jewishnevada.app.neoncrm.com Open in urlscan Pro
3.222.99.120  Public Scan

Submitted URL: https://r20.rs6.net/tn.jsp?f=001Wl9uQNRcG5LSLu-jpF0lVa3Xnly5UAmvw2ZBAb8-Hv-gUOBptbZgNeHFpXDEbUK7BZw_K7Qk4Tz2Tj99ZLrd...
Effective URL: https://jewishnevada.app.neoncrm.com/forms/donate
Submission: On November 09 via manual from PH — Scanned from DE

Form analysis 2 forms found in the DOM

<form class="row" id="neonform_4"><input type="hidden" name="id" value="4"><input type="hidden" name="requestId" value="1ba55481-e8fc-4d7d-87f1-d279e1e2a846"><input type="hidden" name="recaptchaResponse" value="">
  <div class="col-12" id="neon-page-1">
    <div class="row g-3 neonfront-form">
      <div class="col-md-12 neonfront_element mt-0">
        <div id="globalError" class="row mt-3 neonfront_form_failed_container" style="display: none;">
          <div class="col-2"><span class="fa fa-exclamation-circle mt-1" style="font-size: 2.25rem;"></span></div>
          <div class="col-10">
            <h5 class="fs-6 mb-1">Oh no, your payment failed</h5>
            <p class="mb-0" style="font-size: 0.875rem;"></p>
          </div>
        </div>
      </div>
      <div class="neonfront_element col-md-12">
        <div class="btn-group" role="group"><input type="hidden" name="frequency" value="1m"><label class="btn neonfront-btn-outline-primary btn-nm fs-875"
            style="color: rgb(84, 105, 141); border: 1px solid rgb(192, 200, 215); border-radius: 3px 0px 0px 3px; padding-right: 2px; padding-left: 2px;">Donate Once</label><label
            class="btn neonfront-btn-outline-primary btn-nm fs-875 donationFrequencyChecked" style="color: rgb(84, 105, 141); border: 1px solid rgb(192, 200, 215); padding-right: 2px; padding-left: 2px;">Donate Monthly</label></div>
        <div id="'frequency'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-12">
        <div class="row g-2" id="donation-amount-container">
          <div class="col-12 mt-2 position-relative" style="display: none;"><input type="radio" class="form-check-input neonfront-check-input-level" name="amount.donationOnce" value="18" id="amount-radio-1" autocomplete="off"><label
              class="neonfront-btn-level" for="amount-radio-1"><span class="float-end ms-2">$18.00</span><span class="name"><span></span></span></label></div>
          <div class="col-12 mt-2 position-relative" style="display: none;"><input type="radio" class="form-check-input neonfront-check-input-level" name="amount.donationOnce" value="36" id="amount-radio-2" autocomplete="off"><label
              class="neonfront-btn-level" for="amount-radio-2"><span class="float-end ms-2">$36.00</span><span class="name"><span></span></span></label></div>
          <div class="col-12 mt-2 position-relative" style="display: none;"><input type="radio" class="form-check-input neonfront-check-input-level" name="amount.donationOnce" value="118" id="amount-radio-3" autocomplete="off"><label
              class="neonfront-btn-level" for="amount-radio-3"><span class="float-end ms-2">$118.00</span><span class="name"><span></span></span></label></div>
          <div class="col-12 mt-2 position-relative" style="display: none;"><input type="radio" class="form-check-input neonfront-check-input-level" name="amount.donationOnce" value="365" id="amount-radio-4" autocomplete="off"><label
              class="neonfront-btn-level" for="amount-radio-4"><span class="float-end ms-2">$365.00</span><span class="name"><span></span></span></label></div>
          <div class="col-12 mt-2 position-relative" style="display: none;"><input type="radio" class="form-check-input neonfront-check-input-level" name="amount.donationOnce" value="1000" id="amount-radio-5" autocomplete="off"><label
              class="neonfront-btn-level" for="amount-radio-5"><span class="float-end ms-2">$1,000.00</span><span class="name"><span></span></span></label></div>
          <div class="col-12 mt-2 position-relative" style="display: none;"><input type="radio" class="form-check-input neonfront-check-input-level" name="amount.donationOnce" value="1800" id="amount-radio-6" autocomplete="off"><label
              class="neonfront-btn-level" for="amount-radio-6"><span class="float-end ms-2">$1,800.00</span><span class="name"><span></span></span></label></div>
          <div class="col-12 mt-2 position-relative"><input type="radio" class="form-check-input neonfront-check-input-level" name="amount.recurring" value="10" id="amount-radio-7" autocomplete="off"><label class="neonfront-btn-level"
              for="amount-radio-7"><span class="float-end ms-2">$10.00</span><span class="name"><span></span></span></label></div>
          <div class="col-12 mt-2 position-relative"><input type="radio" class="form-check-input neonfront-check-input-level" name="amount.recurring" value="18" id="amount-radio-8" autocomplete="off"><label class="neonfront-btn-level"
              for="amount-radio-8"><span class="float-end ms-2">$18.00</span><span class="name"><span></span></span></label></div>
          <div class="col-12 mt-2 position-relative"><input type="radio" class="form-check-input neonfront-check-input-level" name="amount.recurring" value="36" id="amount-radio-9" autocomplete="off"><label class="neonfront-btn-level"
              for="amount-radio-9"><span class="float-end ms-2">$36.00</span><span class="name"><span></span></span></label></div>
          <div class="col-12 mt-2 position-relative"><input type="radio" class="form-check-input neonfront-check-input-level" name="amount.recurring" value="84" id="amount-radio-10" autocomplete="off"><label class="neonfront-btn-level"
              for="amount-radio-10"><span class="float-end ms-2">$84.00</span><span class="name"><span></span></span></label></div>
          <div class="col-12 mt-2 position-relative"><input type="radio" class="form-check-input neonfront-check-input-level" name="amount.recurring" value="118" id="amount-radio-11" autocomplete="off"><label class="neonfront-btn-level"
              for="amount-radio-11"><span class="float-end ms-2">$118.00</span><span class="name"><span></span></span></label></div>
          <div class="col-12 mt-2 position-relative" style="display: none;"><input type="radio" class="form-check-input neonfront-check-input-level" name="amount.donationOnce" id="amount-radio-other1" autocomplete="off"><label
              class="neonfront-btn-level" for="amount-radio-other1"><span class="float-end ms-2"></span><span class="name"><span>Other Amount</span></span></label></div>
          <div class="col-12 mt-2 position-relative"><input type="radio" class="form-check-input neonfront-check-input-level" name="amount.recurring" id="amount-radio-other2" autocomplete="off"><label class="neonfront-btn-level"
              for="amount-radio-other2"><span class="float-end ms-2"></span><span class="name"><span>Other Amount</span></span></label></div>
          <div class="col-md-12" style="display: none;"><label class="form-label" for="amount-other-input" style="color: rgb(84, 105, 141);">Other Amount *</label>
            <div class="input-group amount-other-group"><span class="input-group-text"><i class="far fa-dollar-sign"></i></span><input type="number" class="form-control neonfront_input neon-field--donation-amount" id="amount-other-input"
                name="amount" aria-describedby="amount_feedback" placeholder="0.00"><span class="input-group-text" style="background-color: rgb(255, 255, 255);">USD</span></div>
            <div id="'amount'+'_feedback'" class="invalid-feedback"></div>
          </div>
          <div class="invalid-feedback d-block mt-2">
            <div style="display: none;"></div>
          </div>
        </div>
        <div id="'amount'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-12 d-none"><label for="campaign" class="form-label">Campaign</label><select id="campaign" name="campaign" class="form-select neonfront_input neon-field--donation-campaign"
          aria-describedby="campaign_feedback">
          <option></option>
          <option value="268">2023 Regular Campaign</option>
        </select>
        <div id="'campaign'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-12 d-none"><label for="purpose" class="form-label">Purpose</label><select id="purpose" name="purpose" class="form-select neonfront_input neon-field--donation-purpose" aria-describedby="purpose_feedback">
          <option></option>
          <option value="1">Acharai Program</option>
          <option value="2">BBYO</option>
          <option value="3">Birthright Bus</option>
          <option value="4">Domestic Programs</option>
          <option value="5">Fire Fund - 2010</option>
          <option value="6">France Emergency Fund</option>
          <option value="7">Hebrew Free Loan Program</option>
          <option value="8">Hillel @ UNLV</option>
          <option value="9">Hillel @ UNR</option>
          <option value="10">Holocaust Ed. Task Force</option>
          <option value="11">Holocaust Studies</option>
          <option value="12">Hurricane Relief</option>
          <option value="13">Indigent Burial Fund</option>
          <option value="14">Israel Emergency Fund</option>
          <option value="15">Israel Philharmonic Orchestra</option>
