givenow.lls.org
Open in
urlscan Pro
2606:4700::6812:7115
Public Scan
Submitted URL: http://click.e.lls.org/?qs=fe9ac5f5fb303375e081d0a525b6085c665afa6c6fa4c52d0c83f04bc25cd8367af1797f4c62079688360492999e...
Effective URL: https://givenow.lls.org/give/342076/?utm_source=sfmc&utm_medium=email&utm_campaign=Amanda_20221228_National&utm_id=32795...
Submission: On December 28 via api from US — Scanned from DE
Effective URL: https://givenow.lls.org/give/342076/?utm_source=sfmc&utm_medium=email&utm_campaign=Amanda_20221228_National&utm_id=32795...
Submission: On December 28 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMName: FORM —
<form name="FORM" novalidate="novalidate" data-ng-submit="submit()"
class="donation-block_form ng-invalid ng-invalid-required ng-valid-email-address ng-valid-phone-number ng-valid-pattern ng-valid-minlength ng-valid-maxlength ng-dirty ng-valid-parse ng-valid-min ng-valid-max ng-modified"
data-sc-broadcast-form-errors="">
<!-- Honeypot -->
<input type="hidden" data-ng-model="MODEL.z" autocomplete="off" class="ng-pristine ng-untouched ng-valid ng-empty ng-not-modified">
<!-- Components -->
<!-- ngRepeat: component in list.components | filter:{section:'main'} | orderBy:'order' -->
<section class="block-component ng-scope" data-ng-repeat="component in list.components | filter:{section:'main'} | orderBy:'order'">
<!-- ngInclude: component.templateUrl -->
<div data-ng-include="component.templateUrl" class="ng-scope">
<section class="donation-welcome ng-scope" data-ng-controller="frsDonationWelcomeCtrl">
<div class="logo-container"><a href="https://www.lls.org/"><img src="https://classy-prod-assets.s3.amazonaws.com/_marketing/o33874/Leukemia_Lymphoma_Society_Logo.jpeg"></a></div>
<div data-sc-filler-text="{
fontBase: 16,
fontRatio: 14
}" data-title-container="'.donation-welcome_container'" data-parent-container="'.donation-welcome_container'" class="ng-isolate-scope">
<div class="donation-welcome_container">
<div class="sr-only">
<!-- ngIf: META.errorList.length -->
<!-- ngRepeat: error in META.errorList -->
</div>
<!-- ngIf: !editable && !isPreview() -->
<h1 class="donation-welcome_title ng-binding ng-scope" data-ng-if="!editable && !isPreview()" data-ng-bind-html="trustedBlockHeadlineHtml">
<p style="font-size: 40px;">DOUBLE YOUR IMPACT.<br>Your gift will be matched </p>
<div id="appeal-right"><a rel="nofollow" href="https://classy.org/give/299329/#!/donation/checkout">Donar</a>
<p id="required-fields"><span>Required fields*</span></p>
<div id="appeal-right_mobile"><a rel="nofollow" href="https://givenow.lls.org/give/299329/#!/donation/checkout">Donar</a></div>
<p></p>
</div>
</h1><!-- end ngIf: !editable && !isPreview() -->
<!-- ngIf: !editable && isPreview() -->
<!-- ngIf: editable && !getLock('headline') -->
<!-- ngIf: editable && getLock('headline') -->
<!-- Appeal -->
<!-- ngIf: !editable -->
<div class="donation-welcome_description ng-scope" data-ng-if="!editable" sc-allow-html="block.description | scImgAssetRef | userLinks" sc-responsive-video="">
<p><span style="font-size: 18px;">To donate via bitcoin or other crypto currencies, please click <a rel="nofollow" href="https://www.lls.org/ways-to-donate/donate-crypto" target="_self"><strong>here</strong></a>.</span></p>
</div><!-- end ngIf: !editable -->
<!-- ngIf: editable && !getLock('description') -->
<!-- ngIf: editable && getLock('description') -->
</div>
</div>
</section>
</div>
</section><!-- end ngRepeat: component in list.components | filter:{section:'main'} | orderBy:'order' -->
<section class="block-component ng-scope" data-ng-repeat="component in list.components | filter:{section:'main'} | orderBy:'order'">
<!-- ngInclude: component.templateUrl -->
<div data-ng-include="component.templateUrl" class="ng-scope">
<section class="donation-amount ng-scope" data-ng-controller="frsDonationAmountCtrl">
<!-- ngIf: preventRecurringFrequency -->
<!-- ngIf: show.levels() && !displayRecurringExperiment() && preventRecurringFrequency -->
<!-- ngIf: !displayRecurringExperiment() && preventRecurringFrequency -->
<!-- ngIf: displayRecurringExperiment() && preventRecurringFrequency -->
<!-- ngIf: !preventRecurringFrequency --><donation-amount-recurring-rf ng-if="!preventRecurringFrequency" donation-context="CONTEXT" frequency="MODEL.frequency" setting-page-frequency="MODEL.frequency"
frequency-levels="DonationBlock.current['recurring-level']" levels="state.levels" recurring-donation-levels="state.recurringDonationLevels" recur_until="MODEL.recur_until" amount="MODEL.items[0].raw_final_price"
previous-frequency-price="MODEL.items[0].previous_frequency_price" new-amount="MODEL.items[0].raw_final_price" preview="globalState.isPreview" currency="MODEL.payment.raw_currency_code"
class="ng-scope ng-isolate-scope"><!-- **** New RF changes phase 2 **** -->
<div id="custom-recurring">
<p id="monthly-cta-text">Is this a monthly gift?</p>
<div class="recurring-buttons"><button id="recur-yes" type="button" value="Button" class="inactive-button">Yes</button><button id="recur-no" type="button" value="Button" class="active-button">No</button></div>
<span class="fa fa-question-circle help-popover" data-toggle="popover" data-trigger="hover" data-placement="top"
data-content="Make this a monthly gift. Your recurring monthly donation will continue until the credit card expires or the PayPal payment is invalid."></span>
</div>
<div class="donation-amount-recurring">
<!-- FREQUENCY TOGGLE-->
<!-- ngIf: !$ctrl.preventOldrfForDeque && !$ctrl.onlyReccurringFrequency($ctrl.frequencyLevels) && $ctrl.recurringLevels($ctrl.frequencyLevels).length > 0 -->
<div data-ng-init="$ctrl.showFreqDropdown()" data-ng-if="!$ctrl.preventOldrfForDeque && !$ctrl.onlyReccurringFrequency($ctrl.frequencyLevels) && $ctrl.recurringLevels($ctrl.frequencyLevels).length > 0"
class="donation-amount-recurring__switch rf ng-scope" role="radiogroup" aria-label="Select a donation frequency">
<div data-ng-click="$ctrl.selectFrequency('one-time'); $ctrl.showFreqDropdown('one-time'); $ctrl.isRecurringFrequency($event)" data-ng-keypress="$ctrl.selectFrequency('one-time',$event); $ctrl.isRecurringFrequency($event)"
data-ng-mouseover="$ctrl.hoverFrequencyStyle('one-time',true)" data-ng-mouseout="$ctrl.hoverFrequencyStyle('one-time',false)" class="donation-amount-recurring__btn once hover-state_one-time selected" _spec="one-time" tabindex="0"
data-ng-class="{'selected': $ctrl.frequency === 'one-time'}" data-ng-style="$ctrl.oneTimeBtnStyle('one-time')" style="background-color: rgb(204, 0, 0); color: rgb(255, 255, 255); border: 2px solid rgb(204, 0, 0);">
<label for="donation-amount-recurring__radio-input" class="donation-amount-recurring__btn__frequency-label">
<input type="radio" id="donation-amount-recurring__radio-input" role="radio" tabindex="-1" name="donation-frequency" class="donation-amount-recurring__btn__frequency-input" aria-checked="true">One time </label>
</div>
<div data-ng-click="$ctrl.selectFrequency($ctrl.frequency); $ctrl.showFreqDropdown($ctrl.recurringBtnText()); $ctrl.isRecurringFrequency($event)"
data-ng-keypress="$ctrl.selectFrequency($ctrl.recurringBtnText(),$event); $ctrl.isRecurringFrequency($event)" data-ng-mouseover="$ctrl.hoverFrequencyStyle('recurring',true)"
data-ng-mouseout="$ctrl.hoverFrequencyStyle('recurring',false)" class="donation-amount-recurring__btn monthly hover-state_recurring" _spec="recurring" tabindex="0"
data-ng-class="{'selected': $ctrl.recurringBtnSelected($ctrl.frequency)}" data-ng-style="$ctrl.recurringBtnStyle($ctrl.frequency)" style="background-color: rgb(255, 255, 255); color: rgb(204, 0, 0); border: 2px solid rgb(204, 0, 0);">
