="245">Sint Maarten (Dutch part)</option>
<option value="193">Slovakia</option>
<option value="194">Slovenia</option>
<option value="195">Solomon Islands</option>
<option value="196">Somalia</option>
<option value="197">South Africa</option>
<option value="179">South Georgia and the South Sandwich Islands</option>
<option value="243">South Sudan</option>
<option value="199">Spain</option>
<option value="200">Sri Lanka</option>
<option value="201">Sudan</option>
<option value="202">Suriname</option>
<option value="203">Svalbard and Jan Mayen</option>
<option value="204">Swaziland</option>
<option value="205">Sweden</option>
<option value="206">Switzerland</option>
<option value="207">Syrian Arab Republic</option>
<option value="209">Taiwan (Province of China)</option>
<option value="208">Tajikistan</option>
<option value="210">Tanzania, United Republic of</option>
<option value="211">Thailand</option>
<option value="60">Timor-Leste</option>
<option value="212">Togo</option>
<option value="213">Tokelau</option>
<option value="214">Tonga</option>
<option value="215">Trinidad and Tobago</option>
<option value="216">Tunisia</option>
<option value="217">Turkey</option>
<option value="218">Turkmenistan</option>
<option value="219">Turks and Caicos Islands</option>
<option value="220">Tuvalu</option>
<option value="221">Uganda</option>
<option value="222">Ukraine</option>
<option value="223">United Arab Emirates</option>
<option value="83">United Kingdom of Great Britain and Northern Ireland</option>
<option value="226">United States Minor Outlying Islands</option>
<option value="225">Uruguay</option>
<option value="227">Uzbekistan</option>
<option value="228">Vanuatu</option>
<option value="230">Venezuela (Bolivarian Republic of)</option>
<option value="231">Viet Nam</option>
<option value="232">Virgin Islands (British)</option>
<option value="233">Virgin Islands (U.S.)</option>
<option value="234">Wallis and Futuna</option>
<option value="235">Western Sahara*</option>
<option value="236">Yemen</option>
<option value="239">Zambia</option>
<option value="240">Zimbabwe</option>
</select>
<div id="payment.card.address.country_feedback" class="invalid-feedback"></div>
</div><!---->
</div>
<div id="'payment'+'_feedback'" class="invalid-feedback"></div>
</div>
<div class="col-md-12 neonfront_element">
<div class="row gx-1 gy-2" style="display: none;">
<div class="col-auto"><button class="btn btn-link" style="color: rgb(255, 255, 255);">Donate Now</button><button type="button" class="btn neonfront-btn-primary btn-lg" style="display: none;">Donate Now</button><button
class="btn neonfront-btn-primary btn-lg" type="button" disabled="" style="display: none;"> Processing <span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span></button></div><!---->
<div class="col" style="display: none;"><button type="button" class="btn neonfront-btn-primary neonfront-btn-paypal btn-lg"></button><button class="btn neonfront-btn-primary btn-lg" type="button" disabled="" style="display: none;">
Processing <span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span></button></div>
<div class="col" style="display: none;"><button type="button" class="btn neonfront-btn-primary btn-lg">Pay Later </button><button class="btn neonfront-btn-primary btn-lg" type="button" disabled="" style="display: none;"> Processing
<span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span></button></div>
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<div class="neonfront-recurring-amount neonfront-recurring-amount-single"><label class="form-label mb-0">Amount:</label>
<div class="amount-content"><span class="amount">$103.39<!----><!----><span class="form-label fs-625" style="font-size: 0.625rem !important;"> USD</span></span></div>
<div class="fee-content">(<span>104.47</span><span> USD</span> for AMEX cards)</div>
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($3.39) Processing or enter your card details below Pay With Card Cardholder First Name * Cardholder Last Name * Cardholder Email Card * Billing address is the same as mailing address Address Line 1 Address Line 2 City State/Province AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAmerican SamoaFederated States of MicronesiaGuamMarshall IslandsNorthern Mariana IslandsPalauPuerto RicoU.S. Minor Outlying IslandsVirgin IslandsArmed Forces AmericasArmed Forces Europe, the Middle East, anArmed Forces PacificAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavut TerritoryOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory Zip * Country United States of AmericaCanadaAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (the Democratic Republic of the)Cook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands [Malvinas]Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (the Democratic People's Republic of)Korea (the Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia (the former Yugoslav Republic of)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (the Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan (Province of China)TajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern Sahara*YemenZambiaZimbabwe Donate NowDonate Now Processing Processing Pay Later Processing Amount: $103.39 USD (104.47 USD for AMEX cards) Donate Now To Change worlds with Changing Worlds We are Changing Worlds for students headed back to school across Chicagoland. 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