marthastable.org
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https://marthastable.org/day-of-giving/?emci=a1237b44-3327-ef11-86d2-6045bdd9e096&emdi=ea000000-0000-0000-0000-0000000000...
Submission: On June 20 via manual from US — Scanned from US
Submission: On June 20 via manual from US — Scanned from US
Form analysis
4 forms found in the DOMPOST v1
<form class="clearfix" method="post" novalidate="" action="v1" accept-charset="utf-8" autocomplete="on">
<div class="at-markup FastAction" id="NVContributionForm1724324-FastAction">
<div class="fastaction-block">
<div class="fastAction clearfix">
<p>
<span class="fa-cta">
<a href="#fastaction-login" class="profile-link" aria-label="FastAction">
<img class="profile-link-fa-image" src="//static.everyaction.com/ea-actiontag/assets/images/fast-action.svg">
</a>
<span><a href="https://fastaction.ngpvan.com##whats-this" class="circle" id="fastaction-whatsthis" data-popup="true" data-popup-width="515" data-popup-height="540" target="_blank">?</a></span>
</span>
<span class="fa-lead"> Take future action with a single click.<br>
<a href="#fastaction-login" class="call-modal" id="fastaction-widget-login">Log in</a> or <a href="#fastaction-signup" class="call-modal" id="fastaction-widget-signup">Sign up</a> for <i>Fast</i><b>Action</b>
</span>
</p>
</div>
</div>
</div>
<div data-name="undefined" data-subview="submit_view" data-subview-index="2"></div>
<fieldset class="at-fieldset ContributionInformation" id="NVContributionForm1724324-ContributionInformation" style="border: none;">
<legend class="at-legend">Donation Information</legend>
<div class="at-fields">
<div class="at-row at-row-full ">
<div class="form-unit form-unit-radio form-item-selectedfrequency" id="NVContributionForm1724324-ContributionInformation-SelectedFrequency">
<div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1724324-ContributionInformation-SelectedFrequency">
<label title="One-Time" class="at-radio-label-0" role="radio">
<input type="radio" name="SelectedFrequency" checked="" value="0"> One-Time </label><label title="Monthly" class="at-radio-label-4" role="radio">
<input type="radio" name="SelectedFrequency" value="4"> Monthly </label>
<div class="radio-description radio-description-value-0"><svg data-fa-pseudo-element=":before" data-prefix="fas" data-icon="arrow-up" class="svg-inline--fa fa-arrow-up fa-w-14" role="img" xmlns="http://www.w3.org/2000/svg"
viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor"
d="M34.9 289.5l-22.2-22.2c-9.4-9.4-9.4-24.6 0-33.9L207 39c9.4-9.4 24.6-9.4 33.9 0l194.3 194.3c9.4 9.4 9.4 24.6 0 33.9L413 289.4c-9.5 9.5-25 9.3-34.3-.4L264 168.6V456c0 13.3-10.7 24-24 24h-32c-13.3 0-24-10.7-24-24V168.6L69.2 289.1c-9.3 9.8-24.8 10-34.3.4z">
</path>
</svg>Your monthly support makes a steady impact in the lives of your neighbors and lets us plan for the future!</div>
</div>
</div>
</div>
<div class="at-row at-row-full ">
<input id="ProcessingCurrency_Value" type="hidden" name="ProcessingCurrency.Value" value="USD">
</div>
<div class="at-row at-row-full ">
<div class="form-item form-type-radios form-item-selectamount" id="NVContributionForm1724324-ContributionInformation-SelectAmount">
<div class="at-row SelectAmount OtherAmount NonRecurringButtons">
<div class="at-radio">
<div class="at-radios clearfix">
<label class="label-amount" title="$25">
<input name="SelectAmount" type="radio" value="25.00"> $25 <a></a> </label><label class="label-amount" title="$50">
<input name="SelectAmount" type="radio" value="50.00"> $50 <a></a> </label><label class="label-amount" title="$150">
<input name="SelectAmount" type="radio" value="150.00"> $150 <a></a> </label><label class="label-amount" title="$500">
<input name="SelectAmount" type="radio" value="500.00"> $500 <a></a> </label><label class="label-amount" title="$1,000">
<input name="SelectAmount" type="radio" value="1000.00"> $1,000 <a></a> </label><label class="label-amount" title="$5,000">
<input name="SelectAmount" type="radio" value="5000.00"> $5,000 <a></a> </label><label class="label-amount label-otheramount" title="Other">
<input name="SelectAmount" type="radio" class="radio-other" value="other"> Other <input type="number" tabindex="-1" autocomplete="transaction-amount" class="edit-otheramount" name="OtherAmount" title="Other Amount"
placeholder="0.00">
<span class="label-otheramount-prefix">$</span>
</label>
</div>
</div>
</div>
</div>
</div><label class="at-check CoverCostsAmount" id="NVContributionForm1724324-ContributionInformation-CoverCostsAmount"><input type="checkbox" checked="" name="CoverCostsAmount"> <span class="at-checkbox-title-container"><span
class="at-checkbox-title" id="NVContributionForm1724324-ContributionInformation-CoverCostsAmount-label">I'd like to help cover the transaction fees for my donation. </span><span class="at-cover-costs-info">My total amount will be
<strong>$51.83</strong>.</span></span>
</label>
</div>
</fieldset>
<fieldset class="at-fieldset TributeGift" id="NVContributionForm1724324-TributeGift">
<div class="at-fields">
<div class="at-row at-row-full EnableTributeGift">
<label class="at-check EnableTributeGift" id="NVContributionForm1724324-TributeGift-EnableTributeGift"><input type="checkbox" name="EnableTributeGift"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
id="NVContributionForm1724324-TributeGift-EnableTributeGift-label">I'd like to make this contribution in honor or in memory of someone</span></span>
</label>
</div>
<div class="at-row">
<div class="at-tribute-gift" style="display:none">
<div class="form-unit form-unit-radio form-item-inhonororinmemoryof" id="NVContributionForm1724324-TributeGift-InHonorOrInMemoryOf"><label id="NVContributionForm1724324-TributeGift-InHonorOrInMemoryOf"> Is this an Honorary or Memorial
Gift?</label>
<div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1724324-TributeGift-InHonorOrInMemoryOf">
<label title="In honor of" class="at-radio-label-2" role="radio">
<input type="radio" name="InHonorOrInMemoryOf" checked="" value="2"> In honor of </label><label title="In memory of" class="at-radio-label-1" role="radio">
<input type="radio" name="InHonorOrInMemoryOf" value="1"> In memory of </label>
</div>
</div><label class="at-text HonoreeName" id="NVContributionForm1724324-TributeGift-HonoreeName">Honoree Name <small>(Optional)</small><input type="text" autocomplete="on" false="" title="Honoree Name" name="HonoreeName" value=""
maxlength="100">
</label>
</div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset RecipientInformation" id="NVContributionForm1724324-RecipientInformation" style="display: none;">
<div class="at-fields">
<div class="at-row">
<label class="at-check IncludeRecipient" id="NVContributionForm1724324-RecipientInformation-IncludeRecipient"><input type="checkbox" name="IncludeRecipient"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
id="NVContributionForm1724324-RecipientInformation-IncludeRecipient-label">I'd like to notify someone of this tribute gift.</span></span>
</label>
</div>
<div class="at-recipient-info" style="display: none;">
<div class="at-title">Who would you like to notify?</div>
<div class="at-row at-row-solo at-row-full RecipientInfoHeaderHtml">
<div class="at-markup RecipientInfoHeaderHtml" id="NVContributionForm1724324-RecipientInformation-RecipientInfoHeaderHtml">A message will be sent to the recipient to inform them of your contribution. Customize the notification by adding a
personal message.</div>
</div>
<div class="at-row RecipientFirstName RecipientLastName"><label class="at-text RecipientFirstName" id="NVContributionForm1724324-RecipientInformation-RecipientFirstName">First Name <small>(Optional)</small><input type="text"
autocomplete="on" false="" title="First Name" name="RecipientFirstName" value="" maxlength="50">
</label><label class="at-text RecipientLastName" id="NVContributionForm1724324-RecipientInformation-RecipientLastName">Last Name <small>(Optional)</small><input type="text" autocomplete="on" false="" title="Last Name"
name="RecipientLastName" value="" maxlength="50">
</label></div>
<div class="at-row at-row-solo RecipientStreetAddress"><label class="at-text RecipientStreetAddress" id="NVContributionForm1724324-RecipientInformation-RecipientStreetAddress">Street Address <small>(Optional)</small><input type="text"
autocomplete="on" false="" title="Street Address" name="RecipientStreetAddress" value="" maxlength="100">
</label></div>
<div class="at-row RecipientPostalCode RecipientCity RecipientStateProvince"><label class="at-text RecipientPostalCode" id="NVContributionForm1724324-RecipientInformation-RecipientPostalCode">Postal Code <small>(Optional)</small><input
