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URL:
https://www.giveffect.com/bids/35464/checkout?auth=1722029963
Submission: On October 17 via manual from US — Scanned from CA
Submission: On October 17 via manual from US — Scanned from CA
Form analysis 1 forms found in the DOM
POST /bids/35464/purchase
<form method="post" action="/bids/35464/purchase" id="checkout">
<input name="authenticity_token" value="7BZpuKIVyj0IIxFEBSEcKm/ceWLtNiQoBGqpn0JoddQ=" type="hidden">
<input name="auth" type="hidden" value="1722029963">
<input type="hidden" name="credit_card_id" id="credit_card_id" value="">
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<div class="TS9EcEHa" aria-hidden="false">
<div class="mxDr5lvf">
<div class="EXLXewxq">
<header class="MndzQqpu" role="banner">
<a href="https://www.jimmymillerfoundation.org" class="i5esl1Fx">
<img src="https://s3.amazonaws.com/giveffect-assets/system/photos/charities/small/31328x9cf25af68337e1167b413d121667d486494d5af0.png?1710049166" alt="Jimmy Miller Memorial Foundation logo">
</a>
</header>
<main class="yUrg5bg1" role="main">
<div class="tab-content">
<div id="contribution" class="bdkacnNi in active show">
<div class="ht56jDAG"><i class="icon-basket"></i></div>
<div class="Oot81qh7">
<div class="eZNb5moJ">
<h2 class="dpVbpDea"> Purchase </h2>
</div>
<div class="yCwxd5PD">
<div class="uwd67WLT">
<div class="cX4deHjC">
<div class="MfDvR2X3">
<strong>$20.00</strong>
</div>
<div class="YufR4gc3">
<div><strong>Lot #32: On Site Water Lantern</strong></div>
<p class="raw">You are agreeing to purchase this auction item based on the winning bid amount.</p>
</div>
</div>
</div>
</div>
</div>
</div>
<div id="information" class="bdkacnNi">
<div class="ht56jDAG"><i class="icon-info"></i></div>
<div class="Oot81qh7">
<div class="eZNb5moJ">
<h2 class="dpVbpDea"> Contact information </h2>
</div>
<div class="yCwxd5PD">
<div class="FCUN9Nut">
<div class="TrQUTD8O">
<input class="LmbopznS" type="checkbox" value="1" name="receipt_required" id="information_tax_receipt" checked="">
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<label class="T7pD5eyr" for="information_tax_receipt"> Yes, I want a tax receipt </label>
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</div>
<div class="yCwxd5PD">
<div class="btn-group btn-group-toggle cX4deHjC SXOfWZmi" data-toggle="buttons">
<label class="btn RqqQCaUq o49MgikC active">
<i></i><input type="radio" name="donation_type" value="0" checked=""> From Individual </label>
<label class="btn RqqQCaUq">
<i></i><input type="radio" name="donation_type" value="1"> From Organization </label>
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<div class="yCwxd5PD">
<div class="N1XbZvgq">
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<span class="UzHdCmgf">Employer</span>
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<p class="Ze53i4BB uYB1Kbv1">Enter an organization name</p>
</div>
<div class="upvzN3ys">
<div class="i9HDw82e o49MgikC pgzBpwGV">
<div class="sY6gA8VT">
<input placeholder="First name" autocorrect="off" class="ZK6Ope2n lIe4aQsq cSdjY8v5" aria-required="true" type="text" value="Ty" name="first_name" id="information_first_name">
<label for="information_first_name">First name</label>
<span class="UzHdCmgf">First name</span>
</div>
<p class="Ze53i4BB uYB1Kbv1">Enter a first name</p>
</div>
<div class="i9HDw82e o49MgikC pgzBpwGV">
<div class="sY6gA8VT">
<input placeholder="Last name" autocorrect="off" class="ZK6Ope2n lIe4aQsq cSdjY8v5" aria-required="true" type="text" value="Cukr" name="last_name" id="information_last_name">
<label for="information_last_name">Last name</label>
<span class="UzHdCmgf">Last name</span>
</div>
<p class="Ze53i4BB uYB1Kbv1">Enter a last name</p>
</div>
</div>
<div class="upvzN3ys">
<div class="i9HDw82e">
<div class="TrQUTD8O">