<label for="donation-amount-monthly__radio-input" class="donation-amount-recurring__btn__frequency-label ng-binding">
<input type="radio" role="radio" id="donation-amount-monthly__radio-input" name="donation-frequency" tabindex="-1" class="donation-amount-recurring__btn__frequency-input" aria-checked="false"> recurring </label>
</div>
</div><!-- end ngIf: !$ctrl.preventOldrfForDeque && !$ctrl.onlyReccurringFrequency($ctrl.frequencyLevels) && $ctrl.recurringLevels($ctrl.frequencyLevels).length > 0 -->
<!-- FREQUENCY DROPDOWN PHASE 1-->
<!-- ngIf: $ctrl.preventOldrfForDeque && $ctrl.noOfFrequencyLevel($ctrl.frequencyLevels) !== 1 -->
<!-- FREQUENCY DROPDOWN PHASE 2 -->
<!-- ngIf: !$ctrl.preventOldrfForDeque && ($ctrl.isFreqDropdown || ($ctrl.onlyReccurringFrequency($ctrl.frequencyLevels) && $ctrl.recurringLevels($ctrl.frequencyLevels).length > 1)) -->
<!-- END DATE -->
<!-- ngIf: !$ctrl.preventOldrfForDeque && $ctrl.showRecurringEndDate && $ctrl.frequency !== 'one-time' -->
<!-- ngIf: !$ctrl.showRecurringDonationArray && (!!$ctrl.frequency && ($ctrl.noOfDonationAmount($ctrl.levels) !== 1 || $ctrl.showCustomAmtField($ctrl.levels))) -->
<p data-ng-if="!$ctrl.showRecurringDonationArray && (!!$ctrl.frequency && ($ctrl.noOfDonationAmount($ctrl.levels) !== 1 || $ctrl.showCustomAmtField($ctrl.levels)))" id="amount-options-label" class="ng-scope"> Choose a
<b class="ng-binding">one-time</b> amount</p><!-- end ngIf: !$ctrl.showRecurringDonationArray && (!!$ctrl.frequency && ($ctrl.noOfDonationAmount($ctrl.levels) !== 1 || $ctrl.showCustomAmtField($ctrl.levels))) -->
<!-- ngIf: $ctrl.showRecurringDonationArray && (!!$ctrl.frequency && ($ctrl.noOfDonationAmount($ctrl.recurringDonationLevels) !== 1 || $ctrl.showCustomAmtField($ctrl.recurringDonationLevels))) -->
<!-- IF MULTIPLE AMOUNT DISPLAYED -->
<!-- ngIf: !$ctrl.showRecurringDonationArray && ($ctrl.noOfDonationAmount($ctrl.levels) > 1 || $ctrl.showCustomAmtField($ctrl.levels)) -->
<ul data-ng-if="!$ctrl.showRecurringDonationArray && ($ctrl.noOfDonationAmount($ctrl.levels) > 1 || $ctrl.showCustomAmtField($ctrl.levels))" class="donation-amount-recurring__levels rf ng-scope bb"
aria-labelledby="amount-options-label" role="radiogroup" data-ng-class="{'bb': $ctrl.hasBigButtons, 'multiple-amount-hidden' : $ctrl.noOfDonationAmount($ctrl.levels) === 1 && !$ctrl.showCustomAmtField($ctrl.levels)}">
<!-- ngRepeat: level in $ctrl.levels | filter: ($ctrl.noOfDonationAmount($ctrl.levels) > 1 && { display_on_page: true}) --><!-- ngIf: level.amount !== 'Custom' && $ctrl.noOfDonationAmount($ctrl.levels) !== 1 -->
<li data-ng-if="level.amount !== 'Custom' && $ctrl.noOfDonationAmount($ctrl.levels) !== 1" data-ng-repeat="level in $ctrl.levels | filter: ($ctrl.noOfDonationAmount($ctrl.levels) > 1 && { display_on_page: true})"
data-ng-click="$ctrl.selectAmount(level.displayAmount)" data-ng-keydown="$ctrl.selectAmount(level.displayAmount, $event)" data-ng-mouseover="$ctrl.hoverStyle($index,true)" data-ng-mouseout="$ctrl.hoverStyle($index,false)"
class="donation-amount-recurring__level-item rf hover-state_0 bb" role="radio" tabindex="0" data-ng-class="{'bb': $ctrl.hasBigButtons, 'selected': $ctrl.amount === level.displayAmount && !$ctrl.showCustomAmtSelected}"
data-ng-style="$ctrl.donationLevelStyle(level.displayAmount)" style="color: rgba(0, 0, 0, 0.87); background-color: rgba(204, 0, 0, 0.12); border: none; max-width: 50%;">
<!-- ngIf: !level.loading --><label data-ng-if="!level.loading" for="D-A1000" class="donation-amount-recurring__level-item__amount-label rf ng-binding ng-scope bb" data-ng-class="{'bb': $ctrl.hasBigButtons}">
<input data-ng-model="$ctrl.amount" type="radio" id="D-A1000" role="radio" tabindex="-1" aria-hidden="true" name="donation-amount"
class="donation-amount-recurring__level-item__amount-input rf ng-pristine ng-untouched ng-valid ng-not-empty ng-not-modified bb" data-ng-class="{'bb': $ctrl.hasBigButtons}" aria-checked="false">€1,000
</label><!-- end ngIf: !level.loading -->
<!-- ngIf: level.loading -->
</li>
<!-- end ngIf: level.amount !== 'Custom' && $ctrl.noOfDonationAmount($ctrl.levels) !== 1 --><!-- end ngRepeat: level in $ctrl.levels | filter: ($ctrl.noOfDonationAmount($ctrl.levels) > 1 && { display_on_page: true}) --><!-- ngIf: level.amount !== 'Custom' && $ctrl.noOfDonationAmount($ctrl.levels) !== 1 -->
<li data-ng-if="level.amount !== 'Custom' && $ctrl.noOfDonationAmount($ctrl.levels) !== 1" data-ng-repeat="level in $ctrl.levels | filter: ($ctrl.noOfDonationAmount($ctrl.levels) > 1 && { display_on_page: true})"
data-ng-click="$ctrl.selectAmount(level.displayAmount)" data-ng-keydown="$ctrl.selectAmount(level.displayAmount, $event)" data-ng-mouseover="$ctrl.hoverStyle($index,true)" data-ng-mouseout="$ctrl.hoverStyle($index,false)"
class="donation-amount-recurring__level-item rf hover-state_1 bb" role="radio" tabindex="0" data-ng-class="{'bb': $ctrl.hasBigButtons, 'selected': $ctrl.amount === level.displayAmount && !$ctrl.showCustomAmtSelected}"
data-ng-style="$ctrl.donationLevelStyle(level.displayAmount)" style="color: rgba(0, 0, 0, 0.87); background-color: rgba(204, 0, 0, 0.12); border: none; max-width: 50%;">
<!-- ngIf: !level.loading --><label data-ng-if="!level.loading" for="D-A500" class="donation-amount-recurring__level-item__amount-label rf ng-binding ng-scope bb" data-ng-class="{'bb': $ctrl.hasBigButtons}">
<input data-ng-model="$ctrl.amount" type="radio" id="D-A500" role="radio" tabindex="-1" aria-hidden="true" name="donation-amount"
class="donation-amount-recurring__level-item__amount-input rf ng-pristine ng-untouched ng-valid ng-not-empty ng-not-modified bb" data-ng-class="{'bb': $ctrl.hasBigButtons}" aria-checked="false">€470
</label><!-- end ngIf: !level.loading -->
<!-- ngIf: level.loading -->
</li>
<!-- end ngIf: level.amount !== 'Custom' && $ctrl.noOfDonationAmount($ctrl.levels) !== 1 --><!-- end ngRepeat: level in $ctrl.levels | filter: ($ctrl.noOfDonationAmount($ctrl.levels) > 1 && { display_on_page: true}) --><!-- ngIf: level.amount !== 'Custom' && $ctrl.noOfDonationAmount($ctrl.levels) !== 1 -->
<li data-ng-if="level.amount !== 'Custom' && $ctrl.noOfDonationAmount($ctrl.levels) !== 1" data-ng-repeat="level in $ctrl.levels | filter: ($ctrl.noOfDonationAmount($ctrl.levels) > 1 && { display_on_page: true})"
data-ng-click="$ctrl.selectAmount(level.displayAmount)" data-ng-keydown="$ctrl.selectAmount(level.displayAmount, $event)" data-ng-mouseover="$ctrl.hoverStyle($index,true)" data-ng-mouseout="$ctrl.hoverStyle($index,false)"
class="donation-amount-recurring__level-item rf hover-state_2 bb selected" role="radio" tabindex="0" data-ng-class="{'bb': $ctrl.hasBigButtons, 'selected': $ctrl.amount === level.displayAmount && !$ctrl.showCustomAmtSelected}"
data-ng-style="$ctrl.donationLevelStyle(level.displayAmount)" style="color: rgb(255, 255, 255); background-color: rgb(204, 0, 0); border: none; max-width: 50%;">
<!-- ngIf: !level.loading --><label data-ng-if="!level.loading" for="D-A100" class="donation-amount-recurring__level-item__amount-label rf ng-binding ng-scope bb" data-ng-class="{'bb': $ctrl.hasBigButtons}">
<input data-ng-model="$ctrl.amount" type="radio" id="D-A100" role="radio" tabindex="-1" aria-hidden="true" name="donation-amount"
class="donation-amount-recurring__level-item__amount-input rf ng-pristine ng-untouched ng-valid ng-not-empty ng-not-modified bb" data-ng-class="{'bb': $ctrl.hasBigButtons}" aria-checked="true">€100
</label><!-- end ngIf: !level.loading -->
<!-- ngIf: level.loading -->
</li>