type="tel" autocomplete="on" pattern="^\d{5}([\-]\d{4})?$" false="" title="Postal Code" name="RecipientPostalCode" value="" maxlength="10">
</label><label class="at-text RecipientCity" id="NVContributionForm1724324-RecipientInformation-RecipientCity">City <small>(Optional)</small><input type="text" autocomplete="on" false="" title="City" name="RecipientCity" value=""
maxlength="25">
</label><label class="at-select RecipientStateProvince" id="NVContributionForm1724324-RecipientInformation-RecipientStateProvince">State/Province <small>(Optional)</small><select autocomplete="on" title="State/Province"
name="RecipientStateProvince" class="" id="NVContributionForm1724324-RecipientInformation-RecipientStateProvince-select">
<option value="">- State -</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AR">AR</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="IA">IA</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="MA">MA</option>
<option value="MD">MD</option>
<option value="ME">ME</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MO">MO</option>
<option value="MS">MS</option>
<option value="MT">MT</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="NE">NE</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NV">NV</option>
<option value="NY">NY</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VA">VA</option>
<option value="VT">VT</option>
<option value="WA">WA</option>
<option value="WI">WI</option>
<option value="WV">WV</option>
<option value="WY">WY</option>
<option value="AS">AS</option>
<option value="FM">FM</option>
<option value="GU">GU</option>
<option value="MH">MH</option>
<option value="MP">MP</option>
<option value="PR">PR</option>
<option value="PW">PW</option>
<option value="VI">VI</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
</select>
</label></div>
<div class="at-row at-row-solo RecipientEmailAddress"><label class="at-text RecipientEmailAddress" id="NVContributionForm1724324-RecipientInformation-RecipientEmailAddress">Email<input type="email" autocomplete="on"
pattern="^([\w!#$%&'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required=""
title="Email (required)" name="RecipientEmailAddress" value="" maxlength="100">
</label></div>
<div class="at-row at-row-solo Ecard">
<div class="form-unit form-unit-radio form-item-ecard" id="NVContributionForm1724324-RecipientInformation-Ecard"></div>
</div>
<div class="at-row at-row-solo NotificationSendDate"><label class="at-date notificationsenddate" id="NVContributionForm1724324-RecipientInformation-NotificationSendDate"></label></div>
<div class="at-row at-row-solo NotificationMessage"><label class="at-area NotificationMessage" id="NVContributionForm1724324-RecipientInformation-NotificationMessage"></label></div>
</div>
<div class="at-row">
<div class="at-recipient-msg" style="display: none;">
<div class="form-unit form-unit-radio form-item-ecard" id="NVContributionForm1724324-RecipientInformation-Ecard">
<div class="at-title"> Select an Ecard </div>
<div class="at-ecards clearfix">
<div class="at-ecard selected">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/MTABL/MTABL/1/90390/images/Online%20Gift%20-%20E-Card.png" alt="E-card: Strong Children">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/MTABL/MTABL/1/90390/images/Online%20Gift%20-%20E-Card.png" checked="">
</div>
<button type="button" class="at-preview-ecard btn-at btn-at-link">Preview Ecard</button>
</div>
</div><label class="at-date notificationsenddate" id="NVContributionForm1724324-RecipientInformation-NotificationSendDate">Send Date <small>(Optional)</small><input type="text" title="Send Date" name="NotificationSendDate" value=""
maxlength="10" size="10" class="hasDatepicker" placeholder="MM/DD/YYYY" autocomplete="off" id="dp1718891531396">
</label><label class="at-area NotificationMessage" id="NVContributionForm1724324-RecipientInformation-NotificationMessage">Message <small>(Optional)</small><textarea false="" title="Message" name="NotificationMessage"
maxlength="4000"></textarea>
</label>
</div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset ContactInformation" id="NVContributionForm1724324-ContactInformation">
<legend class="at-legend">Contact Information</legend>
<div class="at-fields">
<div class="at-row at-row-solo at-row-full OrganizationToggle"><label class="at-check OrganizationToggle" id="NVContributionForm1724324-ContactInformation-OrganizationToggle"><input type="checkbox" name="OrganizationToggle"> <span
class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1724324-ContactInformation-OrganizationToggle-label">I'm donating on behalf of a company or organization</span></span>
</label></div>
<div class="at-row at-row-solo OrganizationName at-mode-org-only"><label class="at-text OrganizationName at-mode-org-only" id="NVContributionForm1724324-ContactInformation-OrganizationName">Organization Name<input type="text"
autocomplete="on" required="" title="Organization Name (required)" name="OrganizationName" value="" maxlength="200">
</label></div>
<div class="at-row at-row-solo OrganizationAddressLine1 at-mode-org-only"><label class="at-text OrganizationAddressLine1 at-mode-org-only" id="NVContributionForm1724324-ContactInformation-OrganizationAddressLine1"
style="display: block;">Street Address<input type="text" autocomplete="on" required="" title="Street Address (required)" name="OrganizationAddressLine1" value="" maxlength="99">
</label></div>
<div class="at-row OrganizationPostalCode OrganizationCity OrganizationStateProvince at-mode-org-only"><label class="at-text OrganizationPostalCode at-mode-org-only" id="NVContributionForm1724324-ContactInformation-OrganizationPostalCode"
style="display: block;">Zip Code<input type="tel" autocomplete="on" pattern="^\d{5}([\-]\d{4})?$" required="" title="Zip Code (required)" name="OrganizationPostalCode" value="" maxlength="10">
</label><label class="at-text OrganizationCity at-mode-org-only" id="NVContributionForm1724324-ContactInformation-OrganizationCity" style="display: block;">City<input type="text" autocomplete="on" required="" title="City (required)"
name="OrganizationCity" value="" maxlength="25">
</label><label class="at-select OrganizationStateProvince" id="NVContributionForm1724324-ContactInformation-OrganizationStateProvince">State/Province<select required="" autocomplete="on" title="State/Province" name="OrganizationStateProvince"
class=" required" id="NVContributionForm1724324-ContactInformation-OrganizationStateProvince-select">
<option value="" disabled="">- State -</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AR">AR</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="IA">IA</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="MA">MA</option>
<option value="MD">MD</option>
<option value="ME">ME</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MO">MO</option>
<option value="MS">MS</option>
<option value="MT">MT</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="NE">NE</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NV">NV</option>
<option value="NY">NY</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VA">VA</option>
<option value="VT">VT</option>
<option value="WA">WA</option>
<option value="WI">WI</option>
<option value="WV">WV</option>
<option value="WY">WY</option>
<option value="AS">AS</option>
<option value="FM">FM</option>
<option value="GU">GU</option>
<option value="MH">MH</option>
<option value="MP">MP</option>
<option value="PR">PR</option>
<option value="PW">PW</option>
<option value="VI">VI</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
</select>
</label></div>
<div class="at-row at-row-solo at-row-full OrganizationFooterHtml at-mode-org-only">
<div class="at-markup OrganizationFooterHtml at-mode-org-only" id="NVContributionForm1724324-ContactInformation-OrganizationFooterHtml" style="display: block;">
<hr>
</div>
</div>
<div class="at-row FirstName LastName"><label class="at-text FirstName" id="NVContributionForm1724324-ContactInformation-FirstName">First Name<input type="text" autocomplete="given-name" x-autocompletetype="given-name" required=""
title="First Name (required)" name="FirstName" value="" maxlength="20">
</label><label class="at-text LastName" id="NVContributionForm1724324-ContactInformation-LastName">Last Name<input type="text" autocomplete="family-name" x-autocompletetype="surname" required="" title="Last Name (required)" name="LastName"
value="" maxlength="25">
</label></div>
<div class="at-row at-row-solo AddressLine1 at-mode-person-only"><label class="at-text AddressLine1 at-mode-person-only" id="NVContributionForm1724324-ContactInformation-AddressLine1">Street Address<input type="text"