          <option value="16">Israel Programs</option>
          <option value="17">Israel Religous Action Center</option>
          <option value="18">JCC of SNV</option>
          <option value="19">JDC - Cuba Chicken Dinner</option>
          <option value="20">JDC - Cuba Sephardic Temple</option>
          <option value="21">JFSA - SNV</option>
          <option value="22">Kibbutzim College</option>
          <option value="23">Metro Police - Israeli Mission</option>
          <option value="24">Philipine Relief Fund</option>
          <option value="25">PJ Library</option>
          <option value="26">Ramat HaNegev</option>
          <option value="27">Scholarships</option>
          <option value="28">Security</option>
          <option value="29">Shlichut Program</option>
          <option value="30">Soft Credit</option>
          <option value="31">Tikvot, Israel</option>
          <option value="32">UNR Hillel</option>
          <option value="33">Northern NV</option>
        </select>
        <div id="'purpose'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-12">
        <div class="row">
          <div class="form-check"><input class="form-check-input neonfront_checkbox neon-field--donation-tribute-checked" type="checkbox" name="tribute.checked" id="tribute.checked" value="true"><label
              class="form-check-label neonfront_checkbox_label" for="tribute.checked">Dedicate my donation in honor or in memory of someone</label>
            <div id="'tribute.checked'+'_feedback'" class="invalid-feedback"></div>
          </div>
          <div class="col-md-12 mt-3" style="display: none;">
            <div class="neonfront-subform">
              <div class="neonfront_element col-md-12"><label for="tribute.type" class="form-label">Type</label>
                <div class="row">
                  <div class="form-check"><input class="form-check-input neonfront_checkbox neon-field--donation-tribute-type" type="radio" name="tribute.type" value="1" id="tribute.type1"><label class="form-check-label neonfront_checkbox_label"
                      for="tribute.type1">Honor</label></div>
                  <div class="form-check"><input class="form-check-input neonfront_checkbox neon-field--donation-tribute-type" type="radio" name="tribute.type" value="2" id="tribute.type2"><label class="form-check-label neonfront_checkbox_label"
                      for="tribute.type2">Memory</label>
                    <div id="tribute.type_feedback" class="invalid-feedback" style="margin-left: -1.5rem;"></div>
                  </div>
                </div>
                <div id="'tribute.type'+'_feedback'" class="invalid-feedback"></div>
              </div>
              <div class="neonfront_element col-md-12"><label for="tribute.name.fullName" class="form-label">Tribute Name</label><input id="tribute.name.fullName" name="tribute.name.fullName" type="text"
                  class="form-control neonfront_input neon-field--donation-tribute-name-fullName" aria-describedby="tribute.name.fullName_feedback">
                <div id="'tribute.name.fullName'+'_feedback'" class="invalid-feedback"></div>
              </div>
              <div class="neonfront_element col-md-12 d-none">
                <div class="row">
                  <div class="form-check"><input class="form-check-input neonfront_checkbox neon-field--donation-acknowledgee-checked" type="checkbox" id="acknowledgee.checked" name="acknowledgee.checked" value="true"><label
                      class="form-check-label neonfront_checkbox_label" for="acknowledgee.checked">I would like to send an acknowledgment to someone.</label></div>
                </div>
                <div id="'acknowledgee.checked'+'_feedback'" class="invalid-feedback"></div>
              </div>
              <div class="col-md-12" style="display: none;">
                <div class="neonfront_element col-md-12 d-none">
                  <div class="row">
                    <div class="form-check"><input class="form-check-input neonfront_checkbox neon-field--donation-acknowledgee-nameCheckbox" type="checkbox" id="acknowledgee.nameCheckbox" name="acknowledgee.nameCheckbox" value="true"><label
                        class="form-check-label neonfront_checkbox_label" for="acknowledgee.nameCheckbox">Acknowledgee Name is the same as the Recipient.</label></div>
                  </div>
                  <div id="'acknowledgee.nameCheckbox'+'_feedback'" class="invalid-feedback"></div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div id="'tribute.checked'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-12"><label for="donor.note" class="form-label">Purpose of this donation/additional notes</label><textarea class="form-control neon-field--donation-donor-note" name="donor.note" id="donor.note"
          rows="3"></textarea>
        <div id="'donor.note'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-12">
        <div class="border-top border-1 border-section mb-3 mt-1"></div><label class="section-label">Your information</label>
        <div id="null+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-6"><label for="account.name.firstName" class="form-label">First Name *</label><input id="account.name.firstName" name="account.name.firstName" type="text"
          class="form-control neonfront_input neon-field--donation-account-name-firstName" aria-describedby="account.name.firstName_feedback">
        <div id="'account.name.firstName'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-6"><label for="account.name.lastName" class="form-label">Last Name *</label><input id="account.name.lastName" name="account.name.lastName" autocomplete="family-name" type="text"
          class="form-control neonfront_input neon-field--donation-account-name-lastName" aria-describedby="account.name.lastName_feedback">
        <div id="'account.name.lastName'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-12">
        <div class="row">
          <div class="form-check"><input class="form-check-input neonfront_checkbox neon-field--donation-account-asCompany" type="checkbox" id="account.asCompany" name="account.asCompany" value="true"><label
              class="form-check-label neonfront_checkbox_label" for="account.asCompany">Submit as a company</label></div>
        </div>
        <div id="'account.asCompany'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-12"><label for="account.company.name" class="form-label">Company Name</label><input id="account.company.name" name="account.company.name" type="text"
          class="form-control neonfront_input neon-field--donation-account-company-name" aria-describedby="account.company.name_feedback">
        <div id="'account.company.name'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-12"><label for="account.email1" class="form-label">Email</label><input id="account.email1" name="account.email1" type="text" class="form-control neonfront_input neon-field--donation-account-email1"
          aria-describedby="account.email1_feedback">
        <div id="'account.email1'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-12"><label for="account.address.line1" class="form-label">Address Line 1</label>
        <div class="row">
          <div class="input-group"><input id="account.address.line1" name="account.address.line1.line1" autocomplete="address-line1" type="text" class="form-control neonfront_input" style="width: 42%;"><select
              class="form-select input-group-text neonfront_input" name="account.address.line1.type" style="border-top-right-radius: 0.25rem; border-bottom-right-radius: 0.25rem; padding-right: 36px;">
              <option value="1">Home</option>
              <option value="2">Work</option>
              <option value="3">School</option>
              <option value="999">Other</option>
              <option value="4">E-Mail</option>
              <option value="5">Former</option>
              <option value="6">Former Home</option>
              <option value="7">Former Business</option>
              <option value="8">keep</option>
              <option value="9">Unknown</option>
            </select>
            <div id="account.address.line1.line1_feedback" class="invalid-feedback"></div>
            <div id="account.address.line1.type_feedback" class="invalid-feedback"></div>
          </div>
        </div>
        <div id="'account.address.line1'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-12"><label for="account.address.line2" class="form-label">Address Line 2</label><input id="account.address.line2" name="account.address.line2" autocomplete="address-line2" type="text"
          class="form-control neonfront_input neon-field--donation-account-address-line2" aria-describedby="account.address.line2_feedback">
        <div id="'account.address.line2'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-6"><label for="account.address.city" class="form-label">City</label><input id="account.address.city" name="account.address.city" type="text"
          class="form-control neonfront_input neon-field--donation-account-address-city" aria-describedby="account.address.city_feedback">
        <div id="'account.address.city'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-6"><label for="account.address.stateOrProvince" class="form-label">State/Province</label><select id="account.address.stateOrProvince" name="account.address.stateOrProvince"