<!-- end ngIf: level.amount !== 'Custom' && $ctrl.noOfDonationAmount($ctrl.levels) !== 1 --><!-- end ngRepeat: level in $ctrl.levels | filter: ($ctrl.noOfDonationAmount($ctrl.levels) > 1 && { display_on_page: true}) --><!-- ngIf: level.amount !== 'Custom' && $ctrl.noOfDonationAmount($ctrl.levels) !== 1 -->
<li data-ng-if="level.amount !== 'Custom' && $ctrl.noOfDonationAmount($ctrl.levels) !== 1" data-ng-repeat="level in $ctrl.levels | filter: ($ctrl.noOfDonationAmount($ctrl.levels) > 1 && { display_on_page: true})"
data-ng-click="$ctrl.selectAmount(level.displayAmount)" data-ng-keydown="$ctrl.selectAmount(level.displayAmount, $event)" data-ng-mouseover="$ctrl.hoverStyle($index,true)" data-ng-mouseout="$ctrl.hoverStyle($index,false)"
class="donation-amount-recurring__level-item rf hover-state_3 bb" role="radio" tabindex="0" data-ng-class="{'bb': $ctrl.hasBigButtons, 'selected': $ctrl.amount === level.displayAmount && !$ctrl.showCustomAmtSelected}"
data-ng-style="$ctrl.donationLevelStyle(level.displayAmount)" style="color: rgba(0, 0, 0, 0.87); background-color: rgba(204, 0, 0, 0.12); border: none; max-width: 50%;">
<!-- ngIf: !level.loading --><label data-ng-if="!level.loading" for="D-A50" class="donation-amount-recurring__level-item__amount-label rf ng-binding ng-scope bb" data-ng-class="{'bb': $ctrl.hasBigButtons}">
<input data-ng-model="$ctrl.amount" type="radio" id="D-A50" role="radio" tabindex="-1" aria-hidden="true" name="donation-amount"
class="donation-amount-recurring__level-item__amount-input rf ng-pristine ng-untouched ng-valid ng-not-empty ng-not-modified bb" data-ng-class="{'bb': $ctrl.hasBigButtons}" aria-checked="false">€47
</label><!-- end ngIf: !level.loading -->
<!-- ngIf: level.loading -->
</li>
<!-- end ngIf: level.amount !== 'Custom' && $ctrl.noOfDonationAmount($ctrl.levels) !== 1 --><!-- end ngRepeat: level in $ctrl.levels | filter: ($ctrl.noOfDonationAmount($ctrl.levels) > 1 && { display_on_page: true}) --><!-- ngIf: level.amount !== 'Custom' && $ctrl.noOfDonationAmount($ctrl.levels) !== 1 --><!-- end ngRepeat: level in $ctrl.levels | filter: ($ctrl.noOfDonationAmount($ctrl.levels) > 1 && { display_on_page: true}) -->
<!-- REMOVE WHEN BIG BUTTONS GO TO ALL ORGS -->
<!-- ngRepeat: level in $ctrl.recurringDonationLevels | filter: { display_on_page: true} --><!-- ngIf: !$ctrl.hasBigButtons && level.amount === 'Custom' && (($ctrl.showCustomAmtField($ctrl.levels) && $ctrl.frequency === 'one-time') || ($ctrl.showCustomAmtField($ctrl.recurringDonationLevels) && $ctrl.frequency !== 'one-time')) --><!-- end ngRepeat: level in $ctrl.recurringDonationLevels | filter: { display_on_page: true} --><!-- ngIf: !$ctrl.hasBigButtons && level.amount === 'Custom' && (($ctrl.showCustomAmtField($ctrl.levels) && $ctrl.frequency === 'one-time') || ($ctrl.showCustomAmtField($ctrl.recurringDonationLevels) && $ctrl.frequency !== 'one-time')) --><!-- end ngRepeat: level in $ctrl.recurringDonationLevels | filter: { display_on_page: true} --><!-- ngIf: !$ctrl.hasBigButtons && level.amount === 'Custom' && (($ctrl.showCustomAmtField($ctrl.levels) && $ctrl.frequency === 'one-time') || ($ctrl.showCustomAmtField($ctrl.recurringDonationLevels) && $ctrl.frequency !== 'one-time')) --><!-- end ngRepeat: level in $ctrl.recurringDonationLevels | filter: { display_on_page: true} --><!-- ngIf: !$ctrl.hasBigButtons && level.amount === 'Custom' && (($ctrl.showCustomAmtField($ctrl.levels) && $ctrl.frequency === 'one-time') || ($ctrl.showCustomAmtField($ctrl.recurringDonationLevels) && $ctrl.frequency !== 'one-time')) --><!-- end ngRepeat: level in $ctrl.recurringDonationLevels | filter: { display_on_page: true} --><!-- ngIf: !$ctrl.hasBigButtons && level.amount === 'Custom' && (($ctrl.showCustomAmtField($ctrl.levels) && $ctrl.frequency === 'one-time') || ($ctrl.showCustomAmtField($ctrl.recurringDonationLevels) && $ctrl.frequency !== 'one-time')) --><!-- end ngRepeat: level in $ctrl.recurringDonationLevels | filter: { display_on_page: true} -->
</ul><!-- end ngIf: !$ctrl.showRecurringDonationArray && ($ctrl.noOfDonationAmount($ctrl.levels) > 1 || $ctrl.showCustomAmtField($ctrl.levels)) -->
<!-- IF MULTIPLE RECURRING DONATION AMOUNT DISPLAYED -->
<!-- ngIf: $ctrl.showRecurringDonationArray && ($ctrl.noOfDonationAmount($ctrl.recurringDonationLevels) > 1 || $ctrl.showCustomAmtField($ctrl.recurringDonationLevels)) -->
<!-- ngRepeat: level in $ctrl.recurringDonationLevels | filter: { display_on_page: true} --><!-- ngIf: $ctrl.hasBigButtons && level.amount === 'Custom' && (($ctrl.showCustomAmtField($ctrl.levels) && $ctrl.frequency === 'one-time') || ($ctrl.showCustomAmtField($ctrl.recurringDonationLevels) && $ctrl.frequency !== 'one-time')) --><!-- end ngRepeat: level in $ctrl.recurringDonationLevels | filter: { display_on_page: true} --><!-- ngIf: $ctrl.hasBigButtons && level.amount === 'Custom' && (($ctrl.showCustomAmtField($ctrl.levels) && $ctrl.frequency === 'one-time') || ($ctrl.showCustomAmtField($ctrl.recurringDonationLevels) && $ctrl.frequency !== 'one-time')) --><!-- end ngRepeat: level in $ctrl.recurringDonationLevels | filter: { display_on_page: true} --><!-- ngIf: $ctrl.hasBigButtons && level.amount === 'Custom' && (($ctrl.showCustomAmtField($ctrl.levels) && $ctrl.frequency === 'one-time') || ($ctrl.showCustomAmtField($ctrl.recurringDonationLevels) && $ctrl.frequency !== 'one-time')) --><!-- end ngRepeat: level in $ctrl.recurringDonationLevels | filter: { display_on_page: true} --><!-- ngIf: $ctrl.hasBigButtons && level.amount === 'Custom' && (($ctrl.showCustomAmtField($ctrl.levels) && $ctrl.frequency === 'one-time') || ($ctrl.showCustomAmtField($ctrl.recurringDonationLevels) && $ctrl.frequency !== 'one-time')) --><!-- end ngRepeat: level in $ctrl.recurringDonationLevels | filter: { display_on_page: true} --><!-- ngIf: $ctrl.hasBigButtons && level.amount === 'Custom' && (($ctrl.showCustomAmtField($ctrl.levels) && $ctrl.frequency === 'one-time') || ($ctrl.showCustomAmtField($ctrl.recurringDonationLevels) && $ctrl.frequency !== 'one-time')) -->
<div
data-ng-if="$ctrl.hasBigButtons && level.amount === 'Custom' && (($ctrl.showCustomAmtField($ctrl.levels) && $ctrl.frequency === 'one-time') || ($ctrl.showCustomAmtField($ctrl.recurringDonationLevels) && $ctrl.frequency !== 'one-time'))"
data-ng-repeat="level in $ctrl.recurringDonationLevels | filter: { display_on_page: true}" data-ng-click="$ctrl.selectAmount('Custom')" data-ng-keyup="$ctrl.showCustomAmtSelected = true" data-ng-keydown="$ctrl.setPreventDefault($event)"
class="donation-amount-recurring__level-item other-rf hover-state_other ng-scope bb" role="radio" data-ng-class="{'bb': $ctrl.hasBigButtons, 'selected': $ctrl.showCustomAmtSelected}">
<label for="D-AOther" class="donation-amount-recurring__level-item__amount-label other-rf bb" data-ng-class="{'bb': $ctrl.hasBigButtons}">
<div id="custom-amount" class="donation-amount-recurring__amount rf currency-picker" data-ng-class="{'has-focus': $ctrl.show.inputFocus === true}" data-sc-form-error="highlight if amount fails" aria-invalid="false">
<div sc-currency-picker="" currency-model="$ctrl.currency" currency-entity="'donation'" selected="$ctrl.showCustomAmtSelected" class="currency-picker__wrapper-rf ng-isolate-scope bb" data-ng-class="{'bb': $ctrl.hasBigButtons}">
<div class="currency-picker__wrapper ng-isolate-scope" ng-style="selected ? changeWrapperStyle() : defaultStyle()" ng-class="{'no-pick':!showDropdown, 'disabled': disabled}" aria-hidden="false" sc-lock-field="disabled"
tooltip-text="tooltipText">
<div class="currency-picker__select-wrapper">
