event.bloodylongwalk.com.au
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3.104.153.229
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Submitted URL: http://blwlk.co/c/i
Effective URL: https://event.bloodylongwalk.com.au/fundraisers/timi?utm_source=sms&utm_medium=mobile&utm_campaign=blw_fundraising_canberra_event
Submission: On November 20 via manual from AU — Scanned from AU
Effective URL: https://event.bloodylongwalk.com.au/fundraisers/timi?utm_source=sms&utm_medium=mobile&utm_campaign=blw_fundraising_canberra_event
Submission: On November 20 via manual from AU — Scanned from AU
Form analysis 2 forms found in the DOM
/sponsor/canberra
<form class="navbar-form" action="/sponsor/canberra">
<div class="input-group">
<input type="text" name="kw" id="header_kw" placeholder="Find a friend" class="form-control" aria-label="Find a friend">
<span class="btn input-group-btn">
<button type="submit" class="btn btn-primary" aria-label="Search"><i class="fa fa-search" aria-hidden="true"></i></button>
</span>
</div>
</form>POST https://event.bloodylongwalk.com.au/sponsor/fundraiser/timi/canberra
<form method="post" class="form-horizontal funraisin-form " id="ProfileDonationForm" action="https://event.bloodylongwalk.com.au/sponsor/fundraiser/timi/canberra" novalidate="novalidate">
<input type="hidden" name="CSRFToken" value="12e4c77e1c5685a154f880dd74c0ee1e">
<input type="hidden" name="mandatory" id="mandatory" value="d_receipt,d_fname,d_lname,d_email,payment_method,d_amount">
<input type="hidden" name="token" id="token">
<input type="hidden" name="payment_intent_id" id="payment_intent_id">
<input type="hidden" name="card_brand" id="card_brand">
<input type="hidden" name="card_country" id="card_country">
<input type="hidden" name="donation_frequency" id="donation_frequency">
<input type="hidden" name="donation_period" id="donation_period">
<input type="hidden" name="d_amount" id="d_amount" value="65.1678">
<input type="hidden" name="d_amount_sel" id="d_amount_sel" value="60">
<input type="hidden" name="d_fee" id="d_fee" value="5.1678">
<input type="hidden" name="initial_amount" id="initial_amount" value="60">
<input type="hidden" name="is_profile_donation" id="is_profile_donation" value="Y">
<input type="hidden" name="d_photo" id="d_photo" value="">
<input type="hidden" name="fbuser_id" id="fbuser_id" value="">
<input type="hidden" name="fbuser_pic" id="fbuser_pic" value="">
<input type="hidden" name="event_id" id="event_id" value="82">
<script src="https://www.google.com/recaptcha/api.js?render=6LcRk6wiAAAAAGOEdmleADO3FswH3LSDNeuQ2zHs"></script>
<input type="hidden" name="g-recaptcha-response" id="g-recaptcha-response">
<div class="sidebar-form-panel text-center active" id="chooseamount">
<h4>
<strong>Select amount to donate</strong>
</h4>
<div class="donationHandlers horizontal">
<div class="col-sm-6 handleHorizontal">
<div class="radio no-image no-text">
<a class="radio-amount" data-rel="35" tabindex="0" aria-label="$35" role="button" aria-pressed="false" onkeydown="handleBtnKeyDown(event)">
<span class="radio-wrap">
<span class="amount-wrap"><span class="amount">$35</span></span>
</span>
</a>
<div class="clear"></div>
</div>
</div>
<div class="col-sm-6 handleHorizontal">
<div class="radio selected no-image no-text">
<a class="radio-amount" data-rel="60" tabindex="0" aria-label="$60" role="button" aria-pressed="true" onkeydown="handleBtnKeyDown(event)">
<span class="radio-wrap">
<span class="amount-wrap"><span class="amount">$60</span></span>
</span>
</a>
<div class="clear"></div>
</div>
<script>
$(document).ready(function() {
$('#d_amount,#initial_amount,#d_amount_sel').val(60);
calculateDonation();
});
</script>
</div>
<div class="col-sm-6 handleHorizontal">
<div class="radio no-image no-text">
<a class="radio-amount" data-rel="120" tabindex="0" aria-label="$120" role="button" aria-pressed="false" onkeydown="handleBtnKeyDown(event)">
<span class="radio-wrap">
<span class="amount-wrap"><span class="amount">$120</span></span>
</span>
</a>