autocomplete="address-line1" x-autocompletetype="address-line1" required="" title="Street Address (required)" name="AddressLine1" value="" maxlength="99">
</label></div>
<div class="at-row PostalCode City StateProvince at-mode-person-only"><label class="at-text PostalCode at-mode-person-only" id="NVContributionForm1724324-ContactInformation-PostalCode">Zip Code<input type="tel" autocomplete="postal-code"
x-autocompletetype="postal-code" pattern="^\d{5}([\-]\d{4})?$" required="" title="Zip Code (required)" name="PostalCode" value="" maxlength="10">
</label><label class="at-text City at-mode-person-only" id="NVContributionForm1724324-ContactInformation-City">City<input type="text" autocomplete="address-level2" x-autocompletetype="locality" required="" title="City (required)"
name="City" value="" maxlength="25">
</label><label class="at-select StateProvince" id="NVContributionForm1724324-ContactInformation-StateProvince">State/Province<select required="" autocomplete="address-level1" x-autocompletetype="administrative-area" title="State/Province"
name="StateProvince" class=" required" id="NVContributionForm1724324-ContactInformation-StateProvince-select">
<option value="" disabled="">- State -</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AR">AR</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="IA">IA</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="MA">MA</option>
<option value="MD">MD</option>
<option value="ME">ME</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MO">MO</option>
<option value="MS">MS</option>
<option value="MT">MT</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="NE">NE</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NV">NV</option>
<option value="NY">NY</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VA">VA</option>
<option value="VT">VT</option>
<option value="WA">WA</option>
<option value="WI">WI</option>
<option value="WV">WV</option>
<option value="WY">WY</option>
<option value="AS">AS</option>
<option value="FM">FM</option>
<option value="GU">GU</option>
<option value="MH">MH</option>
<option value="MP">MP</option>
<option value="PR">PR</option>
<option value="PW">PW</option>
<option value="VI">VI</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
</select>
</label></div>
<div class="at-row EmailAddress MobilePhone"><label class="at-text EmailAddress" id="NVContributionForm1724324-ContactInformation-EmailAddress">Email<input type="email" autocomplete="email" x-autocompletetype="email"
pattern="^([\w!#$%&'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required="" title="Email (required)"
name="EmailAddress" value="" maxlength="100" placeholder="email@email.com">
</label><label class="at-text MobilePhone" id="NVContributionForm1724324-ContactInformation-MobilePhone">Mobile Phone <small>(Optional)</small>
<div class="iti iti--allow-dropdown iti--show-flags">
<div class="iti__flag-container">
<div class="iti__selected-flag" role="combobox" aria-haspopup="listbox" aria-controls="iti-0__country-listbox" aria-expanded="false" aria-label="Telephone country code" tabindex="0" title="United States: +1">
<div class="iti__flag iti__us"></div>
<div class="iti__arrow"></div>
</div>
</div><input type="tel" class="intl-phone-MobilePhone" name="MobilePhone" title="Mobile Phone" data-intl-tel-input-id="0">
</div>
</label></div>
<div class="at-row at-row-solo at-row-full YesSignMeUpForUpdatesForBinder"><label class="at-check YesSignMeUpForUpdatesForBinder" id="NVContributionForm1724324-ContactInformation-YesSignMeUpForUpdatesForBinder"><input type="checkbox"
checked="" name="YesSignMeUpForUpdatesForBinder"> <span class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1724324-ContactInformation-YesSignMeUpForUpdatesForBinder-label">Yes, sign me up for email
updates.</span></span>
</label></div>
<div class="at-row "><label class="at-text PersonalUrl" id="NVContributionForm1724324-ContactInformation-PersonalUrl"> <small>(Optional)</small><input type="text" autocomplete="on" false="" title="" name="PersonalUrl" value="" maxlength="">
</label></div>
<div class="at-row "><input id="SocialNetworkTrackingId_Value" type="hidden" name="SocialNetworkTrackingId.Value"></div>
<div class="at-row "><input id="SocialNetwork_Value" type="hidden" name="SocialNetwork.Value"></div>
<div class="at-row ">
<div class="at-markup TrackingPixel" id="NVContributionForm1724324-ContactInformation-TrackingPixel" style="display: none;"><img alt=""
src="https://secure.everyaction.com/v1/Track/ujeMnptnUUWIXthFNKNAvg2?emci=a1237b44-3327-ef11-86d2-6045bdd9e096&emdi=ea000000-0000-0000-0000-000000000001&ceid=&nvep=&hmac=&formSessionId=a009979e-8cf1-466e-a2d1-001e4e561600&bName=chrome&dType=desktop&formVersion=11/13/2023 9:25:06 PM|&fUrl=aHR0cHM6Ly9tYXJ0aGFzdGFibGUub3JnL2RheS1vZi1naXZpbmcvP2VtY2k9YTEyMzdiNDQtMzMyNy1lZjExLTg2ZDItNjA0NWJkZDllMDk2JmVtZGk9ZWEwMDAwMDAtMDAwMC0wMDAwLTAwMDAtMDAwMDAwMDAwMDAxJmNlaWQ9Jm52ZXA9JmhtYWM9&fRef="
style="display:none"></div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset PaymentInformation" id="NVContributionForm1724324-PaymentInformation">
<legend class="at-legend">Payment Information</legend>
<div class="at-row">
<div class="at-payment-method-buttons" id="NVContributionForm1724324-PaymentInformation-PaymentMethod"></div>
</div>
<div class="at-fields">
<div class="at-row "><label class="at-text at-cc-number" id="NVContributionForm1724324-PaymentInformation-Account">Card Number<div class="cc-type-wrapper vgs-loading-placeholder" style="display: none;">
<div class="cc-type unknown"></div>
<input type="tel" autocomplete="cc-number" title="Credit Card Number" placeholder="•••• •••• •••• ••••" readonly="true">
</div>
<div id="vgs-Account-1724324" class="vgs-cc-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty" tabindex="-1"><iframe title="Secure card number input frame"
src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=Account&placeholder=%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2&type=card-number&validations%5B0%5D=validCardNumber&validations%5B1%5D=required&autoComplete=cc-number&formId=randomId2008079324541524431&fieldId=randomId20015866374242979475&createdAt=1718891534756&tnt=dG50dzFwem5sYW0%3D&env=bGl2ZQ%3D%3D&logLevel=default&satellitePort=&vgsCollectSessionId=d8e1dbb4-74d1-4caf-b09f-984620603875&css%5BfontSize%5D=.875rem&css%5BfontFamily%5D=monospace&css%5BlineHeight%5D=1&css%5BbackgroundColor%5D=%23fff&css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
frameborder="0" scrolling="0" allowtransparency="true" id="randomId20015866374242979475" form-id="randomId2008079324541524431"></iframe></div>
</label><label class="at-text at-cc-expiration" id="NVContributionForm1724324-PaymentInformation-ExpirationDate">Expiration Date<div class="vgs-loading-placeholder" style="display: none;">
<input type="tel" autocomplete="cc-exp" title="Expiration Date (MM / YY)" placeholder="MM / YY" readonly="true">
</div>
<div id="vgs-ExpirationDate-1724324" class="vgs-ccexpiration-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty"><iframe title="Secure card expiration date input frame"
src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=ExpirationDate&placeholder=MM%20%2F%20YY&type=card-expiration-date&serializers=W3sibmFtZSI6InNlcGFyYXRlIiwib3B0aW9ucyI6eyJtb250aE5hbWUiOiJFeHBpcmF0aW9uTW9udGgiLCJ5ZWFyTmFtZSI6IkV4cGlyYXRpb25ZZWFyIn19XQ%3D%3D&validations%5B0%5D=validCardExpirationDate&validations%5B1%5D=required&autoComplete=cc-exp&formId=randomId2008079324541524431&fieldId=randomId2000013326493125613847&createdAt=1718891534765&tnt=dG50dzFwem5sYW0%3D&env=bGl2ZQ%3D%3D&logLevel=default&satellitePort=&vgsCollectSessionId=d8e1dbb4-74d1-4caf-b09f-984620603875&css%5BfontSize%5D=.875rem&css%5BfontFamily%5D=monospace&css%5BlineHeight%5D=1&css%5BbackgroundColor%5D=%23fff&css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
frameborder="0" scrolling="0" allowtransparency="true" id="randomId2000013326493125613847" form-id="randomId2008079324541524431"></iframe></div>
</label></div>
<div class="at-row ">
<div class="at-markup UpdateMyProfile at-mode-person-only" id="NVContributionForm1724324-PaymentInformation-UpdateMyProfile">
<div class="updateMyProfileSection" style=""><label style="display:inline;"><input type="checkbox" name="updateMyProfile" checked="checked"><span><span class="text">Remember me so that I can use <i>Fast</i><b>Action</b> next
time.</span></span></label></div>
</div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset AdditionalInformation" id="NVContributionForm1724324-AdditionalInformation">
<legend class="at-legend">Additional Information</legend>
<div class="at-fields">