<select class="currency-picker__select ng-pristine ng-untouched ng-valid ng-not-empty ng-not-modified" ng-change="optionSwap()" ng-model="currency" id="dropdown" ng-show="showDropdown"
ng-options="currency as currency.longText for currency in currencyOptions track by currency.currency" aria-label="Select a currency" ng-disabled="disabled">
<option label="AED | United Arab Emirates Dirham" value="AED">AED | United Arab Emirates Dirham</option>
<option label="AFN | Afghan Afghani" value="AFN">AFN | Afghan Afghani</option>
<option label="ALL | Albanian Lek" value="ALL">ALL | Albanian Lek</option>
<option label="AMD | Armenian Dram" value="AMD">AMD | Armenian Dram</option>
<option label="ANG | Netherlands Antillean Guilder" value="ANG">ANG | Netherlands Antillean Guilder</option>
<option label="AOA | Angolan Kwanza" value="AOA">AOA | Angolan Kwanza</option>
<option label="ARS | Argentine Peso" value="ARS">ARS | Argentine Peso</option>
<option label="AUD | Australian Dollar" value="AUD">AUD | Australian Dollar</option>
<option label="AWG | Aruban Florin" value="AWG">AWG | Aruban Florin</option>
<option label="AZN | Azerbaijani Manat" value="AZN">AZN | Azerbaijani Manat</option>
<option label="BAM | Bosnia And Herzegovina Convertible Mark" value="BAM">BAM | Bosnia And Herzegovina Convertible Mark</option>
<option label="BBD | Barbados Dollar" value="BBD">BBD | Barbados Dollar</option>
<option label="BDT | Bangladeshi Taka" value="BDT">BDT | Bangladeshi Taka</option>
<option label="BGN | Bulgarian Lev" value="BGN">BGN | Bulgarian Lev</option>
<option label="BHD | Bahraini Dinar" value="BHD">BHD | Bahraini Dinar</option>
<option label="BIF | Burundian Franc" value="BIF">BIF | Burundian Franc</option>
<option label="BMD | Bermudian Dollar (customarily Known As Bermuda Dollar)" value="BMD">BMD | Bermudian Dollar (customarily Known As Bermuda Dollar)</option>
<option label="BND | Brunei Dollar" value="BND">BND | Brunei Dollar</option>
<option label="BOB | Boliviano" value="BOB">BOB | Boliviano</option>
<option label="BRL | Brazilian Real" value="BRL">BRL | Brazilian Real</option>
<option label="BSD | Bahamian Dollar" value="BSD">BSD | Bahamian Dollar</option>
<option label="BTN | Bhutanese Ngultrum" value="BTN">BTN | Bhutanese Ngultrum</option>
<option label="BWP | Botswana Pula" value="BWP">BWP | Botswana Pula</option>
<option label="BZD | Belize Dollar" value="BZD">BZD | Belize Dollar</option>
<option label="CAD | Canadian Dollar" value="CAD">CAD | Canadian Dollar</option>
<option label="CDF | Congolese Franc" value="CDF">CDF | Congolese Franc</option>
<option label="CHF | Swiss Franc" value="CHF">CHF | Swiss Franc</option>
<option label="CLF | Unidad De Fomento (funds Code)" value="CLF">CLF | Unidad De Fomento (funds Code)</option>
<option label="CLP | Chilean Peso" value="CLP">CLP | Chilean Peso</option>
<option label="CNY | Chinese Yuan" value="CNY">CNY | Chinese Yuan</option>
<option label="COP | Colombian Peso" value="COP">COP | Colombian Peso</option>
<option label="CRC | Costa Rican Colon" value="CRC">CRC | Costa Rican Colon</option>
<option label="CUC | Cuban Convertible Peso" value="CUC">CUC | Cuban Convertible Peso</option>
<option label="CUP | Cuban Peso" value="CUP">CUP | Cuban Peso</option>
<option label="CVE | Cape Verde Escudo" value="CVE">CVE | Cape Verde Escudo</option>
<option label="CZK | Czech Koruna" value="CZK">CZK | Czech Koruna</option>
<option label="DJF | Djiboutian Franc" value="DJF">DJF | Djiboutian Franc</option>
<option label="DKK | Danish Krone" value="DKK">DKK | Danish Krone</option>
<option label="DOP | Dominican Peso" value="DOP">DOP | Dominican Peso</option>
<option label="DZD | Algerian Dinar" value="DZD">DZD | Algerian Dinar</option>
<option label="EGP | Egyptian Pound" value="EGP">EGP | Egyptian Pound</option>
<option label="ERN | Eritrean Nakfa" value="ERN">ERN | Eritrean Nakfa</option>
<option label="ETB | Ethiopian Birr" value="ETB">ETB | Ethiopian Birr</option>
<option label="EUR | Euro" value="EUR" selected="selected">EUR | Euro</option>
<option label="FJD | Fiji Dollar" value="FJD">FJD | Fiji Dollar</option>
<option label="FKP | Falkland Islands Pound" value="FKP">FKP | Falkland Islands Pound</option>
<option label="GBP | Pound Sterling" value="GBP">GBP | Pound Sterling</option>
<option label="GEL | Georgian Lari" value="GEL">GEL | Georgian Lari</option>
<option label="GHS | Ghanaian Cedi" value="GHS">GHS | Ghanaian Cedi</option>
<option label="GIP | Gibraltar Pound" value="GIP">GIP | Gibraltar Pound</option>
<option label="GMD | Gambian Dalasi" value="GMD">GMD | Gambian Dalasi</option>
<option label="GNF | Guinean Franc" value="GNF">GNF | Guinean Franc</option>
<option label="GTQ | Guatemalan Quetzal" value="GTQ">GTQ | Guatemalan Quetzal</option>
<option label="GYD | Guyanese Dollar" value="GYD">GYD | Guyanese Dollar</option>
<option label="HKD | Hong Kong Dollar" value="HKD">HKD | Hong Kong Dollar</option>
<option label="HNL | Honduran Lempira" value="HNL">HNL | Honduran Lempira</option>
<option label="HRK | Croatian Kuna" value="HRK">HRK | Croatian Kuna</option>
<option label="HTG | Haitian Gourde" value="HTG">HTG | Haitian Gourde</option>
<option label="HUF | Hungarian Forint" value="HUF">HUF | Hungarian Forint</option>
<option label="IDR | Indonesian Rupiah" value="IDR">IDR | Indonesian Rupiah</option>
<option label="ILS | Israeli New Shekel" value="ILS">ILS | Israeli New Shekel</option>
<option label="INR | Indian Rupee" value="INR">INR | Indian Rupee</option>
<option label="IQD | Iraqi Dinar" value="IQD">IQD | Iraqi Dinar</option>
<option label="IRR | Iranian Rial" value="IRR">IRR | Iranian Rial</option>
<option label="ISK | Icelandic Króna" value="ISK">ISK | Icelandic Króna</option>
<option label="JMD | Jamaican Dollar" value="JMD">JMD | Jamaican Dollar</option>
<option label="JOD | Jordanian Dinar" value="JOD">JOD | Jordanian Dinar</option>
<option label="JPY | Japanese Yen" value="JPY">JPY | Japanese Yen</option>
<option label="KES | Kenyan Shilling" value="KES">KES | Kenyan Shilling</option>
<option label="KGS | Kyrgyzstani Som" value="KGS">KGS | Kyrgyzstani Som</option>
<option label="KHR | Cambodian Riel" value="KHR">KHR | Cambodian Riel</option>
<option label="KMF | Comoro Franc" value="KMF">KMF | Comoro Franc</option>
<option label="KPW | North Korean Won" value="KPW">KPW | North Korean Won</option>
<option label="KRW | South Korean Won" value="KRW">KRW | South Korean Won</option>
<option label="KWD | Kuwaiti Dinar" value="KWD">KWD | Kuwaiti Dinar</option>
<option label="KYD | Cayman Islands Dollar" value="KYD">KYD | Cayman Islands Dollar</option>
<option label="KZT | Kazakhstani Tenge" value="KZT">KZT | Kazakhstani Tenge</option>
<option label="LAK | Lao Kip" value="LAK">LAK | Lao Kip</option>
<option label="LBP | Lebanese Pound" value="LBP">LBP | Lebanese Pound</option>
<option label="LKR | Sri Lankan Rupee" value="LKR">LKR | Sri Lankan Rupee</option>
<option label="LRD | Liberian Dollar" value="LRD">LRD | Liberian Dollar</option>
<option label="LSL | Lesotho Loti" value="LSL">LSL | Lesotho Loti</option>
<option label="LYD | Libyan Dinar" value="LYD">LYD | Libyan Dinar</option>
<option label="MAD | Moroccan Dirham" value="MAD">MAD | Moroccan Dirham</option>
<option label="MDL | Moldovan Leu" value="MDL">MDL | Moldovan Leu</option>
<option label="MGA | Malagasy Ariary" value="MGA">MGA | Malagasy Ariary</option>
<option label="MKD | Macedonian Denar" value="MKD">MKD | Macedonian Denar</option>
<option label="MMK | Myanma Kyat" value="MMK">MMK | Myanma Kyat</option>
<option label="MNT | Mongolian Tugrik" value="MNT">MNT | Mongolian Tugrik</option>