<div class="clear"></div>
</div>
</div>
<div class="col-sm-6 handleHorizontal">
<div class="radio no-image no-text">
<a class="radio-amount" data-rel="350" tabindex="0" aria-label="$350" role="button" aria-pressed="false" onkeydown="handleBtnKeyDown(event)">
<span class="radio-wrap">
<span class="amount-wrap"><span class="amount">$350</span></span>
</span>
</a>
<div class="clear"></div>
</div>
</div>
<script>
function toggleBtn(ele) {
$('.radio-amount').attr('aria-pressed', 'false');
ele.setAttribute("aria-pressed", "true");
$(ele).parent().trigger('click');
}
function handleBtnKeyDown(event) {
// Check to see if space or enter were pressed
if (event.key === " " || event.key === "Enter" || event.key === "Spacebar") { // "Spacebar" for IE11 support
// Prevent the default action to stop scrolling when space is pressed
event.preventDefault();
toggleBtn(event.target);
}
}
$(window).on('load', function() {
$('.radio-image').each(function() {
$(this).height($(this).parent().parent().find('.copy').outerHeight());
});
});
$('.radio').click(function() {
$('#d_amount,#initial_amount').val($(this).find('.radio-amount').attr('data-rel'));
$('#d_amount_sel').val($(this).find('.radio-amount').attr('data-rel'));
//$('.amountdonating').html($(this).find('.radio-amount').attr('data-rel'));
calculateDonation();
positionform();
showPersonalPanel();
if ($('.radio').hasClass('selected') || $('#d_amount_free').val() != "") {
$.post('/profile/trackfees', {
'action': 'change',
'amount': $('#d_amount').val(),
'fee': $('#d_fee').val()
}, function() {});
} else {
$.post('/profile/trackfees', {
'action': 'set',
'amount': $('#d_amount').val(),
'fee': $('#d_fee').val()
}, function() {});
}
$('#d_amount_free').val('');
$('.radio').removeClass('selected');
$(this).addClass('selected');
return false;
});
</script>
</div>
<div id="OwnAmount">
<h4>
<strong>Or enter an amount</strong>
</h4>
<div class="form-group">
<div class="col-xs-3 col-3"></div>
<div class="col-xs-6 col-6">
<div class="input-group">
<span class="input-group-addon bg-primary">$</span>
<input class="form-control" type="text" name="d_amount_free" id="d_amount_free" onfocus="$('#d_amount,#initial_amount').val('');$('input[name=d_amount_sel]').attr('checked',false);" onkeyup="RemoveJunk(this,'nofloat','');"
autocomplete="off" aria-label="Or enter an amount">
</div>
</div>
</div>
</div>
<div class="form-group text-center">
<div class="col-sm-12">
<a href="javascript:;" class="btn btn-tertiary btn-next btn-block" rel="personaldetails">Donate</a>
</div>
</div>
</div>
<div class="sidebar-form-panel" id="personaldetails">
<div class="col-md-12">
<script>
function receiptKeydown(event) {
// Check to see if space or enter were pressed
if (event.key === " " || event.key === "Enter" || event.key === "Spacebar") { // "Spacebar" for IE11 support
// Prevent the default action to stop scrolling when space is pressed
event.preventDefault();
$(event.target).trigger('click');
$('#d_receipt_container .toggle-btn').attr('aria-pressed', 'false');
event.target.setAttribute("aria-pressed", "true");
}
}
</script>
<div class="text-center Mandatory toggle-switch form-group">
<div class="col-xs-12">
<label class="bg-primary border-primary col-xs-6 toggle-btn"
onclick="$('#OrganisationInfo').slideUp(300);$('#mandatory').val($('#mandatory').val().replace(',d_organisation',''));$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');$('.giftAidBlock').visibleIn();"
role="button" aria-pressed="true" tabindex="0" onkeydown="receiptKeydown(event)">
<input type="radio" name="d_receipt" value="personal" checked="checked"> Personal Donation </label>
<label class="col-xs-6 toggle-btn"
onclick="$('#OrganisationInfo').slideDown(300);$('#mandatory').val($('#mandatory').val() +',d_organisation');$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');$('#gift_aid').attr('checked',false);$('.giftAidBlock').visibleOut();"
role="button" aria-pressed="false" tabindex="0" onkeydown="receiptKeydown(event)">
<input type="radio" name="d_receipt" value="business"> Company Donation </label>