<div class="at-row at-row-full CustomFormFieldQuestion_559887455761517_MappedParagraphQuestion_1079608011479441">
<label class="at-area CustomFormFieldQuestion_559887455761517_MappedParagraphQuestion_1079608011479441"
id="NVContributionForm1724324-AdditionalInformation-CustomFormFieldQuestion_559887455761517_MappedParagraphQuestion_1079608011479441">Share why you're choosing to give! <small>(Optional)</small><textarea false=""
title="Share why you're choosing to give!" name="CustomFormFieldQuestion_559887455761517_MappedParagraphQuestion_1079608011479441" maxlength="8000"></textarea>
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_3120740228894583_MappedCustomFormFieldQuestion_8">
<input id="CustomFormFieldQuestion_3120740228894583_MappedCustomFormFieldQuestion_8_Value" type="hidden" name="CustomFormFieldQuestion_3120740228894583_MappedCustomFormFieldQuestion_8.Value" value="5">
</div>
</div>
</fieldset>
<div class="at-form-submit clearfix">
<input type="submit" value="Donate $51.83" class="at-submit btn-at btn-at-primary">
<div class="at-markup secure-processing-single-step-div" style="display: block;">
<label class="secure-processing-label at-text"> Your donation will be securely processed.<div class="glyphicons glyphicons-lock" aria-hidden="true"></div>
</label>
</div>
</div>
</form>
POST v1
<form class="clearfix" method="post" novalidate="" action="v1" accept-charset="utf-8" autocomplete="on">
<div class="at-markup FastAction" id="NVContributionForm1918729-FastAction">
<div class="fastaction-block"></div>
</div>
<div data-name="undefined" data-subview="submit_view" data-subview-index="2"></div>
<fieldset class="at-fieldset ContributionInformation" id="NVContributionForm1918729-ContributionInformation" style="border: none;">
<legend class="at-legend">Donation Information</legend>
<div class="at-fields">
<div class="at-row at-row-full ">
<div class="form-unit form-unit-radio form-item-selectedfrequency" id="NVContributionForm1918729-ContributionInformation-SelectedFrequency">
<div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1918729-ContributionInformation-SelectedFrequency">
<label title="One-Time" class="at-radio-label-0" role="radio">
<input type="radio" name="SelectedFrequency" checked="" value="0"> One-Time </label><label title="Monthly" class="at-radio-label-4" role="radio">
<input type="radio" name="SelectedFrequency" value="4"> Monthly </label>
<div class="radio-description radio-description-value-0"><svg data-fa-pseudo-element=":before" data-prefix="fas" data-icon="arrow-up" class="svg-inline--fa fa-arrow-up fa-w-14" role="img" xmlns="http://www.w3.org/2000/svg"
viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor"
d="M34.9 289.5l-22.2-22.2c-9.4-9.4-9.4-24.6 0-33.9L207 39c9.4-9.4 24.6-9.4 33.9 0l194.3 194.3c9.4 9.4 9.4 24.6 0 33.9L413 289.4c-9.5 9.5-25 9.3-34.3-.4L264 168.6V456c0 13.3-10.7 24-24 24h-32c-13.3 0-24-10.7-24-24V168.6L69.2 289.1c-9.3 9.8-24.8 10-34.3.4z">
</path>
</svg>By joining our "Apple Corps" monthly giving program, you'll make a steady impact in the lives of your neighbors and lets us plan for the future!</div>
</div>
</div>
</div>
<div class="at-row at-row-full ">
<input id="ProcessingCurrency_Value" type="hidden" name="ProcessingCurrency.Value" value="USD">
</div>
<div class="at-row at-row-full ">
<div class="form-item form-type-radios form-item-selectamount" id="NVContributionForm1918729-ContributionInformation-SelectAmount">
<div class="at-row SelectAmount OtherAmount NonRecurringButtons">
<div class="at-radio">
<div class="at-radios clearfix">
<label class="label-amount" title="$25">
<input name="SelectAmount" type="radio" value="25.00"> $25 <a></a> </label><label class="label-amount" title="$50">
<input name="SelectAmount" type="radio" value="50.00"> $50 <a></a> </label><label class="label-amount" title="$100">
<input name="SelectAmount" type="radio" value="100.00"> $100 <a></a> </label><label class="label-amount" title="$250">
<input name="SelectAmount" type="radio" value="250.00"> $250 <a></a> </label><label class="label-amount" title="$500">
<input name="SelectAmount" type="radio" value="500.00"> $500 <a></a> </label><label class="label-amount" title="$1,000">
<input name="SelectAmount" type="radio" value="1000.00"> $1,000 <a></a> </label><label class="label-amount label-otheramount" title="Other">
<input name="SelectAmount" type="radio" class="radio-other" value="other"> Other <input type="number" tabindex="-1" autocomplete="transaction-amount" class="edit-otheramount" name="OtherAmount" title="Other Amount"
placeholder="0.00">
<span class="label-otheramount-prefix">$</span>
</label>
</div>
</div>
</div>
</div>
</div><label class="at-check CoverCostsAmount" id="NVContributionForm1918729-ContributionInformation-CoverCostsAmount"><input type="checkbox" checked="" name="CoverCostsAmount"> <span class="at-checkbox-title-container"><span
class="at-checkbox-title" id="NVContributionForm1918729-ContributionInformation-CoverCostsAmount-label">I'd like to help cover the transaction fees for my donation. </span><span class="at-cover-costs-info">My total amount will be
<strong>$51.83</strong>.</span></span>
</label>
</div>
</fieldset>
<fieldset class="at-fieldset TributeGift" id="NVContributionForm1918729-TributeGift">
<div class="at-fields">
<div class="at-row at-row-full EnableTributeGift">
<label class="at-check EnableTributeGift" id="NVContributionForm1918729-TributeGift-EnableTributeGift"><input type="checkbox" name="EnableTributeGift"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
id="NVContributionForm1918729-TributeGift-EnableTributeGift-label">I'd like to make this contribution in honor or in memory of someone</span></span>
</label>
</div>
<div class="at-row">
<div class="at-tribute-gift" style="display:none">
<div class="form-unit form-unit-radio form-item-inhonororinmemoryof" id="NVContributionForm1918729-TributeGift-InHonorOrInMemoryOf"><label id="NVContributionForm1918729-TributeGift-InHonorOrInMemoryOf"> Is this an Honorary or Memorial
Gift?</label>
<div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1918729-TributeGift-InHonorOrInMemoryOf">
<label title="In honor of" class="at-radio-label-2" role="radio">
<input type="radio" name="InHonorOrInMemoryOf" checked="" value="2"> In honor of </label><label title="In memory of" class="at-radio-label-1" role="radio">
<input type="radio" name="InHonorOrInMemoryOf" value="1"> In memory of </label>
</div>
</div><label class="at-text HonoreeName" id="NVContributionForm1918729-TributeGift-HonoreeName">Honoree Name <small>(Optional)</small><input type="text" autocomplete="on" false="" title="Honoree Name" name="HonoreeName" value=""
maxlength="100">
</label>
</div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset RecipientInformation" id="NVContributionForm1918729-RecipientInformation" style="display: none;">
<div class="at-fields">
<div class="at-row">
<label class="at-check IncludeRecipient" id="NVContributionForm1918729-RecipientInformation-IncludeRecipient"><input type="checkbox" name="IncludeRecipient"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
id="NVContributionForm1918729-RecipientInformation-IncludeRecipient-label">I'd like to notify someone of this tribute gift.</span></span>
</label>
</div>
<div class="at-recipient-info" style="display: none;">
<div class="at-title">Who would you like to notify?</div>
<div class="at-row at-row-solo at-row-full RecipientInfoHeaderHtml">
<div class="at-markup RecipientInfoHeaderHtml" id="NVContributionForm1918729-RecipientInformation-RecipientInfoHeaderHtml">A message will be sent to the recipient to inform them of your contribution. Customize the notification by adding a
personal message.</div>
</div>
<div class="at-row RecipientFirstName RecipientLastName"><label class="at-text RecipientFirstName" id="NVContributionForm1918729-RecipientInformation-RecipientFirstName">First Name <small>(Optional)</small><input type="text"
autocomplete="on" false="" title="First Name" name="RecipientFirstName" value="" maxlength="50">
</label><label class="at-text RecipientLastName" id="NVContributionForm1918729-RecipientInformation-RecipientLastName">Last Name <small>(Optional)</small><input type="text" autocomplete="on" false="" title="Last Name"
name="RecipientLastName" value="" maxlength="50">
</label></div>
<div class="at-row at-row-solo RecipientStreetAddress"><label class="at-text RecipientStreetAddress" id="NVContributionForm1918729-RecipientInformation-RecipientStreetAddress">Street Address <small>(Optional)</small><input type="text"
autocomplete="on" false="" title="Street Address" name="RecipientStreetAddress" value="" maxlength="100">