<input class="LmbopznS" type="checkbox" value="1" name="anonymous" id="contribution_anonymous">
</div>
<label class="T7pD5eyr" for="contribution_anonymous"> Don't show my name publicly <span data-tooltip="true" class="DtpSnaLI">
<svg class="xJmXgg9J VdOs25Th RNTE3BIw" role="presentation" aria-hidden="true" focusable="false">
<use xlink:href="#question"></use>
</svg>
<span class="G2z3Hxsz" role="tooltip">Your gift will be anonymous. If you request a tax receipt, your address will be provided to the Charity, but your email address will not be disclosed.</span>
</span>
</label>
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</div>
<div class="upvzN3ys">
<div class="i9HDw82e o49MgikC pgzBpwGV">
<div class="sY6gA8VT">
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<p class="Ze53i4BB uYB1Kbv1">Enter a phone number</p>
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<div class="i9HDw82e o49MgikC pgzBpwGV">
<div class="sY6gA8VT">
<select placeholder="Phone type" class="ZK6Ope2n exLObzC1" name="phone_type" id="information_phone_type">
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<label for="information_phone_type">Phone type</label>
<span class="UzHdCmgf">Phone type</span>
<div class="KPtUU0Fo">
<svg class="xJmXgg9J VdOs25Th HWKyOCJ0 ihxgiI0d" role="presentation" aria-hidden="true" focusable="false">
<use xlink:href="#caret-down"></use>
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</div>
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</div>
<div class="i9HDw82e o49MgikC pgzBpwGV">
<div class="sY6gA8VT">
<input value="ty@tdc-tech.com" placeholder="Email address" autocorrect="off" autocapitalize="off" spellcheck="false" class="email ZK6Ope2n lIe4aQsq cSdjY8v5" aria-required="true" type="email" name="email"
id="information_email">
<label for="information_email">Email address</label>
<span class="UzHdCmgf">Email address</span>
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<div class="i9HDw82e o49MgikC pgzBpwGV">
<div class="sY6gA8VT">
<select class="ZK6Ope2n exLObzC1" name="email_type" id="information_email_type">
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<option value="1">Work</option>
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<label for="information_email_type">Email type</label>
<span class="UzHdCmgf">Email type</span>
<div class="KPtUU0Fo">
<svg class="xJmXgg9J VdOs25Th HWKyOCJ0 ihxgiI0d" role="presentation" aria-hidden="true" focusable="false">
<use xlink:href="#caret-down"></use>
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</div>
<div class="yCwxd5PD">
<div class="FCUN9Nut">
<div class="TrQUTD8O">
<input class="LmbopznS" type="checkbox" value="1" name="email_opt_in" id="information_email_opt_in" data-toggle="collapse" href="#MhRgha2Q" checked="">
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<label class="T7pD5eyr" for="information_email_opt_in" data-toggle="collapse" href="#MhRgha2Q"> Send me email updates & newsletters </label>
</div>
</div>
<div class="yCwxd5PD">
<div class="FCUN9Nut">
<div class="TrQUTD8O">
<input type="hidden" value="0" name="sms_opt_in">
<input class="LmbopznS" type="checkbox" value="1" name="sms_opt_in" id="information_sms_opt_in" checked="">
</div>
<label class="T7pD5eyr" for="information_sms_opt_in"> Send me SMS text messages <span data-tooltip="true" class="DtpSnaLI">
<svg class="xJmXgg9J VdOs25Th RNTE3BIw" role="presentation" aria-hidden="true" focusable="false">
<use xlink:href="#question"></use>
</svg>
<span class="G2z3Hxsz" role="tooltip">Opt-in to receive text messages from Jimmy Miller Memorial Foundation. Standard message and data rates may apply. Message frequency varies. Text STOP at any time to no longer receive
messages.</span>
</span>
</label>
</div>
</div>
</div>
<div class="Oot81qh7">
<div class="eZNb5moJ">
<h2 class="dpVbpDea"> Address </h2>
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<div class="yCwxd5PD">