          class="form-select neonfront_input neon-field--donation-account-address-stateOrProvince" aria-describedby="account.address.stateOrProvince_feedback">
          <option></option>
          <option value="AL">Alabama</option>
          <option value="AK">Alaska</option>
          <option value="AZ">Arizona</option>
          <option value="AR">Arkansas</option>
          <option value="CA">California</option>
          <option value="CO">Colorado</option>
          <option value="CT">Connecticut</option>
          <option value="DE">Delaware</option>
          <option value="DC">District of Columbia</option>
          <option value="FL">Florida</option>
          <option value="GA">Georgia</option>
          <option value="HI">Hawaii</option>
          <option value="ID">Idaho</option>
          <option value="IL">Illinois</option>
          <option value="IN">Indiana</option>
          <option value="IA">Iowa</option>
          <option value="KS">Kansas</option>
          <option value="KY">Kentucky</option>
          <option value="LA">Louisiana</option>
          <option value="ME">Maine</option>
          <option value="MD">Maryland</option>
          <option value="MA">Massachusetts</option>
          <option value="MI">Michigan</option>
          <option value="MN">Minnesota</option>
          <option value="MS">Mississippi</option>
          <option value="MO">Missouri</option>
          <option value="MT">Montana</option>
          <option value="NE">Nebraska</option>
          <option value="NV">Nevada</option>
          <option value="NH">New Hampshire</option>
          <option value="NJ">New Jersey</option>
          <option value="NM">New Mexico</option>
          <option value="NY">New York</option>
          <option value="NC">North Carolina</option>
          <option value="ND">North Dakota</option>
          <option value="OH">Ohio</option>
          <option value="OK">Oklahoma</option>
          <option value="OR">Oregon</option>
          <option value="PA">Pennsylvania</option>
          <option value="RI">Rhode Island</option>
          <option value="SC">South Carolina</option>
          <option value="SD">South Dakota</option>
          <option value="TN">Tennessee</option>
          <option value="TX">Texas</option>
          <option value="UT">Utah</option>
          <option value="VT">Vermont</option>
          <option value="VA">Virginia</option>
          <option value="WA">Washington</option>
          <option value="WV">West Virginia</option>
          <option value="WI">Wisconsin</option>
          <option value="WY">Wyoming</option>
          <option value="AS">American Samoa</option>
          <option value="FM">Federated States of Micronesia</option>
          <option value="GU">Guam</option>
          <option value="MH">Marshall Islands</option>
          <option value="MP">Northern Mariana Islands</option>
          <option value="PW">Palau</option>
          <option value="PR">Puerto Rico</option>
          <option value="UM">U.S. Minor Outlying Islands</option>
          <option value="VI">Virgin Islands</option>
          <option value="AA">Armed Forces Americas</option>
          <option value="AE">Armed Forces Europe, the Middle East, an</option>
          <option value="AP">Armed Forces Pacific</option>
          <option value="AB">Alberta</option>
          <option value="BC">British Columbia</option>
          <option value="MB">Manitoba</option>
          <option value="NB">New Brunswick</option>
          <option value="NL">Newfoundland and Labrador</option>
          <option value="NS">Nova Scotia</option>
          <option value="NT">Northwest Territories</option>
          <option value="NU">Nunavut Territory</option>
          <option value="ON">Ontario</option>
          <option value="PE">Prince Edward Island</option>
          <option value="QC">Quebec</option>
          <option value="SK">Saskatchewan</option>
          <option value="YT">Yukon Territory</option>
        </select>
        <div id="'account.address.stateOrProvince'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-6"><label for="account.address.zipCode" class="form-label">Zip/Postal Code</label><input id="account.address.zipCode" name="account.address.zipCode" type="text"
          class="form-control neonfront_input neon-field--donation-account-address-zipCode" aria-describedby="account.address.zipCode_feedback">
        <div id="'account.address.zipCode'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-6"><label for="account.address.country" class="form-label">Country</label><select id="account.address.country" name="account.address.country"
          class="form-select neonfront_input neon-field--donation-account-address-country" aria-describedby="account.address.country_feedback">
          <option></option>
          <option value="1">United States of America</option>
          <option value="2">Canada</option>
          <option value="3">Afghanistan</option>
          <option value="247">Åland Islands</option>
          <option value="4">Albania</option>
          <option value="5">Algeria</option>
          <option value="6">American Samoa</option>
          <option value="7">Andorra</option>
          <option value="8">Angola</option>
          <option value="242">Anguilla</option>
          <option value="9">Antarctica</option>
          <option value="10">Antigua and Barbuda</option>
          <option value="11">Argentina</option>
          <option value="12">Armenia</option>
          <option value="13">Aruba</option>
          <option value="14">Australia</option>
          <option value="15">Austria</option>
          <option value="16">Azerbaijan</option>
          <option value="17">Bahamas</option>
          <option value="18">Bahrain</option>
          <option value="19">Bangladesh</option>
          <option value="20">Barbados</option>
          <option value="21">Belarus</option>
          <option value="22">Belgium</option>
          <option value="23">Belize</option>
          <option value="24">Benin</option>
          <option value="25">Bermuda</option>
          <option value="26">Bhutan</option>
          <option value="27">Bolivia (Plurinational State of)</option>
          <option value="248">Bonaire, Sint Eustatius and Saba</option>
          <option value="28">Bosnia and Herzegovina</option>
          <option value="29">Botswana</option>
          <option value="30">Bouvet Island</option>
          <option value="31">Brazil</option>
          <option value="32">British Indian Ocean Territory</option>
          <option value="33">Brunei Darussalam</option>
          <option value="34">Bulgaria</option>
          <option value="35">Burkina Faso</option>
          <option value="36">Burundi</option>
          <option value="39">Cabo Verde</option>
          <option value="37">Cambodia</option>
          <option value="38">Cameroon</option>
          <option value="40">Cayman Islands</option>
          <option value="41">Central African Republic</option>
          <option value="42">Chad</option>
          <option value="43">Chile</option>
          <option value="44">China</option>
          <option value="45">Christmas Island</option>
          <option value="46">Cocos (Keeling) Islands</option>
          <option value="47">Colombia</option>
          <option value="48">Comoros</option>
          <option value="49">Congo</option>
          <option value="238">Congo (the Democratic Republic of the)</option>
          <option value="50">Cook Islands</option>
          <option value="51">Costa Rica</option>
          <option value="106">Côte d'Ivoire</option>
          <option value="52">Croatia</option>
          <option value="53">Cuba</option>
          <option value="249">Curaçao</option>
          <option value="54">Cyprus</option>
          <option value="55">Czechia</option>
          <option value="56">Denmark</option>
          <option value="57">Djibouti</option>
          <option value="58">Dominica</option>
          <option value="59">Dominican Republic</option>
          <option value="61">Ecuador</option>
          <option value="62">Egypt</option>
          <option value="63">El Salvador</option>
          <option value="64">Equatorial Guinea</option>
          <option value="65">Eritrea</option>
          <option value="66">Estonia</option>
          <option value="67">Ethiopia</option>
          <option value="68">Falkland Islands [Malvinas]</option>
          <option value="69">Faroe Islands</option>
          <option value="70">Fiji</option>
          <option value="71">Finland</option>
          <option value="73">France</option>
          <option value="75">French Guiana</option>
          <option value="171">French Polynesia</option>
          <option value="76">French Southern Territories</option>
          <option value="77">Gabon</option>
          <option value="78">Gambia</option>
          <option value="79">Georgia</option>
          <option value="80">Germany</option>
          <option value="81">Ghana</option>
          <option value="82">Gibraltar</option>
          <option value="84">Greece</option>