</label></div>
<div class="at-row RecipientPostalCode RecipientCity RecipientStateProvince"><label class="at-text RecipientPostalCode" id="NVContributionForm1918729-RecipientInformation-RecipientPostalCode">Postal Code <small>(Optional)</small><input
type="tel" autocomplete="on" pattern="^\d{5}([\-]\d{4})?$" false="" title="Postal Code" name="RecipientPostalCode" value="" maxlength="10">
</label><label class="at-text RecipientCity" id="NVContributionForm1918729-RecipientInformation-RecipientCity">City <small>(Optional)</small><input type="text" autocomplete="on" false="" title="City" name="RecipientCity" value=""
maxlength="25">
</label><label class="at-select RecipientStateProvince" id="NVContributionForm1918729-RecipientInformation-RecipientStateProvince">State/Province <small>(Optional)</small><select autocomplete="on" title="State/Province"
name="RecipientStateProvince" class="" id="NVContributionForm1918729-RecipientInformation-RecipientStateProvince-select">
<option value="">- State -</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AR">AR</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="IA">IA</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="MA">MA</option>
<option value="MD">MD</option>
<option value="ME">ME</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MO">MO</option>
<option value="MS">MS</option>
<option value="MT">MT</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="NE">NE</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NV">NV</option>
<option value="NY">NY</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VA">VA</option>
<option value="VT">VT</option>
<option value="WA">WA</option>
<option value="WI">WI</option>
<option value="WV">WV</option>
<option value="WY">WY</option>
<option value="AS">AS</option>
<option value="FM">FM</option>
<option value="GU">GU</option>
<option value="MH">MH</option>
<option value="MP">MP</option>
<option value="PR">PR</option>
<option value="PW">PW</option>
<option value="VI">VI</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
</select>
</label></div>
<div class="at-row at-row-solo RecipientEmailAddress"><label class="at-text RecipientEmailAddress" id="NVContributionForm1918729-RecipientInformation-RecipientEmailAddress">Email<input type="email" autocomplete="on"
pattern="^([\w!#$%&'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required=""
title="Email (required)" name="RecipientEmailAddress" value="" maxlength="100">
</label></div>
<div class="at-row at-row-solo Ecard">
<div class="form-unit form-unit-radio form-item-ecard" id="NVContributionForm1918729-RecipientInformation-Ecard"></div>
</div>
<div class="at-row at-row-solo NotificationSendDate"><label class="at-date notificationsenddate" id="NVContributionForm1918729-RecipientInformation-NotificationSendDate"></label></div>
<div class="at-row at-row-solo NotificationMessage"><label class="at-area NotificationMessage" id="NVContributionForm1918729-RecipientInformation-NotificationMessage"></label></div>
</div>
<div class="at-row">
<div class="at-recipient-msg" style="display: none;">
<div class="form-unit form-unit-radio form-item-ecard" id="NVContributionForm1918729-RecipientInformation-Ecard">
<div class="at-title"> Select an Ecard </div>
<div class="at-ecards clearfix">
<div class="at-ecard selected">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/MTABL/MTABL/1/90390/images/Copy%20of%20Untitled%20(18).png" alt="E-card: Strong Children">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/MTABL/MTABL/1/90390/images/Copy%20of%20Untitled%20(18).png" checked="">
</div>
<div class="at-ecard">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/MTABL/MTABL/1/90390/images/Online%20Gift%20-%20E-Card.png" alt="Online Gift - E-Card">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/MTABL/MTABL/1/90390/images/Online%20Gift%20-%20E-Card.png">
</div>
<button type="button" class="at-preview-ecard btn-at btn-at-link">Preview Ecard</button>
</div>
</div><label class="at-date notificationsenddate" id="NVContributionForm1918729-RecipientInformation-NotificationSendDate">Send Date <small>(Optional)</small><input type="text" title="Send Date" name="NotificationSendDate" value=""
maxlength="10" size="10" class="hasDatepicker" placeholder="MM/DD/YYYY" autocomplete="off" id="dp1718891531397">
</label><label class="at-area NotificationMessage" id="NVContributionForm1918729-RecipientInformation-NotificationMessage">Message <small>(Optional)</small><textarea false="" title="Message" name="NotificationMessage"
maxlength="4000"></textarea>
</label>
</div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset ContactInformation" id="NVContributionForm1918729-ContactInformation">
<legend class="at-legend">Contact Information</legend>
<div class="at-fields">
<div class="at-row at-row-solo at-row-full OrganizationToggle"><label class="at-check OrganizationToggle" id="NVContributionForm1918729-ContactInformation-OrganizationToggle"><input type="checkbox" name="OrganizationToggle"> <span
class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1918729-ContactInformation-OrganizationToggle-label">I'm donating on behalf of a company or organization</span></span>
</label></div>
<div class="at-row at-row-solo OrganizationName at-mode-org-only"><label class="at-text OrganizationName at-mode-org-only" id="NVContributionForm1918729-ContactInformation-OrganizationName">Organization Name<input type="text"
autocomplete="on" required="" title="Organization Name (required)" name="OrganizationName" value="" maxlength="200">
</label></div>
<div class="at-row at-row-solo OrganizationAddressLine1 at-mode-org-only"><label class="at-text OrganizationAddressLine1 at-mode-org-only" id="NVContributionForm1918729-ContactInformation-OrganizationAddressLine1"
style="display: block;">Street Address<input type="text" autocomplete="on" required="" title="Street Address (required)" name="OrganizationAddressLine1" value="" maxlength="99">
</label></div>
<div class="at-row OrganizationPostalCode OrganizationCity OrganizationStateProvince at-mode-org-only"><label class="at-text OrganizationPostalCode at-mode-org-only" id="NVContributionForm1918729-ContactInformation-OrganizationPostalCode"
style="display: block;">Zip Code<input type="tel" autocomplete="on" pattern="^\d{5}([\-]\d{4})?$" required="" title="Zip Code (required)" name="OrganizationPostalCode" value="" maxlength="10">
</label><label class="at-text OrganizationCity at-mode-org-only" id="NVContributionForm1918729-ContactInformation-OrganizationCity" style="display: block;">City<input type="text" autocomplete="on" required="" title="City (required)"
name="OrganizationCity" value="" maxlength="25">
</label><label class="at-select OrganizationStateProvince" id="NVContributionForm1918729-ContactInformation-OrganizationStateProvince">State/Province<select required="" autocomplete="on" title="State/Province" name="OrganizationStateProvince"
class=" required" id="NVContributionForm1918729-ContactInformation-OrganizationStateProvince-select">
<option value="" disabled="">- State -</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AR">AR</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="IA">IA</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="MA">MA</option>
<option value="MD">MD</option>
<option value="ME">ME</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MO">MO</option>
<option value="MS">MS</option>
<option value="MT">MT</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="NE">NE</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NV">NV</option>
<option value="NY">NY</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VA">VA</option>
<option value="VT">VT</option>
<option value="WA">WA</option>
<option value="WI">WI</option>
<option value="WV">WV</option>
<option value="WY">WY</option>
<option value="AS">AS</option>
<option value="FM">FM</option>
<option value="GU">GU</option>
<option value="MH">MH</option>
<option value="MP">MP</option>
<option value="PR">PR</option>
<option value="PW">PW</option>
<option value="VI">VI</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
</select>
</label></div>
<div class="at-row at-row-solo at-row-full OrganizationFooterHtml at-mode-org-only">
<div class="at-markup OrganizationFooterHtml at-mode-org-only" id="NVContributionForm1918729-ContactInformation-OrganizationFooterHtml" style="display: block;">
<hr>
</div>
</div>
<div class="at-row FirstName LastName"><label class="at-text FirstName" id="NVContributionForm1918729-ContactInformation-FirstName">First Name<input type="text" autocomplete="given-name" x-autocompletetype="given-name" required=""