<option label="MOP | Macanese Pataca" value="MOP">MOP | Macanese Pataca</option>
<option label="MUR | Mauritian Rupee" value="MUR">MUR | Mauritian Rupee</option>
<option label="MVR | Maldivian Rufiyaa" value="MVR">MVR | Maldivian Rufiyaa</option>
<option label="MWK | Malawian Kwacha" value="MWK">MWK | Malawian Kwacha</option>
<option label="MXN | Mexican Peso" value="MXN">MXN | Mexican Peso</option>
<option label="MYR | Malaysian Ringgit" value="MYR">MYR | Malaysian Ringgit</option>
<option label="MZN | Mozambican Metical" value="MZN">MZN | Mozambican Metical</option>
<option label="NAD | Namibian Dollar" value="NAD">NAD | Namibian Dollar</option>
<option label="NGN | Nigerian Naira" value="NGN">NGN | Nigerian Naira</option>
<option label="NIO | Nicaraguan Córdoba" value="NIO">NIO | Nicaraguan Córdoba</option>
<option label="NOK | Norwegian Krone" value="NOK">NOK | Norwegian Krone</option>
<option label="NPR | Nepalese Rupee" value="NPR">NPR | Nepalese Rupee</option>
<option label="NZD | New Zealand Dollar" value="NZD">NZD | New Zealand Dollar</option>
<option label="OMR | Omani Rial" value="OMR">OMR | Omani Rial</option>
<option label="PAB | Panamanian Balboa" value="PAB">PAB | Panamanian Balboa</option>
<option label="PEN | Peruvian Nuevo Sol" value="PEN">PEN | Peruvian Nuevo Sol</option>
<option label="PGK | Papua New Guinean Kina" value="PGK">PGK | Papua New Guinean Kina</option>
<option label="PHP | Philippine Peso" value="PHP">PHP | Philippine Peso</option>
<option label="PKR | Pakistani Rupee" value="PKR">PKR | Pakistani Rupee</option>
<option label="PLN | Polish Złoty" value="PLN">PLN | Polish Złoty</option>
<option label="PYG | Paraguayan Guaraní" value="PYG">PYG | Paraguayan Guaraní</option>
<option label="QAR | Qatari Riyal" value="QAR">QAR | Qatari Riyal</option>
<option label="RON | Romanian New Leu" value="RON">RON | Romanian New Leu</option>
<option label="RSD | Serbian Dinar" value="RSD">RSD | Serbian Dinar</option>
<option label="RWF | Rwandan Franc" value="RWF">RWF | Rwandan Franc</option>
<option label="SAR | Saudi Riyal" value="SAR">SAR | Saudi Riyal</option>
<option label="SBD | Solomon Islands Dollar" value="SBD">SBD | Solomon Islands Dollar</option>
<option label="SCR | Seychelles Rupee" value="SCR">SCR | Seychelles Rupee</option>
<option label="SDG | Sudanese Pound" value="SDG">SDG | Sudanese Pound</option>
<option label="SEK | Swedish Krona/kronor" value="SEK">SEK | Swedish Krona/kronor</option>
<option label="SGD | Singapore Dollar" value="SGD">SGD | Singapore Dollar</option>
<option label="SHP | Saint Helena Pound" value="SHP">SHP | Saint Helena Pound</option>
<option label="SLL | Sierra Leonean Leone" value="SLL">SLL | Sierra Leonean Leone</option>
<option label="SOS | Somali Shilling" value="SOS">SOS | Somali Shilling</option>
<option label="SRD | Surinamese Dollar" value="SRD">SRD | Surinamese Dollar</option>
<option label="SSP | South Sudanese Pound" value="SSP">SSP | South Sudanese Pound</option>
<option label="STD | São Tomé And Príncipe Dobra" value="STD">STD | São Tomé And Príncipe Dobra</option>
<option label="SYP | Syrian Pound" value="SYP">SYP | Syrian Pound</option>
<option label="SZL | Swazi Lilangeni" value="SZL">SZL | Swazi Lilangeni</option>
<option label="THB | Thai Baht" value="THB">THB | Thai Baht</option>
<option label="TJS | Tajikistani Somoni" value="TJS">TJS | Tajikistani Somoni</option>
<option label="TMT | Turkmenistani Manat" value="TMT">TMT | Turkmenistani Manat</option>
<option label="TND | Tunisian Dinar" value="TND">TND | Tunisian Dinar</option>
<option label="TOP | Tongan Paʻanga" value="TOP">TOP | Tongan Paʻanga</option>
<option label="TRY | Turkish Lira" value="TRY">TRY | Turkish Lira</option>
<option label="TTD | Trinidad And Tobago Dollar" value="TTD">TTD | Trinidad And Tobago Dollar</option>
<option label="TWD | New Taiwan Dollar" value="TWD">TWD | New Taiwan Dollar</option>
<option label="TZS | Tanzanian Shilling" value="TZS">TZS | Tanzanian Shilling</option>
<option label="UAH | Ukrainian Hryvnia" value="UAH">UAH | Ukrainian Hryvnia</option>
<option label="UGX | Ugandan Shilling" value="UGX">UGX | Ugandan Shilling</option>
<option label="USD | United States Dollar" value="USD">USD | United States Dollar</option>
<option label="UYU | Uruguayan Peso" value="UYU">UYU | Uruguayan Peso</option>
<option label="UZS | Uzbekistan Som" value="UZS">UZS | Uzbekistan Som</option>
<option label="VND | Vietnamese Dong" value="VND">VND | Vietnamese Dong</option>
<option label="VUV | Vanuatu Vatu" value="VUV">VUV | Vanuatu Vatu</option>
<option label="WST | Samoan Tala" value="WST">WST | Samoan Tala</option>
<option label="XAF | CFA Franc BEAC" value="XAF">XAF | CFA Franc BEAC</option>
<option label="XCD | East Caribbean Dollar" value="XCD">XCD | East Caribbean Dollar</option>
<option label="XDR | Special Drawing Rights" value="XDR">XDR | Special Drawing Rights</option>
<option label="XOF | CFA Franc BCEAO" value="XOF">XOF | CFA Franc BCEAO</option>
<option label="XPF | CFP Franc" value="XPF">XPF | CFP Franc</option>
<option label="YER | Yemeni Rial" value="YER">YER | Yemeni Rial</option>
<option label="ZAR | South African Rand" value="ZAR">ZAR | South African Rand</option>
</select>
<span class="currency-picker__short ng-binding" ng-style="selected ? changeSpanStyle() : defaultStyle(true)">EUR</span>
</div>
<!-- ngIf: currency.currency !== currency.fullSymbol --><span class="currency-picker__full-symbol ng-binding ng-scope" ng-if="currency.currency !== currency.fullSymbol"
aria-hidden="true">€</span><!-- end ngIf: currency.currency !== currency.fullSymbol -->
</div>
</div>
<currency-field-rf model="$ctrl.otherAmount" modal-bind-value="$ctrl.amount" selected="$ctrl.showCustomAmtSelected" class="currency-field rf ng-isolate-scope bb" data-ng-class="{'bb': $ctrl.hasBigButtons}" label="''"
round-currency="false" name="'amount'" placeholder="!$ctrl.preventOldrfForDeque ? 'Other': 'Custom amount'" currency-aria-label="Enter an other amount to donate">
<!-- ngIf: $ctrl.label -->
<input class="form__text-input--dark ng-pristine ng-untouched ng-isolate-scope ng-empty sc-valid ng-valid-required ng-not-modified ng-valid-min ng-valid ng-valid-max" ng-model="$ctrl.model"
ng-model-options="{ getterSetter: $ctrl.getterSetter }" ng-required="$ctrl.required" sc-currency="" sc-validity-reporter="" sc-validity-classes="" data-sc-focus="$ctrl.focusWhen" symbol="" round-currency="$ctrl.roundCurrency"
ng-disabled="$ctrl.disableFlag" max="$ctrl.max" min="$ctrl.min" type="text" autocomplete="off" name="amount" placeholder="Other" ng-focus="$ctrl.onFocus = true" ng-change="$ctrl.onChange()" ng-blur="$ctrl.onFocus = false"
ng-style="$ctrl.selected ? $ctrl.changeInputStyle() : $ctrl.defaultStyle()" qa-id="text-input" aria-label="Enter an other amount to donate" _spec="input">
<div style="position: absolute;
width: 100%;
left: 0;
text-align: left;" aria-live="polite">
<form-error name="$ctrl.name" messages="$ctrl.errorMessages" _spec="errors" class="ng-isolate-scope">
<p class="form__error" aria-live="polite" role="alert" sc-validity-message="::$ctrl.name" messages="::$ctrl.messages" style="display: none;"></p>
</form-error>
</div>
</currency-field-rf>
</div>
</label>
</div>
<!-- end ngIf: $ctrl.hasBigButtons && level.amount === 'Custom' && (($ctrl.showCustomAmtField($ctrl.levels) && $ctrl.frequency === 'one-time') || ($ctrl.showCustomAmtField($ctrl.recurringDonationLevels) && $ctrl.frequency !== 'one-time')) --><!-- end ngRepeat: level in $ctrl.recurringDonationLevels | filter: { display_on_page: true} -->
<!-- IF ONLY SINGLE AMOUNT DISPLAYED-->