          <option value="85">Greenland</option>
          <option value="86">Grenada</option>
          <option value="87">Guadeloupe</option>
          <option value="88">Guam</option>
          <option value="89">Guatemala</option>
          <option value="250">Guernsey</option>
          <option value="90">Guinea</option>
          <option value="91">Guinea-Bissau</option>
          <option value="92">Guyana</option>
          <option value="93">Haiti</option>
          <option value="94">Heard Island and McDonald Islands</option>
          <option value="229">Holy See</option>
          <option value="95">Honduras</option>
          <option value="96">Hong Kong</option>
          <option value="97">Hungary</option>
          <option value="98">Iceland</option>
          <option value="99">India</option>
          <option value="100">Indonesia</option>
          <option value="101">Iran (Islamic Republic of)</option>
          <option value="102">Iraq</option>
          <option value="103">Ireland</option>
          <option value="251">Isle of Man</option>
          <option value="104">Israel</option>
          <option value="105">Italy</option>
          <option value="107">Jamaica</option>
          <option value="108">Japan</option>
          <option value="252">Jersey</option>
          <option value="109">Jordan</option>
          <option value="110">Kazakhstan</option>
          <option value="111">Kenya</option>
          <option value="112">Kiribati</option>
          <option value="158">Korea (the Democratic People's Republic of)</option>
          <option value="198">Korea (the Republic of)</option>
          <option value="113">Kuwait</option>
          <option value="114">Kyrgyzstan</option>
          <option value="115">Lao People's Democratic Republic</option>
          <option value="116">Latvia</option>
          <option value="117">Lebanon</option>
          <option value="118">Lesotho</option>
          <option value="119">Liberia</option>
          <option value="120">Libya</option>
          <option value="121">Liechtenstein</option>
          <option value="122">Lithuania</option>
          <option value="123">Luxembourg</option>
          <option value="124">Macao</option>
          <option value="125">Macedonia (the former Yugoslav Republic of)</option>
          <option value="126">Madagascar</option>
          <option value="127">Malawi</option>
          <option value="128">Malaysia</option>
          <option value="129">Maldives</option>
          <option value="130">Mali</option>
          <option value="131">Malta</option>
          <option value="132">Marshall Islands</option>
          <option value="133">Martinique</option>
          <option value="134">Mauritania</option>
          <option value="135">Mauritius</option>
          <option value="136">Mayotte</option>
          <option value="137">Mexico</option>
          <option value="138">Micronesia (Federated States of)</option>
          <option value="139">Moldova (the Republic of)</option>
          <option value="140">Monaco</option>
          <option value="141">Mongolia</option>
          <option value="253">Montenegro</option>
          <option value="142">Montserrat</option>
          <option value="143">Morocco</option>
          <option value="144">Mozambique</option>
          <option value="145">Myanmar</option>
          <option value="146">Namibia</option>
          <option value="147">Nauru</option>
          <option value="148">Nepal</option>
          <option value="149">Netherlands</option>
          <option value="151">New Caledonia</option>
          <option value="152">New Zealand</option>
          <option value="153">Nicaragua</option>
          <option value="154">Niger</option>
          <option value="155">Nigeria</option>
          <option value="156">Niue</option>
          <option value="157">Norfolk Island</option>
          <option value="159">Northern Mariana Islands</option>
          <option value="160">Norway</option>
          <option value="161">Oman</option>
          <option value="162">Pakistan</option>
          <option value="163">Palau</option>
          <option value="246">Palestine, State of</option>
          <option value="164">Panama</option>
          <option value="165">Papua New Guinea</option>
          <option value="166">Paraguay</option>
          <option value="167">Peru</option>
          <option value="168">Philippines</option>
          <option value="169">Pitcairn</option>
          <option value="170">Poland</option>
          <option value="172">Portugal</option>
          <option value="173">Puerto Rico</option>
          <option value="174">Qatar</option>
          <option value="175">Réunion</option>
          <option value="176">Romania</option>
          <option value="177">Russian Federation</option>
          <option value="178">Rwanda</option>
          <option value="254">Saint Barthélemy</option>
          <option value="180">Saint Helena, Ascension and Tristan da Cunha</option>
          <option value="181">Saint Kitts and Nevis</option>
          <option value="182">Saint Lucia</option>
          <option value="255">Saint Martin (French part)</option>
          <option value="183">Saint Pierre and Miquelon</option>
          <option value="185">Saint Vincent and the Grenadines</option>
          <option value="186">Samoa</option>
          <option value="187">San Marino</option>
          <option value="184">Sao Tome and Principe</option>
          <option value="188">Saudi Arabia</option>
          <option value="189">Senegal</option>
          <option value="256">Serbia</option>
          <option value="190">Seychelles</option>
          <option value="191">Sierra Leone</option>
          <option value="192">Singapore</option>
          <option value="245">Sint Maarten (Dutch part)</option>
          <option value="193">Slovakia</option>
          <option value="194">Slovenia</option>
          <option value="195">Solomon Islands</option>
          <option value="196">Somalia</option>
          <option value="197">South Africa</option>
          <option value="179">South Georgia and the South Sandwich Islands</option>
          <option value="243">South Sudan</option>
          <option value="199">Spain</option>
          <option value="200">Sri Lanka</option>
          <option value="201">Sudan</option>
          <option value="202">Suriname</option>
          <option value="203">Svalbard and Jan Mayen</option>
          <option value="204">Swaziland</option>
          <option value="205">Sweden</option>
          <option value="206">Switzerland</option>
          <option value="207">Syrian Arab Republic</option>
          <option value="209">Taiwan (Province of China)</option>
          <option value="208">Tajikistan</option>
          <option value="210">Tanzania, United Republic of</option>
          <option value="211">Thailand</option>
          <option value="60">Timor-Leste</option>
          <option value="212">Togo</option>
          <option value="213">Tokelau</option>
          <option value="214">Tonga</option>
          <option value="215">Trinidad and Tobago</option>
          <option value="216">Tunisia</option>
          <option value="217">Turkey</option>
          <option value="218">Turkmenistan</option>
          <option value="219">Turks and Caicos Islands</option>
          <option value="220">Tuvalu</option>
          <option value="221">Uganda</option>
          <option value="222">Ukraine</option>
          <option value="223">United Arab Emirates</option>
          <option value="83">United Kingdom of Great Britain and Northern Ireland</option>
          <option value="226">United States Minor Outlying Islands</option>
          <option value="225">Uruguay</option>
          <option value="227">Uzbekistan</option>
          <option value="228">Vanuatu</option>
          <option value="230">Venezuela (Bolivarian Republic of)</option>
          <option value="231">Viet Nam</option>
          <option value="232">Virgin Islands (British)</option>
          <option value="233">Virgin Islands (U.S.)</option>
          <option value="234">Wallis and Futuna</option>
          <option value="235">Western Sahara*</option>
          <option value="236">Yemen</option>
          <option value="239">Zambia</option>
          <option value="240">Zimbabwe</option>
        </select>
        <div id="'account.address.country'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-12">
        <div class="border-top border-1 border-section mb-3 mt-1"></div><label class="section-label">Payment Details</label>
        <div class="desc"><span>Apple Pay and Google Pay are not currently accepted.</span></div>
        <div id="null+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="neonfront_element col-md-12">
        <div class="row mx-0 neonfront_payment_tab"><input type="hidden" name="payment.type" value="CARD">
          <div class="col active">Card</div>
        </div>
        <div class="row g-3 mt-0">
          <div class="neonfront_element col-md-12">
            <div class="form-check"><input class="form-check-input neonfront_checkbox" type="checkbox" value="true" name="payment.card.donorCoveredFeeOpt" id="payment.card.donorCoveredFeeOpt"><label class="form-check-label neonfront_checkbox_label"