title="First Name (required)" name="FirstName" value="" maxlength="20">
</label><label class="at-text LastName" id="NVContributionForm1918729-ContactInformation-LastName">Last Name<input type="text" autocomplete="family-name" x-autocompletetype="surname" required="" title="Last Name (required)" name="LastName"
value="" maxlength="25">
</label></div>
<div class="at-row at-row-solo AddressLine1 at-mode-person-only"><label class="at-text AddressLine1 at-mode-person-only" id="NVContributionForm1918729-ContactInformation-AddressLine1">Street Address<input type="text"
autocomplete="address-line1" x-autocompletetype="address-line1" required="" title="Street Address (required)" name="AddressLine1" value="" maxlength="99">
</label></div>
<div class="at-row PostalCode City StateProvince at-mode-person-only"><label class="at-text PostalCode at-mode-person-only" id="NVContributionForm1918729-ContactInformation-PostalCode">Zip Code<input type="tel" autocomplete="postal-code"
x-autocompletetype="postal-code" pattern="^\d{5}([\-]\d{4})?$" required="" title="Zip Code (required)" name="PostalCode" value="" maxlength="10">
</label><label class="at-text City at-mode-person-only" id="NVContributionForm1918729-ContactInformation-City">City<input type="text" autocomplete="address-level2" x-autocompletetype="locality" required="" title="City (required)"
name="City" value="" maxlength="25">
</label><label class="at-select StateProvince" id="NVContributionForm1918729-ContactInformation-StateProvince">State/Province<select required="" autocomplete="address-level1" x-autocompletetype="administrative-area" title="State/Province"
name="StateProvince" class=" required" id="NVContributionForm1918729-ContactInformation-StateProvince-select">
<option value="" disabled="">- State -</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AR">AR</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="IA">IA</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="MA">MA</option>
<option value="MD">MD</option>
<option value="ME">ME</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MO">MO</option>
<option value="MS">MS</option>
<option value="MT">MT</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="NE">NE</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NV">NV</option>
<option value="NY">NY</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VA">VA</option>
<option value="VT">VT</option>
<option value="WA">WA</option>
<option value="WI">WI</option>
<option value="WV">WV</option>
<option value="WY">WY</option>
<option value="AS">AS</option>
<option value="FM">FM</option>
<option value="GU">GU</option>
<option value="MH">MH</option>
<option value="MP">MP</option>
<option value="PR">PR</option>
<option value="PW">PW</option>
<option value="VI">VI</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
</select>
</label></div>
<div class="at-row EmailAddress MobilePhone"><label class="at-text EmailAddress" id="NVContributionForm1918729-ContactInformation-EmailAddress">Email<input type="email" autocomplete="email" x-autocompletetype="email"
pattern="^([\w!#$%&'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required="" title="Email (required)"
name="EmailAddress" value="" maxlength="100" placeholder="email@email.com">
</label><label class="at-text MobilePhone" id="NVContributionForm1918729-ContactInformation-MobilePhone">Mobile Phone <small>(Optional)</small>
<div class="iti iti--allow-dropdown iti--show-flags">
<div class="iti__flag-container">
<div class="iti__selected-flag" role="combobox" aria-haspopup="listbox" aria-controls="iti-1__country-listbox" aria-expanded="false" aria-label="Telephone country code" tabindex="0" title="United States: +1">
<div class="iti__flag iti__us"></div>
<div class="iti__arrow"></div>
</div>
</div><input type="tel" class="intl-phone-MobilePhone" name="MobilePhone" title="Mobile Phone" data-intl-tel-input-id="1">
</div>
</label></div>
<div class="at-row at-row-solo at-row-full SmsSubscribeMobilePhone"><label class="at-check SmsSubscribeMobilePhone" id="NVContributionForm1918729-ContactInformation-SmsSubscribeMobilePhone"><input type="checkbox" checked=""
name="SmsSubscribeMobilePhone"> <span class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1918729-ContactInformation-SmsSubscribeMobilePhone-label">Opt-in to receive text messages from the Martha's
Table team.</span></span>
</label></div>
<div class="at-row at-row-solo at-row-full SmsLegalDisclaimer at-indented">
<div class="at-markup SmsLegalDisclaimer at-legal" id="NVContributionForm1918729-ContactInformation-SmsLegalDisclaimer">
<p>By submitting your cell phone number you are agreeing to receive periodic text messages from this organization. Message and data rates may apply. </p>
</div>
</div>
<div class="at-row at-row-solo at-row-full YesSignMeUpForUpdatesForBinder"><label class="at-check YesSignMeUpForUpdatesForBinder" id="NVContributionForm1918729-ContactInformation-YesSignMeUpForUpdatesForBinder"><input type="checkbox"
checked="" name="YesSignMeUpForUpdatesForBinder"> <span class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1918729-ContactInformation-YesSignMeUpForUpdatesForBinder-label">Yes, sign me up for email
updates.</span></span>
</label></div>
<div class="at-row "><label class="at-text PersonalUrl" id="NVContributionForm1918729-ContactInformation-PersonalUrl"> <small>(Optional)</small><input type="text" autocomplete="on" false="" title="" name="PersonalUrl" value="" maxlength="">
</label></div>
<div class="at-row "><input id="SocialNetworkTrackingId_Value" type="hidden" name="SocialNetworkTrackingId.Value"></div>
<div class="at-row "><input id="SocialNetwork_Value" type="hidden" name="SocialNetwork.Value"></div>
<div class="at-row ">
<div class="at-markup TrackingPixel" id="NVContributionForm1918729-ContactInformation-TrackingPixel" style="display: none;"><img alt=""
src="https://secure.everyaction.com/v1/Track/UQ6iz5eH5E-hCsHrN_p62w2?emci=a1237b44-3327-ef11-86d2-6045bdd9e096&emdi=ea000000-0000-0000-0000-000000000001&ceid=&nvep=&hmac=&formSessionId=2e6e9f75-af2f-4b63-b295-cd4811c81b17&bName=chrome&dType=desktop&formVersion=6/10/2024 3:56:19 PM|&fUrl=aHR0cHM6Ly9tYXJ0aGFzdGFibGUub3JnL2RheS1vZi1naXZpbmcvP2VtY2k9YTEyMzdiNDQtMzMyNy1lZjExLTg2ZDItNjA0NWJkZDllMDk2JmVtZGk9ZWEwMDAwMDAtMDAwMC0wMDAwLTAwMDAtMDAwMDAwMDAwMDAxJmNlaWQ9Jm52ZXA9JmhtYWM9&fRef="
style="display:none"></div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset EmployerMatching" id="NVContributionForm1918729-EmployerMatching">
<legend class="at-legend">Employer Matching</legend>
<div class="at-fields">
<div class="at-row at-row-full EmployerMatchingHeaderHtml">
<div class="at-markup EmployerMatchingHeaderHtml" id="NVContributionForm1918729-EmployerMatching-EmployerMatchingHeaderHtml">Enter your work email address to determine if your gift is eligible to be matched by your employer</div>
</div>
<div class="at-row at-row-full MatchingWorkEmail">
<label class="at-text MatchingWorkEmail" id="NVContributionForm1918729-EmployerMatching-MatchingWorkEmail">Work Email <small>(Optional)</small><input type="email" autocomplete="on"
pattern="^([\w!#$%&'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" false="" title="Work Email"
name="MatchingWorkEmail" value="" maxlength="100">
</label>
</div>
<div class="at-row at-row-full MatchProCompanyId">
<label class="at-text MatchProCompanyId" id="NVContributionForm1918729-EmployerMatching-MatchProCompanyId">Employer <small>(Optional)</small>
<div id="dd-company-name-input" data-doublethedonation-widget-id="G__2">
<div class="dtd-streamlined-plugin"><input type="hidden" name="doubledonation_status" value="no_interaction"><input type="hidden" name="doublethedonation_status" value="no_interaction"><input type="hidden"
name="doublethedonation_entered_text"><input type="hidden" name="doubledonation_company_id"><input type="hidden" name="doublethedonation_company_id"><input type="hidden" name="doubledonation_company_name"><input type="hidden"
name="doublethedonation_company_name">
<div class="dtd-search-box" style="width: 100%; margin-bottom: 0px;">
<div aria-live="assertive" style="display: block; font-size: 0px; color: rgb(255, 255, 255); opacity: 0; position: absolute; height: 0px; margin: 0px; z-index: -99999;"></div>
<div aria-live="polite" style="display: block; font-size: 0px; color: rgb(255, 255, 255); opacity: 0; position: absolute; height: 0px; margin: 0px; z-index: -99999;"></div><input role="combobox" aria-expanded="false"
name="doublethedonation_company_name_input" autocomplete="new-password" type="text" id="dd-input" class="dtd-search-input form-control BBFormTextbox" style="width: 100%;" placeholder="Search for company..."