<div class="btn-group btn-group-toggle cX4deHjC SXOfWZmi" data-toggle="buttons">
<label class="btn RqqQCaUq o49MgikC active">
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<label class="btn RqqQCaUq">
<i></i><input type="radio" name="address_type" value="1"> Work </label>
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<div class="yCwxd5PD">
<div class="N1XbZvgq pl-cont">
<div class="i9HDw82e">
<div class="sY6gA8VT">
<input placeholder="Address" class="ZK6Ope2n cSdjY8v5 pac-target-input" type="text" value="" name="address" id="information_address_line1" data-pl="street" autocomplete="off" aria-required="true">
<label for="information_address_line1">Address</label>
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<p class="Ze53i4BB uYB1Kbv1">Enter an address</p>
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<div class="i9HDw82e">
<div class="sY6gA8VT">
<input placeholder="Apartment, suite, etc. (optional)" class="ZK6Ope2n" type="text" value="" name="address2" id="information_address_line2" data-pl="street2">
<label for="information_address_line2">Apartment, suite, etc. (optional)</label>
<span class="UzHdCmgf">Apartment, suite, etc. (optional)</span>
</div>
</div>
<div class="i9HDw82e">
<div class="sY6gA8VT">
<input placeholder="City" class="ZK6Ope2n cSdjY8v5" type="text" value="" name="city" id="information_city" data-pl="city" aria-required="true">
<label for="information_city">City</label>
<span class="UzHdCmgf">City</span>
</div>
<p class="Ze53i4BB uYB1Kbv1">Enter a city</p>
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<div class="i9HDw82e WeFdNAJO pgzBpwGV">
<div class="sY6gA8VT">
<select class="ZK6Ope2n exLObzC1 cSdjY8v5" name="country" id="information_country" placeholder="Country/region" data-value="USA" data-pl="country" aria-required="true">
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<option value="Cote d'Ivoire">Cote d'Ivoire</option>
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<option value="Czeck Republic">Czeck Republic</option>
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<option value="French Southern and Antarctic Lands">French Southern and Antarctic Lands</option>
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<option value="Gambia, The">Gambia, The</option>
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<option value="USA">USA</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands">Virgin Islands</option>
<option value="Wales">Wales</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="West Bank">West Bank</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Yugoslavia">Yugoslavia</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
<label for="information_country">Country/region</label>
<span class="UzHdCmgf">Country/region</span>
<div class="KPtUU0Fo">
<svg class="xJmXgg9J VdOs25Th HWKyOCJ0 ihxgiI0d" role="presentation" aria-hidden="true" focusable="false">
<use xlink:href="#caret-down"></use>
</svg>
</div>
</div>
<p class="Ze53i4BB uYB1Kbv1">Enter a country</p>
</div>
<div class="i9HDw82e pgzBpwGV WeFdNAJO">
<div class="sY6gA8VT">
<select placeholder="State" class="ZK6Ope2n exLObzC1 cSdjY8v5" name="province" id="information_state" data-value="" data-pl="state" aria-required="true">
<option value=""> </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="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
</select>
<label for="information_state">State</label>
<span class="UzHdCmgf">State</span>
<div class="KPtUU0Fo">
<svg class="xJmXgg9J VdOs25Th HWKyOCJ0 ihxgiI0d" role="presentation" aria-hidden="true" focusable="false">
<use xlink:href="#caret-down"></use>
</svg>
</div>
</div>
<p class="Ze53i4BB uYB1Kbv1">Enter a state</p>
</div>
<div class="i9HDw82e WeFdNAJO">
<div class="sY6gA8VT">
<input placeholder="ZIP code" class="ZK6Ope2n eJlXocdY cSdjY8v5" type="text" value="" name="postal_code" id="information_zip" data-pl="zipcode" aria-required="true">