                for="payment.card.donorCoveredFeeOpt">I want to make an additional donation to cover online processing fees, so that my entire contribution goes to Jewish Nevada (Jewish Federation of Las Vegas). ($2.90)</label></div>
          </div>
          <div class="neonfront_element col-md-12"><input type="hidden" name="payment.card.payWithApplePay" value="false"><input type="hidden" name="payment.card.payWithGooglePay" value="false">
            <div id="payment-apple-container"></div>
            <div id="payment-google-container" style="display: block;">
              <div class="NeonPay__field"
                style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important; min-height: 40px; height: inherit;">
                <iframe frameborder="0" allowtransparency="true" sandbox="allow-same-origin allow-scripts allow-popups allow-top-navigation-by-user-activation" allow="payment" name="payframe-googlepay-loqxfjs996cesba7r8n"
                  id="payframe-googlepay-loqxfjs996cesba7r8n"
                  style="border: none !important; margin: 0 !important; width: 1px; overflow: hidden !important; display: block !important; user-select: none !important; min-width: 186px !important; width: 100%; min-height: 40px !important; height: 48px"
                  src="https://app.neononepay.com/token?v=3.0"></iframe></div>
            </div>
            <div style="display: none;"><button class="btn neonfront-btn-primary btn-lg" type="button" disabled=""> Processing&nbsp; <span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span></button></div>
          </div>
          <div class="neonfront_element col-md-12">
            <div class="line-text-splitter">
              <div class="line"></div>
              <div class="text">or enter your card details below</div>
            </div>
          </div>
          <div class="neonfront_element col-md-12"><button type="button" class="btn neonfront-btn-primary btn-lg"><i class="fas fa-credit-card"></i> &nbsp;&nbsp;<span>Pay With Card</span></button></div>
          <div class="neonfront_element col-md-12" style="display: none;"><label for="payment.card.holderFirstName" class="form-label">Cardholder First Name <span>*</span></label><input id="payment.card.holderFirstName"
              name="payment.card.holderFirstName" type="text" class="form-control neonfront_input" aria-describedby="payment.card.holderFirstName_feedback">
            <div id="payment.card.holderFirstName_feedback" class="invalid-feedback"></div>
          </div>
          <div class="neonfront_element col-md-12" style="display: none;"><label for="payment.card.holderLastName" class="form-label">Cardholder Last Name <span>*</span></label><input id="payment.card.holderLastName"
              name="payment.card.holderLastName" type="text" class="form-control neonfront_input" aria-describedby="payment.card.holderLastName_feedback">
            <div id="payment.card.holderLastName_feedback" class="invalid-feedback"></div>
          </div>
          <div class="neonfront_element col-md-12" style="display: none;"><label for="payment.card.holderEmail" class="form-label">Cardholder Email </label><input id="payment.card.holderEmail" name="payment.card.holderEmail" type="text"
              class="form-control neonfront_input" aria-describedby="payment.card.holderEmail_feedback">
            <div id="payment.card.holderEmail_feedback" class="invalid-feedback"></div>
          </div>
          <div class="col-md-12" style="display: none;"><input type="hidden" name="payment.card.token" id="payment.card.token"><label class="form-label" for="payment-card-container">Card *</label>
            <div id="payment-card-container" class="form-control">
              <div class="NeonPay__field" style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important;"><iframe
                  frameborder="0" allowtransparency="true" sandbox="allow-same-origin allow-scripts allow-popups allow-top-navigation-by-user-activation" allow="payment" name="payframe-card-loqxfk3sth5yovmrhbd" id="payframe-card-loqxfk3sth5yovmrhbd"
                  style="border: none !important; margin: 0 !important; width: 1px; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; height: 2px"
                  src="https://app.neononepay.com/token?v=3.0"></iframe></div>
            </div>
          </div>
          <div class="neonfront_element col-md-12" style="display: none;">
            <div class="form-check"><input class="form-check-input neonfront_checkbox" type="checkbox" value="true" id="sameAsBillingAddress"><label class="form-check-label neonfront_checkbox_label" for="sameAsBillingAddress">Billing address is the
                same as mailing address</label></div>
          </div>
          <div class="neonfront_element col-md-12" style="display: none;"><label for="payment.card.address.line1.line1" class="form-label">Address Line 1 </label><input id="payment.card.address.line1.line1" name="payment.card.address.line1.line1"
              type="text" class="form-control neonfront_input" aria-describedby="payment.card.address.line1.line1_feedback">
            <div id="payment.card.address.line1.line1_feedback" class="invalid-feedback"></div>
          </div>
          <div class="neonfront_element col-md-12" style="display: none;"><label for="payment.card.address.line2" class="form-label">Address Line 2 </label><input id="payment.card.address.line2" name="payment.card.address.line2" type="text"
              class="form-control neonfront_input" aria-describedby="payment.card.address.line2_feedback">
            <div id="payment.card.address.line2_feedback" class="invalid-feedback"></div>
          </div>
          <div class="neonfront_element col-md-6" style="display: none;"><label for="payment.card.address.city" class="form-label">City </label><input id="payment.card.address.city" name="payment.card.address.city" type="text"
              class="form-control neonfront_input" aria-describedby="payment.card.address.city_feedback">
            <div id="payment.card.address.city_feedback" class="invalid-feedback"></div>
          </div>
          <div class="neonfront_element col-md-6" style="display: none;"><label for="payment.card.address.stateOrProvince" class="form-label">State/Province </label><select id="payment.card.address.stateOrProvince"
              name="payment.card.address.stateOrProvince" class="form-select neonfront_input" aria-describedby="payment.card.address.stateOrProvince_feedback">
              <option></option>
              <option value="AL">Alabama</option>
              <option value="AK">Alaska</option>
              <option value="AZ">Arizona</option>
              <option value="AR">Arkansas</option>
              <option value="CA">California</option>
              <option value="CO">Colorado</option>
              <option value="CT">Connecticut</option>
              <option value="DE">Delaware</option>
              <option value="DC">District of Columbia</option>
              <option value="FL">Florida</option>
              <option value="GA">Georgia</option>
              <option value="HI">Hawaii</option>
              <option value="ID">Idaho</option>
              <option value="IL">Illinois</option>
              <option value="IN">Indiana</option>
              <option value="IA">Iowa</option>
              <option value="KS">Kansas</option>
              <option value="KY">Kentucky</option>
              <option value="LA">Louisiana</option>
              <option value="ME">Maine</option>
              <option value="MD">Maryland</option>
              <option value="MA">Massachusetts</option>
              <option value="MI">Michigan</option>
              <option value="MN">Minnesota</option>
              <option value="MS">Mississippi</option>
              <option value="MO">Missouri</option>
              <option value="MT">Montana</option>
              <option value="NE">Nebraska</option>
              <option value="NV">Nevada</option>
              <option value="NH">New Hampshire</option>
              <option value="NJ">New Jersey</option>
              <option value="NM">New Mexico</option>
              <option value="NY">New York</option>
              <option value="NC">North Carolina</option>
              <option value="ND">North Dakota</option>
              <option value="OH">Ohio</option>
              <option value="OK">Oklahoma</option>
              <option value="OR">Oregon</option>
              <option value="PA">Pennsylvania</option>
              <option value="RI">Rhode Island</option>
              <option value="SC">South Carolina</option>
              <option value="SD">South Dakota</option>
              <option value="TN">Tennessee</option>
              <option value="TX">Texas</option>
              <option value="UT">Utah</option>
              <option value="VT">Vermont</option>
              <option value="VA">Virginia</option>
              <option value="WA">Washington</option>
              <option value="WV">West Virginia</option>
              <option value="WI">Wisconsin</option>
              <option value="WY">Wyoming</option>