<!-- ngIf: !$ctrl.showRecurringDonationArray && ($ctrl.noOfDonationAmount($ctrl.levels) === 1 && !$ctrl.showCustomAmtField($ctrl.levels)) -->
<!-- IF ONLY SINGLE RECURRING AMOUNT DISPLAYED-->
<!-- ngIf: $ctrl.showRecurringDonationArray && ($ctrl.noOfDonationAmount($ctrl.recurringDonationLevels) === 1 && !$ctrl.showCustomAmtField($ctrl.recurringDonationLevels)) -->
</div>
</donation-amount-recurring-rf><!-- end ngIf: !preventRecurringFrequency -->
</section>
</div>
</section><!-- end ngRepeat: component in list.components | filter:{section:'main'} | orderBy:'order' -->
<section class="block-component ng-scope" data-ng-repeat="component in list.components | filter:{section:'main'} | orderBy:'order'">
<!-- ngInclude: component.templateUrl -->
<div data-ng-include="component.templateUrl" class="ng-scope">
<section class="donation-matching ng-scope" data-ng-controller="frsDoubleTheDonationCtrl" data-ng-show="isEmployerMatchOnDonationPage">
<h2>See if your employer will match your donation!</h2>
<button type="button" class="sc-checkbox ng-modified checked" data-ng-click="toggle()" role="checkbox" aria-checked="true" data-sc-checkbox="" data-ng-model="state.doubleTheDonationFormEnabled"
aria-label="Have your employer match your donation"><span class="sc-checkbox_input"></span><span class="sc-checkbox_label" data-ng-transclude="" aria-hidden="true"> See if your employer will match your donation </span></button>
<div data-ng-show="show.doubleTheDonationForm()" data-ng-form="doubleTheDonationForm" class="ng-pristine ng-valid">
<div class="double-the-donation-label"> Employer donation matching is provided by our partner Double the Donation. You may receive an email from Double the Donation with instructions on how to request a donation match from your employer.
</div>
<!-- ngInclude: ::template('company') -->
<div data-heap-ignore="true" class="mp-sensitive ng-scope" data-ng-include="::template('company')">
<div class="donation-table donation-table_margin_top_12 ng-scope">
<div class="donation-table_label">
<label class="donation-label">Company</label>
</div>
<div class="donation-table_row">
<div class="donation-table_columns">
<div class="donation-table_column">
<div id="dd-company-name-input" data-doublethedonation-widget-id="G__2">
<div class="dtd-streamlined-plugin"><input type="hidden" name="doubledonation_status" value="no_interaction"><input type="hidden" name="doublethedonation_status" value="no_interaction"><input type="hidden"
name="doublethedonation_entered_text"><input type="hidden" name="doubledonation_company_id"><input type="hidden" name="doublethedonation_company_id"><input type="hidden" name="doubledonation_company_name"><input
type="hidden" name="doublethedonation_company_name">
<div class="dtd-search-box" style="width: 100%; margin-bottom: 0px;">
<div aria-live="assertive" style="display: block; font-size: 0px; color: rgb(255, 255, 255); opacity: 0; position: absolute; height: 0px; margin: 0px; z-index: -99999;"></div>
<div aria-live="polite" style="display: block; font-size: 0px; color: rgb(255, 255, 255); opacity: 0; position: absolute; height: 0px; margin: 0px; z-index: -99999;"></div><input role="listbox" aria-expanded="false"
name="doublethedonation_company_name_input" autocomplete="new-password" type="text" id="dd-input" class="dtd-search-input form-control BBFormTextbox" aria-label="Search company" style="width: 100%;"
placeholder="Search company name...">
</div>
</div>
</div>
<script>
var DDCONF = {
API_KEY: SC.organization.doubleTheDonationChannel.publicKey
};
</script>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
<section class="donation-dedication ng-scope" data-ng-controller="frsDonationDedicationCtrl">
<h2>Personalize Your Donation</h2>
<div id="custom-dedication">
<p>Is this gift a tribute?</p>
<div class="dedication-buttons"><button id="dedication-yes" type="button" class="inactive-button" value="Button">Yes</button><button id="dedication-no" class="active-button" type="button" value="Button">No</button></div>
</div>
<button type="button" class="sc-checkbox " data-ng-click="toggle()" role="checkbox" aria-checked="false" data-sc-checkbox="" data-ng-model="state.dedicationFormEnabled" name="dedicate"
aria-label="Dedicate my donation in honor or in memory of someone" style="display: none;"><span class="sc-checkbox_input"></span><span class="sc-checkbox_label" data-ng-transclude="" aria-hidden="true"> Dedicate my donation <strong
class="ng-scope">in honor or in memory</strong> of someone </span></button>
<div data-ng-show="show.dedicationForm()" data-ng-form="dedicationForm" class="ng-pristine ng-hide ng-valid-email-address ng-invalid ng-invalid-required">
<!-- ngInclude: ::template('type') -->
<div data-heap-ignore="true" data-ng-include="::template('type')" class="mp-sensitive ng-scope">
<div class="donation-table ng-scope">
<div class="donation-table-label-type">
<label class="donation-label">Type</label>
</div>
<div class="donation-table_row">
<div class="donation-table_columns donation-table_columns_without_margin">
<div class="donation-table_column">
<radio-group role="radiogroup" aria-label="select dedication type" class="ng-isolate-scope"><ng-transclude>
<radio-control ng-model="dedicationModel.type" name="'type'" value="'honor'" ng-required="true" aria-label="select to donate in honor of someone"
class="ng-pristine ng-untouched ng-valid ng-scope ng-isolate-scope ng-not-empty ng-valid-required ng-not-modified" required="required">
<button class="form__radio-control checked" aria-checked="true" role="radio" tabindex="0" ng-class="{ checked: $ctrl.isChecked() }" ng-click="$ctrl.select()" ng-keydown="$ctrl.onKeyDown($event)" ng-disabled="$ctrl.disabled"
type="button" aria-label="select to donate in honor of someone" _spec="button">
<span class="form__radio-control_input" sc-error-class="$ctrl.ngModelCtrl.$name" ng-style="{ color: $ctrl.color }" _spec="radio" style="color: rgb(204, 0, 0);"></span>
<span class="form__radio-control_label" qa-id="radio-field" ng-transclude="" _spec="label"> In honor of … </span>
</button>
</radio-control>
<radio-control ng-model="dedicationModel.type" name="'type'" value="'memory'" ng-required="true" aria-label="select to donate in memory of someone"
class="ng-pristine ng-untouched ng-valid ng-scope ng-isolate-scope ng-not-empty ng-valid-required ng-not-modified" required="required">
<button class="form__radio-control" aria-checked="false" role="radio" tabindex="0" ng-class="{ checked: $ctrl.isChecked() }" ng-click="$ctrl.select()" ng-keydown="$ctrl.onKeyDown($event)" ng-disabled="$ctrl.disabled"
type="button" aria-label="select to donate in memory of someone" _spec="button">
<span class="form__radio-control_input" sc-error-class="$ctrl.ngModelCtrl.$name" ng-style="{ color: $ctrl.color }" _spec="radio" style="color: rgb(204, 0, 0);"></span>
<span class="form__radio-control_label" qa-id="radio-field" ng-transclude="" _spec="label"> In memory of … </span>
</button>
</radio-control>
</ng-transclude></radio-group>
</div>
</div>
</div>
</div>
</div>
<!-- ngInclude: ::template('honoree') -->
<div data-heap-ignore="true" data-ng-include="::template('honoree')" class="mp-sensitive ng-scope">
<div class="donation-table donation-dedication__honoree ng-scope">
<div class="donation-table_row">
<div class="donation-table_columns donation-table_columns_without_margin">
<div class="donation-table_column half">
<span class="donation-label required" data-sc-form-error="highlight if dedicationForm.honoree_first_name fails">Honoree’s First Name</span>