<label for="information_zip">ZIP code</label>
<span class="UzHdCmgf">ZIP code</span>
</div>
<p class="Ze53i4BB uYB1Kbv1">Enter a zip</p>
</div>
<input type="hidden" name="latitude" data-pl="latitude" value="">
<input type="hidden" name="longitude" data-pl="longitude" value="">
<input type="hidden" name="county" data-pl="county">
</div>
</div>
<div class="yCwxd5PD">
<div class="FCUN9Nut">
<div class="TrQUTD8O">
<input class="LmbopznS" type="checkbox" value="1" name="mail_opt_in" id="information_mail_opt_in" checked="">
</div>
<label class="T7pD5eyr" for="information_mail_opt_in"> Send me lettermail updates & newsletters </label>
</div>
</div>
</div>
</div>
<div id="options" class="bdkacnNi">
<div class="ht56jDAG"><i class="icon-cog"></i></div>
<div class="Oot81qh7">
<div class="eZNb5moJ">
<h2 class="dpVbpDea"> Optional note </h2>
</div>
<div class="yCwxd5PD">
<div class="N1XbZvgq">
<div class="i9HDw82e">
<div class="sY6gA8VT">
<textarea placeholder="Share a personalized message with your contribution (optional)" class="ZK6Ope2n" aria-required="false" rows="5" name="description"></textarea>
<span class="UzHdCmgf">Share a personalized message with your contribution (optional)</span>
</div>
</div>
</div>
</div>
</div>
</div>
<div id="payment" class="bdkacnNi">
<div class="ht56jDAG"><i class="icon-credit-card-1"></i></div>
<div class="Oot81qh7">
<div class="eZNb5moJ">
<h2 class="dpVbpDea"> Payment </h2>
<p class="T4QxAlJW"> All transactions are secure and encrypted </p>
</div>
<div class="yCwxd5PD">
<div class="btn-group-toggle " data-toggle="buttons" style="display:inline">
<div class="btn-group cX4deHjC SXOfWZmi" id="payment_selector_1">
<label class="btn RqqQCaUq active">
<i></i><input type="radio" name="payment_method" value="0" data-custom="#payment_credit_card" checked=""> Credit card </label>
<label class="btn RqqQCaUq">
<i></i><input type="radio" name="payment_method" value="1" data-custom="#payment_bank_ach"> Bank payment </label>
</div>
</div>
</div>
<div class="Oot81qh7"></div>
<style>
#grGe23f3 {
width: 600px;
height: 200px;
position: absolute;
top: 0;
right: 0;
}
#grGe23f3 button {
position: absolute !important;
top: 0 !important;
right: 0 !important;
opacity: 0.01 !important;
width: 100%;
height: 100%;
}
#apple_pay_select.active img {
filter: invert(1);
}
#google_pay_select.active img {
filter: brightness(2) contrast(2);
}
</style>
<label class="btn RqqQCaUq" id="apple_pay_select" style="display:none">
<i></i><input type="radio" name="payment_method" value="5" data-custom="#empty_payment_pane">
<img src="/assets/checkout/apple-pay-default.svg" style="width: 60px; height:19px">
</label>
<label class="btn RqqQCaUq" id="google_pay_select" style="display:none">
<i></i><input type="radio" name="payment_method" value="6" data-custom="#empty_payment_pane">
<img src="/assets/checkout/google-pay-default.svg" style="width: 60px; height:19px">
</label>
<div class="yCwxd5PD">
<div class="tab-content">
<div id="payment_credit_card" class="tab-pane fade in active show">
<div id="cc_error" class="uwd67WLT Px62LO6u" role="alert" tabindex="-1" aria-atomic="true" aria-live="polite" style="display:none">
<svg class="xJmXgg9J le2dKkdj snW9eJ29" aria-hidden="true" focusable="false">
<use xlink:href="#error"></use>
</svg>
<div class="tZkLNNOR">
<p>There was a problem processing your payment. Please validate your credit card information.</p>
</div>
</div>
<div id="cc_fields">
<div class="N1XbZvgq">
<div class="i9HDw82e">
<div id="card-element" class="ZK6Ope2n StripeElement StripeElement--empty">
<div class="__PrivateStripeElement"
style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important;"><iframe
name="__privateStripeFrame6753" frameborder="0" allowtransparency="true" scrolling="no" role="presentation" allow="payment *"