              <option value="AS">American Samoa</option>
              <option value="FM">Federated States of Micronesia</option>
              <option value="GU">Guam</option>
              <option value="MH">Marshall Islands</option>
              <option value="MP">Northern Mariana Islands</option>
              <option value="PW">Palau</option>
              <option value="PR">Puerto Rico</option>
              <option value="UM">U.S. Minor Outlying Islands</option>
              <option value="VI">Virgin Islands</option>
              <option value="AA">Armed Forces Americas</option>
              <option value="AE">Armed Forces Europe, the Middle East, an</option>
              <option value="AP">Armed Forces Pacific</option>
              <option value="AB">Alberta</option>
              <option value="BC">British Columbia</option>
              <option value="MB">Manitoba</option>
              <option value="NB">New Brunswick</option>
              <option value="NL">Newfoundland and Labrador</option>
              <option value="NS">Nova Scotia</option>
              <option value="NT">Northwest Territories</option>
              <option value="NU">Nunavut Territory</option>
              <option value="ON">Ontario</option>
              <option value="PE">Prince Edward Island</option>
              <option value="QC">Quebec</option>
              <option value="SK">Saskatchewan</option>
              <option value="YT">Yukon Territory</option>
            </select>
            <div id="payment.card.address.stateOrProvince_feedback" class="invalid-feedback"></div>
          </div>
          <div class="neonfront_element col-md-6" style="display: none;"><label for="payment.card.address.zipCode" class="form-label">Zip <span>*</span></label><input id="payment.card.address.zipCode" name="payment.card.address.zipCode" type="text"
              class="form-control neonfront_input" aria-describedby="payment.card.address.zipCode_feedback">
            <div id="payment.card.address.zipCode_feedback" class="invalid-feedback"></div>
          </div>
          <div class="neonfront_element col-md-6" style="display: none;"><label for="payment.card.address.country" class="form-label">Country </label><select id="payment.card.address.country" name="payment.card.address.country"
              class="form-select neonfront_input" aria-describedby="payment.card.address.country_feedback">
              <option></option>
              <option value="1">United States of America</option>
              <option value="2">Canada</option>
              <option value="3">Afghanistan</option>
              <option value="247">Åland Islands</option>
              <option value="4">Albania</option>
              <option value="5">Algeria</option>
              <option value="6">American Samoa</option>
              <option value="7">Andorra</option>
              <option value="8">Angola</option>
              <option value="242">Anguilla</option>
              <option value="9">Antarctica</option>
              <option value="10">Antigua and Barbuda</option>
              <option value="11">Argentina</option>
              <option value="12">Armenia</option>
              <option value="13">Aruba</option>
              <option value="14">Australia</option>
              <option value="15">Austria</option>
              <option value="16">Azerbaijan</option>
              <option value="17">Bahamas</option>
              <option value="18">Bahrain</option>
              <option value="19">Bangladesh</option>
              <option value="20">Barbados</option>
              <option value="21">Belarus</option>
              <option value="22">Belgium</option>
              <option value="23">Belize</option>
              <option value="24">Benin</option>
              <option value="25">Bermuda</option>
              <option value="26">Bhutan</option>
              <option value="27">Bolivia (Plurinational State of)</option>
              <option value="248">Bonaire, Sint Eustatius and Saba</option>
              <option value="28">Bosnia and Herzegovina</option>
              <option value="29">Botswana</option>
              <option value="30">Bouvet Island</option>
              <option value="31">Brazil</option>
              <option value="32">British Indian Ocean Territory</option>
              <option value="33">Brunei Darussalam</option>
              <option value="34">Bulgaria</option>
              <option value="35">Burkina Faso</option>
              <option value="36">Burundi</option>
              <option value="39">Cabo Verde</option>
              <option value="37">Cambodia</option>
              <option value="38">Cameroon</option>
              <option value="40">Cayman Islands</option>
              <option value="41">Central African Republic</option>
              <option value="42">Chad</option>
              <option value="43">Chile</option>
              <option value="44">China</option>
              <option value="45">Christmas Island</option>
              <option value="46">Cocos (Keeling) Islands</option>
              <option value="47">Colombia</option>
              <option value="48">Comoros</option>
              <option value="49">Congo</option>
              <option value="238">Congo (the Democratic Republic of the)</option>
              <option value="50">Cook Islands</option>
              <option value="51">Costa Rica</option>
              <option value="106">Côte d'Ivoire</option>
              <option value="52">Croatia</option>
              <option value="53">Cuba</option>
              <option value="249">Curaçao</option>
              <option value="54">Cyprus</option>
              <option value="55">Czechia</option>
              <option value="56">Denmark</option>
              <option value="57">Djibouti</option>
              <option value="58">Dominica</option>
              <option value="59">Dominican Republic</option>
              <option value="61">Ecuador</option>
              <option value="62">Egypt</option>
              <option value="63">El Salvador</option>
              <option value="64">Equatorial Guinea</option>
              <option value="65">Eritrea</option>
              <option value="66">Estonia</option>
              <option value="67">Ethiopia</option>
              <option value="68">Falkland Islands [Malvinas]</option>
              <option value="69">Faroe Islands</option>
              <option value="70">Fiji</option>
              <option value="71">Finland</option>
              <option value="73">France</option>
              <option value="75">French Guiana</option>
              <option value="171">French Polynesia</option>
              <option value="76">French Southern Territories</option>
              <option value="77">Gabon</option>
              <option value="78">Gambia</option>
              <option value="79">Georgia</option>
              <option value="80">Germany</option>
              <option value="81">Ghana</option>
              <option value="82">Gibraltar</option>
              <option value="84">Greece</option>
              <option value="85">Greenland</option>
              <option value="86">Grenada</option>
              <option value="87">Guadeloupe</option>
              <option value="88">Guam</option>
              <option value="89">Guatemala</option>
              <option value="250">Guernsey</option>
              <option value="90">Guinea</option>
              <option value="91">Guinea-Bissau</option>
              <option value="92">Guyana</option>
              <option value="93">Haiti</option>
              <option value="94">Heard Island and McDonald Islands</option>
              <option value="229">Holy See</option>
              <option value="95">Honduras</option>
              <option value="96">Hong Kong</option>
              <option value="97">Hungary</option>
              <option value="98">Iceland</option>
              <option value="99">India</option>
              <option value="100">Indonesia</option>
              <option value="101">Iran (Islamic Republic of)</option>
              <option value="102">Iraq</option>
              <option value="103">Ireland</option>
              <option value="251">Isle of Man</option>
              <option value="104">Israel</option>
              <option value="105">Italy</option>
              <option value="107">Jamaica</option>
              <option value="108">Japan</option>
              <option value="252">Jersey</option>
              <option value="109">Jordan</option>
              <option value="110">Kazakhstan</option>
              <option value="111">Kenya</option>
              <option value="112">Kiribati</option>
              <option value="158">Korea (the Democratic People's Republic of)</option>
              <option value="198">Korea (the Republic of)</option>
              <option value="113">Kuwait</option>
              <option value="114">Kyrgyzstan</option>
              <option value="115">Lao People's Democratic Republic</option>
              <option value="116">Latvia</option>
              <option value="117">Lebanon</option>
              <option value="118">Lesotho</option>
              <option value="119">Liberia</option>