<input class="donation-text_input ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-not-modified" data-ng-model="dedicationModel.honoree_first_name" data-sc-retain-focus-validity=""
data-sc-form-error="highlight if dedicationForm.honoree_first_name fails" type="text" name="honoree_first_name" aria-label="honoree's first name" required="" aria-invalid="false">
</div>
<div class="donation-table_column half">
<span class="donation-label required" data-sc-form-error="highlight if dedicationForm.honoree_last_name fails">Honoree’s Last Name</span>
<input class="donation-text_input ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-not-modified" data-ng-model="dedicationModel.honoree_last_name" data-sc-retain-focus-validity=""
data-sc-form-error="highlight if dedicationForm.honoree_last_name fails" type="text" name="honoree_last_name" aria-label="honoree's last name" required="" aria-invalid="false">
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if [dedicationForm.honoree_first_name, dedicationForm.honoree_last_name] fails required" style="display: none;"> Don't forget to give us a name for the dedication.
</span>
</div>
</div>
</div>
</div>
<!-- ngIf: show.emailForm() || state.postcardEnabled --><!-- ngInclude: ::template('recipient-email') -->
<div data-heap-ignore="true" data-ng-include="::template('recipient-email')" data-ng-if="show.emailForm() || state.postcardEnabled" class="mp-sensitive ng-scope">
<div class="donation-table donation-dedication_recipient-info ng-scope">
<div class="donation-table_row">
<div class="donation-table_columns donation-table_columns_without_margin">
<div class="donation-table_column">
<label class="donation-label" data-ng-class="{required: show.requiredDedicationInfo()}" data-sc-form-error="highlight if [dedicationForm.name, dedicationForm.email_address] fails">Recipient's email</label>
<input class="donation-text_input ng-pristine ng-untouched ng-valid ng-empty ng-valid-email-address ng-valid-required ng-not-modified" data-ng-model="dedicationModel.email_address" data-sc-validate-email-address=""
data-sc-retain-focus-validity="" data-sc-form-error="highlight if dedicationForm.email_address fails" data-ng-required="show.requiredDedicationInfo()" type="text" name="email_address" placeholder="Email Address"
aria-label="recipient's email address, not required, use to optionally send a notification email" aria-invalid="false">
</div>
</div>
<div>
<span aria-live="polite" role="alert" class="donation-error ng-binding" data-sc-form-error="show if dedicationForm.email_address fails emailAddress" style="display: none;"> Please enter dedication recipient email in the format:
name@domain.com. </span>
</div>
<small class="donation-table_row-helper ng-binding"> Optionally send a notification email </small>
</div>
</div>
<div class="donation-table donation-dedication_recipient-info ng-scope">
<div class="donation-table_row">
<div class="donation-table_columns donation-table_columns_without_margin">
<div class="donation-table_column half">
<span class="donation-label" data-sc-form-error="highlight if billing_first_name fails" data-ng-class="{required: show.requiredDedicationInfo() || state.postcardEnabled}">Recipient’s First Name</span>
<input class="donation-text_input ng-pristine ng-untouched ng-valid ng-empty ng-valid-required ng-not-modified" data-ng-model="dedicationModel.first_name" data-sc-retain-focus-validity=""
data-sc-form-error="highlight if dedicationForm.first_name fails" type="text" name="first_name" ng-required="show.requiredDedicationInfo() || state.postcardEnabled" aria-label="recipient's first name" aria-invalid="false">
</div>
<div class="donation-table_column half">
<span class="donation-label" data-sc-form-error="highlight if billing_first_name fails" data-ng-class="{required: show.requiredDedicationInfo() || state.postcardEnabled}">Recipient’s Last Name</span>
<input class="donation-text_input ng-pristine ng-untouched ng-valid ng-empty ng-valid-required ng-not-modified" data-ng-model="dedicationModel.last_name" data-sc-retain-focus-validity=""
data-sc-form-error="highlight if dedicationForm.last_name fails" type="text" name="last_name" ng-required="show.requiredDedicationInfo() || state.postcardEnabled" aria-label="recipient's last name" aria-invalid="false">
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if [dedicationForm.name,dedicationForm.email_address] fails required" style="display: none;"> Don't forget to include the of your recipient. </span>
</div>
</div>
</div>
</div><!-- end ngIf: show.emailForm() || state.postcardEnabled -->
<!-- ngIf: show.postcardToggle() -->
<!-- ngIf: show.postcardForm() -->
<!-- ngIf: show.emailForm() || state.postcardEnabled --><!-- ngInclude: ::template('recipient-message') -->
<div data-heap-ignore="true" data-ng-include="::template('recipient-message')" data-ng-if="show.emailForm() || state.postcardEnabled" class="mp-sensitive ng-scope">
<div class="donation-dedication_message ng-scope" data-sc-form-error="highlight if dedicationForm.ecard_message fails" aria-invalid="false">
<!-- Message Text -->
<div class="donation-dedication_message-text half" data-ng-class="{ half: show.ecardsForm() }">
<div class="donation-dedication_message-label">
<label class="donation-label" for="dedicationMessage" data-sc-form-error="highlight if dedicationForm.ecard_message fails">Your Message to the Recipient</label>
<!-- ngIf: dedicationModel.ecard_id -->
</div>
<textarea class="donation-dedication_message-input ng-pristine ng-untouched ng-valid ng-empty ng-not-modified" data-sc-form-error="highlight if dedicationForm.ecard_message fails" data-ng-model="dedicationModel.ecard_message"
data-sc-retain-focus-validity="" name="ecard_message" aria-label="Your Message to the Recipient." aria-invalid="false"></textarea>
<small class="donation-dedication_message-helper"> Please spell check, include how you would like your name(s) signed, mention the amount if desired, and format your message as you would like it delivered. </small>
</div>
<!-- Image (ecard) -->
<!-- ngIf: show.ecardsForm() -->
<div class="donation-dedication_message-ecard ng-scope" data-ng-if="show.ecardsForm()">
<label class="donation-dedication_message-label">Include an e-Card?</label>
<radio-group role="radiogroup" aria-label="select eCard to send" class="ng-isolate-scope"><ng-transclude>
<div class="donation-dedication_message-ecard-none ng-scope">
<radio-control ng-model="dedicationModel.ecard_id" name="'ecard_id'" value="null" aria-label="don't include an e-card design with the e-mail"
class="ng-pristine ng-untouched ng-valid ng-isolate-scope ng-not-empty ng-not-modified">
<button class="form__radio-control checked" aria-checked="true" role="radio" tabindex="0" ng-class="{ checked: $ctrl.isChecked() }" ng-click="$ctrl.select()" ng-keydown="$ctrl.onKeyDown($event)" ng-disabled="$ctrl.disabled"
type="button" aria-label="don't include an e-card design with the e-mail" _spec="button">
<span class="form__radio-control_input" sc-error-class="$ctrl.ngModelCtrl.$name" ng-style="{ color: $ctrl.color }" _spec="radio" style="color: rgb(204, 0, 0);"></span>
<span class="form__radio-control_label" qa-id="radio-field" ng-transclude="" _spec="label"> No e-Card </span>
</button>
</radio-control>
</div>
<div class="donation-dedication_message-ecard-grid ng-scope">
<!-- ngRepeat: ecard in list.ecards | orderBy: 'order' -->
<div class="donation-dedication_message-ecard-item ng-scope" data-ng-repeat="ecard in list.ecards | orderBy: 'order'" data-ng-class="{'active': dedicationModel.ecard_id == ecard.id }" data-ng-click="selectEcard(ecard.id)"
data-ng-style="{color: theme.current.styles.primaryColor}" style="color: rgb(204, 0, 0);">