src="https://js.stripe.com/v3/elements-inner-card-95b7d631b9bb0817248f7e8df7344977.html#wait=false&mids[guid]=NA&mids[muid]=NA&mids[sid]=NA&rtl=false&componentName=card&keyMode=live&apiKey=pk_live_51O5XfrAuIF3AT92KUVeLbb0sJm8HF9PcX5k5Z2d5WzY8B31VozhiqetdSDEV2MYnn88HBULYY8bLWRNGdkJTIIrM00D3xmOpqK&referrer=https%3A%2F%2Fwww.giveffect.com%2Fbids%2F35464%2Fcheckout%3Fauth%3D1722029963&controllerId=__privateStripeController6751"
title="Secure card payment input frame"
style="border: 0px !important; margin-top: 0px; margin-right: 0px !important; margin-bottom: 0px !important; margin-left: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; height: 16.8px;"></iframe><input
class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important;">
</div>
</div>
<p id="card-errors" role="alert" class="Ze53i4BB uYB1Kbv1"></p>
</div>
<div class="upvzN3ys">
<div class="o49MgikC i9HDw82e">
<div class="sY6gA8VT">
<input placeholder="Cardholder name" autocorrect="off" class="ZK6Ope2n mdTezjW8" type="text" id="cc_name">
<label for="cc_name">Cardholder name</label>
<span class="UzHdCmgf">Cardholder name</span>
</div>
<p class="Ze53i4BB uYB1Kbv1">Enter a cardholder name</p>
</div>
<div class="o49MgikC i9HDw82e">
<div class="sY6gA8VT">
<input placeholder="Email address" autocapitalize="off" spellcheck="false" class="email ZK6Ope2n mdTezjW8" type="email" id="cc_email">
<label for="cc_email">Email address</label>
<span class="UzHdCmgf">Email address</span>
</div>
<p class="Ze53i4BB uYB1Kbv1">Enter a valid email address</p>
</div>
</div>
</div>
</div>
</div>
<div id="payment_bank_ach" class="tab-pane fade">
<div id="bank_error" class="uwd67WLT Px62LO6u" role="alert" tabindex="-1" aria-atomic="true" aria-live="polite" style="display:none">
<svg class="xJmXgg9J le2dKkdj snW9eJ29" aria-hidden="true" focusable="false">
<use xlink:href="#error"></use>
</svg>
<div class="tZkLNNOR">
<p>There was a problem processing your payment. Please validate your bank account.</p>
</div>
</div>
<ul role="list" style="text-align:right">
<li class="jPxGQiba bank" aria-current="false"></li>
</ul>
<div class="N1XbZvgq">
<div class="o49MgikC i9HDw82e">
<div class="sY6gA8VT">
<input placeholder="Account holder name" autocorrect="off" class="ZK6Ope2n mdTezjW8" type="text" id="ach_receipt_name_cont">
<label for="ach_receipt_name_cont">Account holder name</label>
<span class="UzHdCmgf">Account holder name</span>
</div>
<p class="Ze53i4BB uYB1Kbv1">Enter a name</p>
</div>
<div class="o49MgikC i9HDw82e">
<div class="sY6gA8VT">
<input placeholder="Email address" autocorrect="off" class="ZK6Ope2n mdTezjW8" type="text" name="ach_receipt_email" id="ach_receipt_email_cont">
<label for="ach_receipt_email_cont">Email address</label>
<span class="UzHdCmgf">Email address</span>
</div>
<p class="Ze53i4BB uYB1Kbv1">Enter a valid email address</p>
</div>
<div class="i9HDw82e">
<div class="sY6gA8VT trFEkR0q">
<input placeholder="Bank name" autocorrect="off" class="ZK6Ope2n" type="text" name="ach_bank_account_name" id="ach_bank_account_name_cont" readonly="">
<label for="ach_bank_account_name_cont">Bank name</label>
<div class="xW6TuhbK M2lCKoht">
<div class="DtpSnaLI">
<a href="#" id="bank_popup">Select</a>
</div>
</div>
</div>
</div>
<div id="ach_error" class="i9HDw82e" style="display:none">
<div class="uwd67WLT Px62LO6u" role="alert" tabindex="-1" aria-atomic="true" aria-live="polite">
<svg class="xJmXgg9J le2dKkdj snW9eJ29" aria-hidden="true" focusable="false">
<use xlink:href="#error"></use>
</svg>
<div class="tZkLNNOR">
<p></p>
</div>
</div>
</div>
<div id="ach_micro" class="i9HDw82e" style="display:none">
<div class="uwd67WLT" role="alert" tabindex="-1" aria-atomic="true" aria-live="polite">
<svg class="xJmXgg9J le2dKkdj snW9eJ29" aria-hidden="true" focusable="false">
<use xlink:href="#info"></use>
</svg>
<div class="tZkLNNOR">