              <option value="120">Libya</option>
              <option value="121">Liechtenstein</option>
              <option value="122">Lithuania</option>
              <option value="123">Luxembourg</option>
              <option value="124">Macao</option>
              <option value="125">Macedonia (the former Yugoslav Republic of)</option>
              <option value="126">Madagascar</option>
              <option value="127">Malawi</option>
              <option value="128">Malaysia</option>
              <option value="129">Maldives</option>
              <option value="130">Mali</option>
              <option value="131">Malta</option>
              <option value="132">Marshall Islands</option>
              <option value="133">Martinique</option>
              <option value="134">Mauritania</option>
              <option value="135">Mauritius</option>
              <option value="136">Mayotte</option>
              <option value="137">Mexico</option>
              <option value="138">Micronesia (Federated States of)</option>
              <option value="139">Moldova (the Republic of)</option>
              <option value="140">Monaco</option>
              <option value="141">Mongolia</option>
              <option value="253">Montenegro</option>
              <option value="142">Montserrat</option>
              <option value="143">Morocco</option>
              <option value="144">Mozambique</option>
              <option value="145">Myanmar</option>
              <option value="146">Namibia</option>
              <option value="147">Nauru</option>
              <option value="148">Nepal</option>
              <option value="149">Netherlands</option>
              <option value="151">New Caledonia</option>
              <option value="152">New Zealand</option>
              <option value="153">Nicaragua</option>
              <option value="154">Niger</option>
              <option value="155">Nigeria</option>
              <option value="156">Niue</option>
              <option value="157">Norfolk Island</option>
              <option value="159">Northern Mariana Islands</option>
              <option value="160">Norway</option>
              <option value="161">Oman</option>
              <option value="162">Pakistan</option>
              <option value="163">Palau</option>
              <option value="246">Palestine, State of</option>
              <option value="164">Panama</option>
              <option value="165">Papua New Guinea</option>
              <option value="166">Paraguay</option>
              <option value="167">Peru</option>
              <option value="168">Philippines</option>
              <option value="169">Pitcairn</option>
              <option value="170">Poland</option>
              <option value="172">Portugal</option>
              <option value="173">Puerto Rico</option>
              <option value="174">Qatar</option>
              <option value="175">Réunion</option>
              <option value="176">Romania</option>
              <option value="177">Russian Federation</option>
              <option value="178">Rwanda</option>
              <option value="254">Saint Barthélemy</option>
              <option value="180">Saint Helena, Ascension and Tristan da Cunha</option>
              <option value="181">Saint Kitts and Nevis</option>
              <option value="182">Saint Lucia</option>
              <option value="255">Saint Martin (French part)</option>
              <option value="183">Saint Pierre and Miquelon</option>
              <option value="185">Saint Vincent and the Grenadines</option>
              <option value="186">Samoa</option>
              <option value="187">San Marino</option>
              <option value="184">Sao Tome and Principe</option>
              <option value="188">Saudi Arabia</option>
              <option value="189">Senegal</option>
              <option value="256">Serbia</option>
              <option value="190">Seychelles</option>
              <option value="191">Sierra Leone</option>
              <option value="192">Singapore</option>
              <option value="245">Sint Maarten (Dutch part)</option>
              <option value="193">Slovakia</option>
              <option value="194">Slovenia</option>
              <option value="195">Solomon Islands</option>
              <option value="196">Somalia</option>
              <option value="197">South Africa</option>
              <option value="179">South Georgia and the South Sandwich Islands</option>
              <option value="243">South Sudan</option>
              <option value="199">Spain</option>
              <option value="200">Sri Lanka</option>
              <option value="201">Sudan</option>
              <option value="202">Suriname</option>
              <option value="203">Svalbard and Jan Mayen</option>
              <option value="204">Swaziland</option>
              <option value="205">Sweden</option>
              <option value="206">Switzerland</option>
              <option value="207">Syrian Arab Republic</option>
              <option value="209">Taiwan (Province of China)</option>
              <option value="208">Tajikistan</option>
              <option value="210">Tanzania, United Republic of</option>
              <option value="211">Thailand</option>
              <option value="60">Timor-Leste</option>
              <option value="212">Togo</option>
              <option value="213">Tokelau</option>
              <option value="214">Tonga</option>
              <option value="215">Trinidad and Tobago</option>
              <option value="216">Tunisia</option>
              <option value="217">Turkey</option>
              <option value="218">Turkmenistan</option>
              <option value="219">Turks and Caicos Islands</option>
              <option value="220">Tuvalu</option>
              <option value="221">Uganda</option>
              <option value="222">Ukraine</option>
              <option value="223">United Arab Emirates</option>
              <option value="83">United Kingdom of Great Britain and Northern Ireland</option>
              <option value="226">United States Minor Outlying Islands</option>
              <option value="225">Uruguay</option>
              <option value="227">Uzbekistan</option>
              <option value="228">Vanuatu</option>
              <option value="230">Venezuela (Bolivarian Republic of)</option>
              <option value="231">Viet Nam</option>
              <option value="232">Virgin Islands (British)</option>
              <option value="233">Virgin Islands (U.S.)</option>
              <option value="234">Wallis and Futuna</option>
              <option value="235">Western Sahara*</option>
              <option value="236">Yemen</option>
              <option value="239">Zambia</option>
              <option value="240">Zimbabwe</option>
            </select>
            <div id="payment.card.address.country_feedback" class="invalid-feedback"></div>
          </div><!---->
        </div>
        <div id="'payment'+'_feedback'" class="invalid-feedback"></div>
      </div>
      <div class="col-md-12 neonfront_element">
        <div class="row gx-1 gy-2"><!---->
          <div class="col-auto" style="margin-right: 14px;"><button type="button" class="btn neonfront-btn-primary btn-lg" style="display: none;">Donate Now</button><button class="btn neonfront-btn-primary btn-lg" type="button" disabled=""
              style="display: none;"> Processing&nbsp; <span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span></button></div>
          <div class="col" style="display: none;"><button type="button" class="btn neonfront-btn-primary neonfront-btn-paypal btn-lg"></button><button class="btn neonfront-btn-primary btn-lg" type="button" disabled="" style="display: none;">
              Processing&nbsp; <span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span></button></div>
          <div class="col" style="display: none;"><button type="button" class="btn neonfront-btn-primary btn-lg">Pay Later </button><button class="btn neonfront-btn-primary btn-lg" type="button" disabled="" style="display: none;"> Processing&nbsp;
              <span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span></button></div>
          <div class="col">
            <div class="neonfront-recurring-amount neonfront-recurring-amount-single"><label class="form-label mb-0">Amount:</label>
              <div class="amount-content"><span class="amount">$86.90<span>/</span><span class="fs-625">month</span><span class="form-label fs-625" style="font-size: 0.625rem !important;"> USD</span></span></div>
              <div class="fee-content">(<span>87.80</span><span> USD</span> for AMEX cards)</div>
            </div>
          </div>
        </div>
      </div>
      <div class="col-md-12 neonfront_element">
        <div class="re-captcha-policy-border"><i class="fal fa-lock"></i> &nbsp;&nbsp;&nbsp;Secure Payment </div>
        <div class="re-captcha-policy"> This site is protected by reCAPTCHA and the Google <a href="https://policies.google.com/privacy">Privacy Policy</a> and <a href="https://policies.google.com/terms">Terms of Service</a> apply. </div>
      </div>
    </div>
  </div>
</form>