aria-label="Search for company...">
</div>
</div>
</div>
</label>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset PaymentInformation" id="NVContributionForm1918729-PaymentInformation">
<legend class="at-legend">Payment Information</legend>
<div class="at-row">
<div class="at-payment-method-buttons" id="NVContributionForm1918729-PaymentInformation-PaymentMethod"></div>
</div>
<div class="at-fields">
<div class="at-row "><label class="at-text at-cc-number" id="NVContributionForm1918729-PaymentInformation-Account">Card Number<div class="cc-type-wrapper vgs-loading-placeholder" style="display: none;">
<div class="cc-type unknown"></div>
<input type="tel" autocomplete="cc-number" title="Credit Card Number" placeholder="•••• •••• •••• ••••" readonly="true">
</div>
<div id="vgs-Account-1918729" class="vgs-cc-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty" tabindex="-1"><iframe title="Secure card number input frame"
src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=Account&placeholder=%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2&type=card-number&validations%5B0%5D=validCardNumber&validations%5B1%5D=required&autoComplete=cc-number&formId=randomId200876852352462123&fieldId=randomId20029497784443001285&createdAt=1718891534940&tnt=dG50dzFwem5sYW0%3D&env=bGl2ZQ%3D%3D&logLevel=default&satellitePort=&vgsCollectSessionId=f635752b-d3f8-4cee-9ab1-ffa75d64c71c&css%5BfontSize%5D=.875rem&css%5BfontFamily%5D=monospace&css%5BlineHeight%5D=1&css%5BbackgroundColor%5D=%23fff&css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
frameborder="0" scrolling="0" allowtransparency="true" id="randomId20029497784443001285" form-id="randomId200876852352462123"></iframe></div>
</label><label class="at-text at-cc-expiration" id="NVContributionForm1918729-PaymentInformation-ExpirationDate">Expiration Date<div class="vgs-loading-placeholder" style="display: none;">
<input type="tel" autocomplete="cc-exp" title="Expiration Date (MM / YY)" placeholder="MM / YY" readonly="true">
</div>
<div id="vgs-ExpirationDate-1918729" class="vgs-ccexpiration-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty"><iframe title="Secure card expiration date input frame"
src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=ExpirationDate&placeholder=MM%20%2F%20YY&type=card-expiration-date&serializers=W3sibmFtZSI6InNlcGFyYXRlIiwib3B0aW9ucyI6eyJtb250aE5hbWUiOiJFeHBpcmF0aW9uTW9udGgiLCJ5ZWFyTmFtZSI6IkV4cGlyYXRpb25ZZWFyIn19XQ%3D%3D&validations%5B0%5D=validCardExpirationDate&validations%5B1%5D=required&autoComplete=cc-exp&formId=randomId200876852352462123&fieldId=randomId2005053036993777873&createdAt=1718891534944&tnt=dG50dzFwem5sYW0%3D&env=bGl2ZQ%3D%3D&logLevel=default&satellitePort=&vgsCollectSessionId=f635752b-d3f8-4cee-9ab1-ffa75d64c71c&css%5BfontSize%5D=.875rem&css%5BfontFamily%5D=monospace&css%5BlineHeight%5D=1&css%5BbackgroundColor%5D=%23fff&css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
frameborder="0" scrolling="0" allowtransparency="true" id="randomId2005053036993777873" form-id="randomId200876852352462123"></iframe></div>
</label></div>
<div class="at-row ">
<div class="at-markup UpdateMyProfile at-mode-person-only" id="NVContributionForm1918729-PaymentInformation-UpdateMyProfile">
<div class="updateMyProfileSection" style=""><label style="display:inline;"><input type="checkbox" name="updateMyProfile" checked="checked"><span><span class="text">Remember me so that I can use <i>Fast</i><b>Action</b> next
time.</span></span></label></div>
</div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset AdditionalInformation" id="NVContributionForm1918729-AdditionalInformation">
<legend class="at-legend">Additional Information</legend>
<div class="at-fields">
<div class="at-row at-row-full CustomFormFieldQuestion_559887455761517_MappedParagraphQuestion_1079608011479441">
<label class="at-area CustomFormFieldQuestion_559887455761517_MappedParagraphQuestion_1079608011479441"
id="NVContributionForm1918729-AdditionalInformation-CustomFormFieldQuestion_559887455761517_MappedParagraphQuestion_1079608011479441">Share why you're choosing to give! <small>(Optional)</small><textarea false=""
title="Share why you're choosing to give!" name="CustomFormFieldQuestion_559887455761517_MappedParagraphQuestion_1079608011479441" maxlength="8000"></textarea>
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_3120740228894583_MappedCustomFormFieldQuestion_8">
<input id="CustomFormFieldQuestion_3120740228894583_MappedCustomFormFieldQuestion_8_Value" type="hidden" name="CustomFormFieldQuestion_3120740228894583_MappedCustomFormFieldQuestion_8.Value" value="5">
</div>
</div>
</fieldset>
<div class="at-form-submit clearfix">
<input type="submit" value="Donate $51.83" class="at-submit btn-at btn-at-primary">
<div class="at-markup secure-processing-single-step-div" style="display: block;">
<label class="secure-processing-label at-text"> Your donation will be securely processed.<div class="glyphicons glyphicons-lock" aria-hidden="true"></div>
</label>
</div>
</div>
</form>
POST /day-of-giving/?emci=a1237b44-3327-ef11-86d2-6045bdd9e096&emdi=ea000000-0000-0000-0000-000000000001&ceid&nvep&hmac
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_2" id="gform_2" action="/day-of-giving/?emci=a1237b44-3327-ef11-86d2-6045bdd9e096&emdi=ea000000-0000-0000-0000-000000000001&ceid&nvep&hmac" data-formid="2"
novalidate="">
<div class="gform-body gform_body">
<ul id="gform_fields_2" class="gform_fields top_label form_sublabel_below description_below validation_below">
<li id="field_2_1" class="gfield gfield--type-text half-left field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_1"><label
class="gfield_label gform-field-label" for="input_2_1">First Name</label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_2_1" type="text" value="" class="large" tabindex="1" placeholder="First Name" aria-invalid="false"> </div>
</li>
<li id="field_2_2" class="gfield gfield--type-text half-right field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_2"><label
class="gfield_label gform-field-label" for="input_2_2">Last Name</label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_2_2" type="text" value="" class="large" tabindex="2" placeholder="Last Name" aria-invalid="false"> </div>
</li>
<li id="field_2_3" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_3"><label
class="gfield_label gform-field-label" for="input_2_3">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_3" id="input_2_3" type="email" value="" class="large" tabindex="3" placeholder="Email *" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_2_4" class="gfield gfield--type-checkbox gfield--type-choice horizontal gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_4"><label class="gfield_label gform-field-label gfield_label_before_complex">Subscribe for<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_2_4">
<li class="gchoice gchoice_2_4_1">
<input class="gfield-choice-input" name="input_4.1" type="checkbox" value="E-Newsletters" id="choice_2_4_1" tabindex="4">
<label for="choice_2_4_1" id="label_2_4_1" class="gform-field-label gform-field-label--type-inline">E-Newsletters</label>
</li>
<li class="gchoice gchoice_2_4_2">
<input class="gfield-choice-input" name="input_4.2" type="checkbox" value="Print Newsletters" id="choice_2_4_2" tabindex="5">
<label for="choice_2_4_2" id="label_2_4_2" class="gform-field-label gform-field-label--type-inline">Print Newsletters</label>
</li>
</ul>
</div>
</li>
<li id="field_2_6" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_6">
<p>Sign up to receive print newsletters three times/year.</p>
</li>
<li id="field_2_5" class="gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_5" data-conditional-logic="hidden"
style="display: none;"><label class="gfield_label gform-field-label gfield_label_before_complex">Address</label>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row" id="input_2_5">
<span class="ginput_full address_line_1 ginput_address_line_1 gform-grid-col" id="input_2_5_1_container">