<p>Since you've manually entered your account details, we'll deposit two small amounts into your bank within 1-2 business days, along with email instructions to finalize your payment using these deposits.</p>
</div>
</div>
</div>
</div>
<div id="ach_flow_desc"></div>
<input type="hidden" id="ach_bank_account_last_four_cont" name="ach_bank_account_last_four">
<input type="hidden" id="ach_bank_account_id_cont" name="ach_bank_account_id">
<input type="hidden" id="ach_flow_cont" name="ach_flow">
</div>
<div id="empty_payment_pane" class="tab-pane fade">
<div class="yCwxd5PD">
</div>
</div>
</div>
</div>
<div id="billing-pane" class="collapse show">
<div class="Oot81qh7"></div>
<div class="eZNb5moJ">
<h2 class="dpVbpDea"> Billing address </h2>
</div>
<div class="yCwxd5PD">
<div class="FCUN9Nut">
<div class="TrQUTD8O">
<input class="LmbopznS" type="checkbox" value="1" id="same_address" data-toggle="collapse" href="#billing_address" checked="">
</div>
<label class="T7pD5eyr" for="same_address" data-toggle="collapse" href="#billing_address"> Same as donor address </label>
</div>
</div>
<div id="billing_address" class="collapse">
<div class="yCwxd5PD">
<div class="N1XbZvgq pl-cont">
<div class="i9HDw82e">
<div class="sY6gA8VT">
<input placeholder="Address" class="ZK6Ope2n mdTezjW8 pac-target-input" type="text" id="cc_street" data-pl="street" autocomplete="off">
<label for="cc_street">Address</label>
<span class="UzHdCmgf">Address</span>
</div>
<p class="Ze53i4BB uYB1Kbv1">Enter an address</p>
</div>
<div class="i9HDw82e">
<div class="sY6gA8VT">
<input placeholder="Apartment, suite, etc. (optional)" class="ZK6Ope2n" type="text" id="cc_street2" data-pl="street2">
<label for="cc_street2">Apartment, suite, etc. (optional)</label>
<span class="UzHdCmgf">Apartment, suite, etc. (optional)</span>
</div>
</div>
<div class="i9HDw82e">
<div class="sY6gA8VT">
<input placeholder="City" class="ZK6Ope2n mdTezjW8" type="text" id="cc_city" data-pl="city">
<label for="cc_city">City</label>
<span class="UzHdCmgf">City</span>
</div>
<p class="Ze53i4BB uYB1Kbv1">Enter a city</p>
</div>
<div class="i9HDw82e WeFdNAJO pgzBpwGV">
<div class="sY6gA8VT">
<select class="ZK6Ope2n exLObzC1 mdTezjW8" id="cc_country" data-pl="country">
<option value=""> </option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antartica">Antartica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Ashmore and Cartier Island">Ashmore and Cartier Island</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Brazil">Brazil</option>
<option value="British Virgin Islands">British Virgin Islands</option>
<option value="Brunei">Brunei</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burma">Burma</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Clipperton Island">Clipperton Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
<option value="Congo, Republic of the">Congo, Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote d'Ivoire">Cote d'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czeck Republic">Czeck Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Europa Island">Europa Island</option>
<option value="Falkland Islands (Islas Malvinas)">Falkland Islands (Islas Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern and Antarctic Lands">French Southern and Antarctic Lands</option>
<option value="Gabon">Gabon</option>
<option value="Gambia, The">Gambia, The</option>
<option value="Gaza Strip">Gaza Strip</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Glorioso Islands">Glorioso Islands</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Holy See (Vatican City)">Holy See (Vatican City)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Howland Island">Howland Island</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Ireland, Northern">Ireland, Northern</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Jan Mayen">Jan Mayen</option>