Name: _xclickPOST

<form id="paypal_xclick" name="_xclick" method="post" class="d-none"></form>

Text Content

upLoading...

   
 * Login

OH NO, YOUR PAYMENT FAILED



Donate OnceDonate Monthly

$18.00
$36.00
$118.00
$365.00
$1,000.00
$1,800.00
$10.00
$18.00
$36.00
$84.00
$118.00
Other Amount
Other Amount
Other Amount *
USD



Campaign2023 Regular Campaign

PurposeAcharai ProgramBBYOBirthright BusDomestic ProgramsFire Fund - 2010France
Emergency FundHebrew Free Loan ProgramHillel @ UNLVHillel @ UNRHolocaust Ed.
Task ForceHolocaust StudiesHurricane ReliefIndigent Burial FundIsrael Emergency
FundIsrael Philharmonic OrchestraIsrael ProgramsIsrael Religous Action CenterJCC
of SNVJDC - Cuba Chicken DinnerJDC - Cuba Sephardic TempleJFSA - SNVKibbutzim
CollegeMetro Police - Israeli MissionPhilipine Relief FundPJ LibraryRamat
HaNegevScholarshipsSecurityShlichut ProgramSoft CreditTikvot, IsraelUNR
HillelNorthern NV

Dedicate my donation in honor or in memory of someone

Type
Honor
Memory


Tribute Name

I would like to send an acknowledgment to someone.

Acknowledgee Name is the same as the Recipient.


Purpose of this donation/additional notes


Your information

First Name *

Last Name *

Submit as a company

Company Name

Email

Address Line 1
HomeWorkSchoolOtherE-MailFormerFormer HomeFormer BusinesskeepUnknown



Address Line 2

City

State/ProvinceAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict
of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingAmerican SamoaFederated States of MicronesiaGuamMarshall
IslandsNorthern Mariana IslandsPalauPuerto RicoU.S. Minor Outlying IslandsVirgin
IslandsArmed Forces AmericasArmed Forces Europe, the Middle East, anArmed Forces
PacificAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova
ScotiaNorthwest TerritoriesNunavut TerritoryOntarioPrince Edward
IslandQuebecSaskatchewanYukon Territory

Zip/Postal Code

CountryUnited States of AmericaCanadaAfghanistanÅland
IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia
(Plurinational State of)Bonaire, Sint Eustatius and SabaBosnia and
HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei
DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCayman
IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCongoCongo (the Democratic Republic of the)Cook
IslandsCosta RicaCôte
d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican
RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland
Islands [Malvinas]Faroe IslandsFijiFinlandFranceFrench GuianaFrench
PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald IslandsHoly SeeHondurasHong
KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (the
Democratic People's Republic of)Korea (the Republic of)KuwaitKyrgyzstanLao
People's Democratic
RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia
(the former Yugoslav Republic
of)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States
of)Moldova (the Republic
of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana
IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena,
Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin
(French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan
MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra
LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon
IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth
SudanSpainSri LankaSudanSurinameSvalbard and Jan
MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan (Province of
China)TajikistanTanzania, United Republic
ofThailandTimor-LesteTogoTokelauTongaTrinidad and
TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited
Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States
Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuela (Bolivarian Republic
of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern
Sahara*YemenZambiaZimbabwe


Payment Details
Apple Pay and Google Pay are not currently accepted.

Card
I want to make an additional donation to cover online processing fees, so that
my entire contribution goes to Jewish Nevada (Jewish Federation of Las Vegas).
($2.90)
Processing 
or enter your card details below
  Pay With Card
Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

Billing address is the same as mailing address
Address Line 1

Address Line 2

City

State/Province
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingAmerican SamoaFederated States of MicronesiaGuamMarshall
IslandsNorthern Mariana IslandsPalauPuerto RicoU.S. Minor Outlying IslandsVirgin
IslandsArmed Forces AmericasArmed Forces Europe, the Middle East, anArmed Forces
PacificAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova
ScotiaNorthwest TerritoriesNunavut TerritoryOntarioPrince Edward
IslandQuebecSaskatchewanYukon Territory

Zip *

Country United States of AmericaCanadaAfghanistanÅland
IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia
(Plurinational State of)Bonaire, Sint Eustatius and SabaBosnia and
HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei
DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCayman
IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCongoCongo (the Democratic Republic of the)Cook
IslandsCosta RicaCôte
d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican
RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland
Islands [Malvinas]Faroe IslandsFijiFinlandFranceFrench GuianaFrench
PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald IslandsHoly SeeHondurasHong
KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (the
Democratic People's Republic of)Korea (the Republic of)KuwaitKyrgyzstanLao
People's Democratic
RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia
(the former Yugoslav Republic
of)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States
of)Moldova (the Republic
of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana
IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena,
Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin
(French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan
MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra
LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon
IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth
SudanSpainSri LankaSudanSurinameSvalbard and Jan
MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan (Province of
China)TajikistanTanzania, United Republic
ofThailandTimor-LesteTogoTokelauTongaTrinidad and
TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited
Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States
Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuela (Bolivarian Republic
of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern
Sahara*YemenZambiaZimbabwe


Donate Now Processing 
Processing 
Pay Later Processing 
Amount:
$86.90/month USD
(87.80 USD for AMEX cards)
   Secure Payment
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of
Service apply.


BE A DONOR

Invest in your community. 

Our priorities are keeping our community safe, continuing to invest in Holocaust
education and survivor support,creating meaningful leadership development for
the next generation of leaders, engaging our community throughmore opportunities
to connect, providing even more support to the Northern Nevada community,
helping even morehomebound seniors, and strengthening our commitment to, and
connection with, Israel. 

And it all starts with you. Thank you.

Every dollar you give today is put to work right away - giving monthly is the
most effective way to invest inyour community year-round. Your monthly gift
creates a reliable source of funding for Jewish Nevada -and the partners who
depend on your investment. Please make sure to choose the monthly recurring
option below.

Jewish Nevada is a 501(c)(3) tax exempt organization. EIN 88-0098500. 
Please consult your tax professional.

Apple Pay and Google Pay are currently not accepted. 


Privacy Statement | Terms of Service

Your email has been submitted. If that email address exists in our system, you
should receive a recovery information email shortly. If you do not receive an
email, please check your spam folder. If you still don't receive an email, then
there is no account associated with the submitted email address.
Log in to your existing account
Login Name:
Password:
Log In
Forgot your password?
Enter the e-mail address associated with your account and we'll send you a link
to recover your login information.
Email:
Recover Account