</div>
</div>
</div>
<div class="col-md-12">
<div class="form-group" style="display:none;" id="OrganisationInfo">
<label class="col-sm-12">Organisation Name *</label>
<div class="col-sm-12">
<input type="text" class="form-control" name="d_organisation" id="d_organisation" value="" autocomplete="organization">
</div>
</div>
</div>
<div class="col-md-6 Mandatory">
<div class="form-group">
<label class="col-sm-12" for="d_fname">First Name*</label>
<div class="col-sm-12">
<input type="text" class="form-control" name="d_fname" id="d_fname" value="" autocomplete="given-name">
</div>
</div>
</div>
<div class="col-md-6 Mandatory">
<div class="form-group">
<label class="col-sm-12" for="d_lname">Last Name*</label>
<div class="col-sm-12">
<input type="text" class="form-control" name="d_lname" id="d_lname" value="" autocomplete="family-name">
</div>
</div>
</div>
<div class="col-md-12 Mandatory">
<div class="form-group">
<label class="col-sm-12" for="d_email">Email Address*</label>
<div class="col-sm-12">
<input type="text" class="form-control" name="d_email" id="d_email" value="" autocomplete="email">
</div>
</div>
</div>
<div class="col-md-6 Mandatory">
<div class="form-group">
<label class="col-sm-12" for="d_phone_mobile">Mobile </label>
<div class="col-sm-12">
<input type="text" class="form-control" name="d_phone_mobile" id="d_phone_mobile" value="" autocomplete="tel">
</div>
</div>
</div>
<div class="col-md-12">
<div class="height-10"></div>
<div class="text-center toggle-switch form-group">
<div class="col-xs-12">
<label class="bg-primary border-primary col-xs-6 toggle-btn" onclick="$('.d_comment').slideDown(300);$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');">
<input type="radio" name="d_leave_message" value="Y" checked="checked"> Leave a message </label>
<label class="col-xs-6 toggle-btn" onclick="$('.d_comment').slideUp(300);$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');">
<input type="radio" name="d_leave_message" value="N"> No Message </label>
</div>
</div>
<div class="height-20"></div>
<div class="form-group d_comment">
<label class="col-sm-12" for="d_comments">Message to Tim I (Optional)</label>
<div class="col-sm-12">
<textarea class="form-control" name="d_comments" id="d_comments" rows="4" cols="30"></textarea>
</div>
</div>
<div class="form-group d_comment">
<label class="col-sm-12" for="d_display_name">Name to appear on page</label>
<div class="col-sm-12">
<input class="form-control" type="text" name="d_display_name" id="d_display_name" autocomplete="name">
</div>
</div>
<div class="form-group">
<div class="col-sm-12">
<input type="checkbox" name="d_anonymous" value="Y" aria-label="I'd like to remain anonymous to the fundraiser"> <span style="font-size:86%;">I'd like to remain anonymous to the fundraiser</span>
</div>
</div>
<div class="height-20"></div>
<div class="form-group text-center">
<div class="col-sm-12">
<a href="javascript:;" class="btn btn-tertiary btn-next btn-block" rel="paymentdetails" id="personaldetailsbutton">Next</a>
</div>
</div>
</div>
</div>
<div class="sidebar-form-panel col-sm-12" id="paymentdetails">
<p id="error" class="text-center error" style="display:none">
<b></b>
</p>
<div class="text-center toggle-switch form-group">
<div class="col-xs-12">
<label class="bg-primary border-primary col-xs-6 toggle-btn"
onclick="$('.creditcard').removeClass('hidden');$('.eft').addClass('hidden');$('.creditcard').visibleIn();$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');">
<input type="radio" name="payment_method" value="credit card" checked="checked"> Credit Card </label>
</div>
</div>
<div class="row creditcard">
<div class="form-group">
<label class="col-sm-12" for="card_name">Name on Card</label>
<div class="col-sm-12">
<input class="form-control" type="text" name="card_name" id="card_name" data-stripe="name" autocomplete="cc-name" x-autocompletetype="cc-name">
</div>
</div>
</div>
<div class="row creditcard">
<div class="form-group">