<option value="Japan">Japan</option>
<option value="Jarvis Island">Jarvis Island</option>
<option value="Jersey">Jersey</option>
<option value="Johnston Atoll">Johnston Atoll</option>
<option value="Jordan">Jordan</option>
<option value="Juan de Nova Island">Juan de Nova Island</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, North">Korea, North</option>
<option value="Korea, South">Korea, South</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia, Former Yugoslav Republic of">Macedonia, Former Yugoslav Republic of</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
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<h3>Lot #32: On Site Water Lantern</h3>
<small>BeneFiesta 2024</small>
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<td> $20.00 </td>
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Payment summary Amount $0.00 url PURCHASE $20.00 Lot #32: On Site Water Lantern You are agreeing to purchase this auction item based on the winning bid amount. CONTACT INFORMATION Yes, I want a tax receipt From Individual From Organization Employer Employer Enter an organization name First name First name Enter a first name Last name Last name Enter a last name Don't show my name publicly Your gift will be anonymous. If you request a tax receipt, your address will be provided to the Charity, but your email address will not be disclosed. Phone Phone Enter a phone number Phone type Mobile Home Work Fax Phone type Phone type Email address Email address Enter a valid email address Email type Personal Work Email type Email type Send me email updates & newsletters Send me SMS text messages Opt-in to receive text messages from Jimmy Miller Memorial Foundation. Standard message and data rates may apply. Message frequency varies. Text STOP at any time to no longer receive messages. ADDRESS Home Work Address Address Enter an address Apartment, suite, etc. (optional) Apartment, suite, etc. (optional) City City Enter a city AfghanistanAlbaniaAlgeriaAmerican SamoaAngolaAnguillaAntarticaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzeck RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropa IslandFalkland Islands (Islas Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambia, TheGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City)HondurasHong KongHowland IslandHungaryIcelandIndiaIndonesiaIranIraqIrelandIreland, NorthernIsraelItalyJamaicaJan MayenJapanJarvis IslandJerseyJohnston AtollJordanJuan de Nova IslandKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMan, Isle ofMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMidway IslandsMoldovaMonacoMongoliaMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcaim IslandsPolandPortugalPuerto RicoQatarReunionRomainiaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaScotlandSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South Sandwich IslandsSpainSpratly IslandsSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTobagoTogaTokelauTongaTrinidadTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUSAUzbekistanVanuatuVenezuelaVietnamVirgin IslandsWalesWallis and FutunaWest BankWestern SaharaYemenYugoslaviaZambiaZimbabwe Country/region Country/region Enter a country AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State State Enter a state ZIP code ZIP code Enter a zip Send me lettermail updates & newsletters OPTIONAL NOTE Share a personalized message with your contribution (optional) PAYMENT All transactions are secure and encrypted Credit card Bank payment There was a problem processing your payment. 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Pay now Powered by ｜Modern nonprofit software PAYMENT SUMMARY Items Item image Description Quantity Price LOT #32: ON SITE WATER LANTERN BeneFiesta 2024 $20.00 Description Amount Subtotal $20.00 TOTAL USD $20.00 Help & Information