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* About * About Us * Our Impact * Our History * Locations * Leadership * Financial Reports * Careers * Programs * All Programs * Education * Health & Wellness * Family Engagement * Emotional Wellness * Community Investments * Program Partners * Get Involved * Ways to Give * Volunteer * Food Donations * Clothing Donations * Martha’s Table Apple Society * Maz Legacy Circle * Business Community Support * News * Blog * Blog * Video Library * Press * Newsletters * Events * * Donate Now * Volunteer Now Something for Everyone at Martha's Table WITH HELP FROM NEIGHBORS LIKE YOU, WE CAN ENSURE THAT THERE IS #SOMETHINGFOREVERYONE AT MARTHA'S TABLE. THIS #GIVINGTUESDAY, YOUR SUPPORT WILL GO TWICE AS FAR THANKS TO GENEROUS MATCHING FUNDS! WITH MANY OF OUR NEIGHBORS STILL FACING CHALLENGES FROM THE PANDEMIC AND ECONOMIC COLLAPSE, YOUR GENEROSITY SUPPORTS STRONG CHILDREN, STRONG FAMILIES, AND STRONG COMMUNITIES IN WASHINGTON, D.C. WE MUST CONTINUE OUR WORK. YOUR GIFT TODAY WILL PROVIDE CRITICAL HEALTHY FOOD, QUALITY EDUCATION, EMOTIONAL WELLNESS PROGRAMMING, AND FAMILY RESOURCES. WITH CARING PEOPLE LIKE YOU STEPPING UP, THERE IS A TREMENDOUS AMOUNT OF HOPE FOR BRIGHTER DAYS. THANK YOU FOR HELPING KEEP D.C. STRONG. ? Take future action with a single click. Log in or Sign up for FastAction Donation Information One-Time Monthly Your monthly support makes a steady impact in the lives of your neighbors and lets us plan for the future! $25 $50 $150 $500 $1,000 $5,000 Other $ I'd like to help cover the transaction fees for my donation. My total amount will be $51.83. I'd like to make this contribution in honor or in memory of someone Is this an Honorary or Memorial Gift? In honor of In memory of Honoree Name (Optional) I'd like to notify someone of this tribute gift. Who would you like to notify? A message will be sent to the recipient to inform them of your contribution. Customize the notification by adding a personal message. First Name (Optional) Last Name (Optional) Street Address (Optional) Postal Code (Optional) City (Optional) State/Province (Optional)- State -AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYASFMGUMHMPPRPWVIAAAEAP Email Select an Ecard Preview Ecard Send Date (Optional) Message (Optional) Contact Information I'm donating on behalf of a company or organization Organization Name Street Address Zip Code City State/Province- State -AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYASFMGUMHMPPRPWVIAAAEAP -------------------------------------------------------------------------------- First Name Last Name Street Address Zip Code City State/Province- State -AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYASFMGUMHMPPRPWVIAAAEAP Email Mobile Phone (Optional) Yes, sign me up for email updates. (Optional) Payment Information Card Number Expiration Date Remember me so that I can use FastAction next time. Additional Information Share why you're choosing to give! (Optional) Your donation will be securely processed. SHOW YOUR SUPPORT WITH A SINGLE CLICK Autofill forms quickly and securely with FastAction Sign up with your email address Already have a FastAction account? Log in By clicking "Log in," I confirm that I agree with the FastAction terms of service and privacy policy. × SHOW YOUR SUPPORT WITH A SINGLE CLICK Autofill forms quickly and securely with FastAction Log in with your email address Don't have a FastAction account yet? Sign up By clicking "Sign up," I confirm that I agree with the FastAction terms of service and privacy policy. × Help DC Kids and Families with Healthy Food This Summer! WITH HELP FROM NEIGHBORS LIKE YOU, MARTHA'S TABLE SUPPORTS STRONG CHILDREN, STRONG FAMILIES, AND STRONG COMMUNITIES IN WASHINGTON, D.C. The first annual Martha's Table Day of Giving is a special 24-hour event dedicated to raising awareness and funds for critical Martha's Table programs and services. From early childhood education to healthy food and family resources, your support helps create lasting change for many people in our community. In the summer, DC kids and teens need access to healthy food even more because they are out of school. Our goal is to support our neighbors by raising $20,000 on the first day of summer, June 20th! Donation Information One-Time Monthly By joining our "Apple Corps" monthly giving program, you'll make a steady impact in the lives of your neighbors and lets us plan for the future! $25 $50 $100 $250 $500 $1,000 Other $ I'd like to help cover the transaction fees for my donation. My total amount will be $51.83. I'd like to make this contribution in honor or in memory of someone Is this an Honorary or Memorial Gift? In honor of In memory of Honoree Name (Optional) I'd like to notify someone of this tribute gift. Who would you like to notify? A message will be sent to the recipient to inform them of your contribution. Customize the notification by adding a personal message. First Name (Optional) Last Name (Optional) Street Address (Optional) Postal Code (Optional) City (Optional) State/Province (Optional)- State -AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYASFMGUMHMPPRPWVIAAAEAP Email Select an Ecard Preview Ecard Send Date (Optional) Message (Optional) Contact Information I'm donating on behalf of a company or organization Organization Name Street Address Zip Code City State/Province- State -AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYASFMGUMHMPPRPWVIAAAEAP -------------------------------------------------------------------------------- First Name Last Name Street Address Zip Code City State/Province- State -AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYASFMGUMHMPPRPWVIAAAEAP Email Mobile Phone (Optional) Opt-in to receive text messages from the Martha's Table team. By submitting your cell phone number you are agreeing to receive periodic text messages from this organization. Message and data rates may apply. Yes, sign me up for email updates. (Optional) Employer Matching Enter your work email address to determine if your gift is eligible to be matched by your employer Work Email (Optional) Employer (Optional) Payment Information Card Number Expiration Date Remember me so that I can use FastAction next time. Additional Information Share why you're choosing to give! (Optional) Your donation will be securely processed. SHOW YOUR SUPPORT WITH A SINGLE CLICK Autofill forms quickly and securely with FastAction Sign up with your email address Already have a FastAction account? Log in By clicking "Log in," I confirm that I agree with the FastAction terms of service and privacy policy. × SHOW YOUR SUPPORT WITH A SINGLE CLICK Autofill forms quickly and securely with FastAction Log in with your email address Don't have a FastAction account yet? Sign up By clicking "Sign up," I confirm that I agree with the FastAction terms of service and privacy policy. × A SPECIAL #DAYOFGIVING WITH MARTHA’S TABLE WITH HELP FROM NEIGHBORS LIKE YOU, MARTHA’S TABLE SUPPORTS STRONG CHILDREN, STRONG FAMILIES, AND STRONG COMMUNITIES IN WASHINGTON, DC. The first annual Martha’s Table Day of Giving is a special 24-hour event dedicated to raising awareness and funds for critical Martha’s Table programs and services. From early childhood education to healthy food and family resources, your support helps create lasting change for many people in our community. This summer, DC kids and teens need access to healthy food even more because they are out of school. Our goal is to support our neighbors by raising $20,000 on the first day of summer, June 20th! Your gift will support strong children, strong families, and strong communities in Washington, D.C., with healthy food, quality education, emotional wellness programming, and family resources. You will bring out the best in our community, helping provide: * No-cost groceries and clothing to help offset other household costs and fuel our growing DC kids during the summer months * Emotional wellness programs for the whole family * Unique programs for teens in our community, including no-cost travel opportunities, art therapy, and a special teen lounge at our headquarters * In-person community wellness events where strangers become neighbors * Enriching parent engagement classes for mother and father figures in our community * Warm nightly meals so neighbors experiencing hunger don’t have to worry where their next hot meal will come from * and so much more! POWER. PURPOSE. POSSIBILITY. MARTHA'S TABLE BY THE NUMBERS THIS YEAR 0 + children learning and growing in our early education programs 0 + bags of fresh fruits, vegetables, and shelf-stable items shared with families visiting our healthy markets 0 D.C. neighbors supported with critical emotional and physical wellness programming 0 + fresh meals provided through McKenna's Wagon to neighbors experiencing hunger or housing insecurity 0 + teenagers in our neighborhood embarking on transformational travel and learning opportunities through our new Global Passport Program 0 + families supported with no-cost clothing each month To make a gift by mail, send your check made payable to Martha’s Table to: P.O. Box 70970, Washington, D.C. 20024 To make a credit card donation by phone, please call during regular business hours at: 202-846-1043 To learn more about other ways to give, including stock, workplace, and planned/estate giving. Ways to Give STAYCONNECTED SIGN UP FOR OUR NEWSLETTERS! SIGN UP FOR NEWSLETTERS * First Name * Last Name * Email* * Subscribe for* * E-Newsletters * Print Newsletters * Sign up to receive print newsletters three times/year. * Address Address Line 1 Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code * CAPTCHA * Email This field is for validation purposes and should be left unchanged. * Programs * Education * Health & Wellness * Family Engagement * Community Investments * Get Involved * Volunteer * Donate * Careers * Neighbor Login * More * FAQ’s * Contact & Locations * Privacy Policy FOLLOW US © Martha's Table. 2375 Elvans Road SE, Washington, DC 20020 | 202-328-6608 | info@marthastable.org | 501(c)(3) | (TIN) 52-1186071 Designed & Developed with Love by Sabra Creative. 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