<label class="col-sm-12" for="card_number">Card Number</label>
<div class="col-sm-12">
<input class="form-control" type="text" id="card_number" name="card_number" data-eway-encrypt-name="EWAY_CARDNUMBER" data-braintree-name="number" data-stripe="number" autocomplete="cc-number" x-autocompletetype="cc-number">
</div>
</div>
</div>
<div class="row creditcard">
<div class="form-group">
<label class="col-sm-12">Card Expiry</label>
<div class="col-sm-6">
<input class="form-control" type="text" id="card_expiry_month" name="card_expiry_month" maxlength="2" placeholder="MM" data-braintree-name="expiration_month" data-stripe="exp_month" aria-label="card_expiry_month">
</div>
<div class="col-sm-6">
<input class="form-control" type="text" id="card_expiry_year" name="card_expiry_year" maxlength="2" placeholder="YY" data-braintree-name="expiration_year" data-stripe="exp_year" aria-label="card_expiry_year">
</div>
</div>
</div>
<div class="row">
<div class="form-group">
<label class="col-sm-8 creditcard" for="card_cvv">CVV Number</label>
<label class="col-xs-4">Donation</label>
<div class="clear"></div>
<div class="col-xs-4 creditcard">
<input class="form-control" type="text" id="card_cvv" name="card_cvv" value="" maxlength="4" data-eway-encrypt-name="EWAY_CARDCVN" data-braintree-name="cvv" data-stripe="cvc" autocomplete="off">
</div>
<div class="col-xs-4 creditcard">
<img src="/funraisin.4.1/images/cvv.png" style="width:55px;margin-top:-10px;">
</div>
<div class="col-sm-4">
<span class="currency">$</span><span class="amountdonating">60.00</span>
</div>
</div>
</div>
<div class="row">
<div class="form-group">
<div class="col-sm-12" style="font-size:85%;">
<input type="checkbox" name="d_optin_fees" id="d_optin_fees" value="Y" checked="checked"> I'd like to add a little extra to help cover fees. <span id="amountfees">This will add $5.17 to your donation.</span>
</div>
</div>
</div>
<div class="form-group text-center">
<div class="col-sm-12">
<button type="submit" class="btn btn-tertiary btn-block"><span>Donate Now</span></button>
</div>
</div>
</div><!-- end panel //-->
</form>Text Content
* Home * * * Event Info+ * Entry Fees * Course Map * Rewards * Resources * Register * Donate Login * * Login * * Event Info * Entry Fees * Course Map * Rewards * Resources * Register * Donate Login TIM I I am walking 35km to cure mito Treading water PLEASE HELP ME REACH MY GOAL RAISED $60 MY GOAL $350 * $ * * SELECT AMOUNT TO DONATE $35 $60 $120 $350 OR ENTER AN AMOUNT $ Donate Personal Donation Company Donation Organisation Name * First Name* Last Name* Email Address* Mobile Leave a message No Message Message to Tim I (Optional) Name to appear on page I'd like to remain anonymous to the fundraiser Next Credit Card Name on Card Card Number Card Expiry CVV Number Donation $60.00 I'd like to add a little extra to help cover fees. This will add $5.17 to your donation. Donate Now I'M WALKING 35KM TO CURE MITO IN THE BLOODY LONG WALK! I'm walking 35km in The Bloody Long Walk to help Australians living with mitochondrial disease. That’s 46,200 steps in one day! I know I’ll cross the finish line exhausted and blistered, but that’s nothing compared to what people with mitochondrial disease (mito) go through every day of their lives. Mito robs the body’s cells of energy, causing multiple organ dysfunction or failure. It can affect anyone at any age. Please sponsor my walk to fund research into desperately needed treatments and cures for this devastating disease. Every dollar will make a difference! My 35km walk will be bloody tough, but with your support, I know I can do it. THANK YOU! MY ACHIEVEMENTS THANK YOU TO MY SPONSORS $60 MICHAEL T Don't let Greg beat you OUR TEAM MEMBERS GREG L (C) Raised so far $128.01 TIM I Raised so far $60.00 ABOUT MITO FOUNDATION Mito Foundation supports people affected by mitochondrial disease (mito), funds essential research into the prevention, diagnosis, treatment and cures of mitochondrial disorders, and increases awareness and education about this devastating disease.