<div class="donation-dedication_message-ecard-radio">
<radio-control value="ecard.id" ng-model="dedicationModel.ecard_id" name="'ecard_id'" size="'small'" aria-label="e-Card option 1" class="ng-pristine ng-untouched ng-valid ng-isolate-scope ng-not-empty ng-not-modified">
<button class="form__radio-control--small" aria-checked="false" role="radio" tabindex="0" ng-class="{ checked: $ctrl.isChecked() }" ng-click="$ctrl.select()" ng-keydown="$ctrl.onKeyDown($event)"
ng-disabled="$ctrl.disabled" type="button" aria-label="e-Card option 1" _spec="button">
<span class="form__radio-control--small_input" sc-error-class="$ctrl.ngModelCtrl.$name" ng-style="{ color: $ctrl.color }" _spec="radio" style="color: rgb(204, 0, 0);"></span>
<span class="form__radio-control--small_label" qa-id="radio-field" ng-transclude="" _spec="label"></span>
</button>
</radio-control>
</div>
<img class="donation-dedication_message-ecard-image" data-ng-src="https://assets.classy.org/13648750/3c8bdeb6-c31a-11eb-b186-0a58a9feac02.jpg" alt="dedication message ecard 1"
src="https://assets.classy.org/13648750/3c8bdeb6-c31a-11eb-b186-0a58a9feac02.jpg">
</div><!-- end ngRepeat: ecard in list.ecards | orderBy: 'order' -->
<div class="donation-dedication_message-ecard-item ng-scope" data-ng-repeat="ecard in list.ecards | orderBy: 'order'" data-ng-class="{'active': dedicationModel.ecard_id == ecard.id }" data-ng-click="selectEcard(ecard.id)"
data-ng-style="{color: theme.current.styles.primaryColor}" style="color: rgb(204, 0, 0);">
<div class="donation-dedication_message-ecard-radio">
<radio-control value="ecard.id" ng-model="dedicationModel.ecard_id" name="'ecard_id'" size="'small'" aria-label="e-Card option 2" class="ng-pristine ng-untouched ng-valid ng-isolate-scope ng-not-empty ng-not-modified">
<button class="form__radio-control--small" aria-checked="false" role="radio" tabindex="0" ng-class="{ checked: $ctrl.isChecked() }" ng-click="$ctrl.select()" ng-keydown="$ctrl.onKeyDown($event)"
ng-disabled="$ctrl.disabled" type="button" aria-label="e-Card option 2" _spec="button">
<span class="form__radio-control--small_input" sc-error-class="$ctrl.ngModelCtrl.$name" ng-style="{ color: $ctrl.color }" _spec="radio" style="color: rgb(204, 0, 0);"></span>
<span class="form__radio-control--small_label" qa-id="radio-field" ng-transclude="" _spec="label"></span>
</button>
</radio-control>
</div>
<img class="donation-dedication_message-ecard-image" data-ng-src="https://assets.classy.org/13648750/4d094b2a-c31a-11eb-ae80-0ae0bdc5dec7.jpg" alt="dedication message ecard 2"
src="https://assets.classy.org/13648750/4d094b2a-c31a-11eb-ae80-0ae0bdc5dec7.jpg">
</div><!-- end ngRepeat: ecard in list.ecards | orderBy: 'order' -->
<!-- ngIf: dedicationModel.ecard_id -->
</div>
</ng-transclude></radio-group>
</div><!-- end ngIf: show.ecardsForm() -->
</div>
</div><!-- end ngIf: show.emailForm() || state.postcardEnabled -->
</div>
</section>
</div>
</section><!-- end ngRepeat: component in list.components | filter:{section:'main'} | orderBy:'order' -->
<section class="block-component ng-scope" data-ng-repeat="component in list.components | filter:{section:'main'} | orderBy:'order'">
<!-- ngInclude: component.templateUrl -->
<div data-ng-include="component.templateUrl" class="ng-scope">
</div>
</section><!-- end ngRepeat: component in list.components | filter:{section:'main'} | orderBy:'order' -->
<section class="block-component ng-scope" data-ng-repeat="component in list.components | filter:{section:'main'} | orderBy:'order'">
<!-- ngInclude: component.templateUrl -->
<div data-ng-include="component.templateUrl" class="ng-scope">
<section class="donation-credit ng-scope no-fundraising" ng-class="{'no-fundraising': !campaign.HAS_FUNDRAISING}" data-ng-controller="frsDonationCreditCtrl">
<!-- ngIf: !campaign.current.disable_donation_attribution && campaign.HAS_FUNDRAISING -->
<!-- ngIf: show.designation() -->
</section>
</div>
</section><!-- end ngRepeat: component in list.components | filter:{section:'main'} | orderBy:'order' -->
<section class="block-component ng-scope" data-ng-repeat="component in list.components | filter:{section:'main'} | orderBy:'order'">
<!-- ngInclude: component.templateUrl -->
<div data-ng-include="component.templateUrl" class="ng-scope">
</div>
</section><!-- end ngRepeat: component in list.components | filter:{section:'main'} | orderBy:'order' -->
<section class="block-component ng-scope" data-ng-repeat="component in list.components | filter:{section:'main'} | orderBy:'order'">
<!-- ngInclude: component.templateUrl -->
<div data-ng-include="component.templateUrl" class="ng-scope">
<div data-ng-controller="frsDonationPaymentCtrl" id="df_checkout_donation-payment" class="donation-payment ng-scope" aria-label="Payment Details">
<div>
<cp-payment-widget api="API" payment="MODEL.payment" submit-digital-wallets="submitDigitalWallets" fee-processing="globalState.feeProcessing" meta="META" parent-model="MODEL" hide-postal="true" currency="MODEL.payment.raw_currency_code"
class="ng-isolate-scope">
<!-- ngIf: $ctrl.meta.showPaymentDetails -->
<div class="donation-border-top ng-scope" ng-if="$ctrl.meta.showPaymentDetails"></div><!-- end ngIf: $ctrl.meta.showPaymentDetails -->
<!-- ngIf: $ctrl.meta.showPaymentDetails -->
<div ng-if="$ctrl.meta.showPaymentDetails" id="donation-page_checkout_payment-details" class="ng-scope">
<h2 class="donation-subtitle" id="donationPage_payment-details-heading">Payment Information<div class="lock"><img src="https://donate.lls.org/content360/lls/default/images/lock.jpg" <="" div=""></div>
</h2>
<div class="donation-donor ng-scope" data-ng-controller="frsDonationDonorCtrl" aria-labelledby="donationPage_your-information-heading">
<h2 class="donation-subtitle" id="donationPage_your-information-heading">Your Information</h2>
<!-- ngIf: show.prefix() -->
<!-- ngInclude: ::template('name') -->
<div data-heap-ignore="true" class="mp-sensitive ng-scope" data-ng-include="::template('name')">
<div class="donation-table ng-scope donor-name">
<div class="donation-table_row">
<div class="donation-table_columns donation-table_columns_without_margin">
<div class="donation-table_column half" data-ng-class="show.middleName() ? 'third' : 'half'">
<span class="donation-label required" data-sc-form-error="highlight if member_first_name fails">First Name</span>
<input class="donation-text_input ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-not-modified" data-ng-model="META.member_first_name" data-sc-form-error="highlight if member_first_name fails"
data-sc-retain-focus-validity="" type="text" name="member_first_name" aria-label="Please enter your first name" required="" aria-invalid="false">
</div>
<!-- ngIf: show.middleName() -->
<div class="donation-table_column half" data-ng-class="show.middleName() ? 'third' : 'half'">
<span class="donation-label required" data-sc-form-error="highlight if member_last_name fails">Last Name</span>
<input class="donation-text_input ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-not-modified" data-ng-model="META.member_last_name" data-sc-form-error="highlight if member_last_name fails"
data-sc-retain-focus-validity="" type="text" name="member_last_name" aria-label="Please enter your last name" required="" aria-invalid="false">
</div>
</div>
<div aria-live="assertive">
<span class="donation-error ng-binding" data-sc-form-error="show if [member_first_name,optional_middle_name,member_last_name] fails" ng-bind="build.nameError()" style="display: none;">Be sure to provide your name.</span>
</div>
<!-- ngIf: show.anonymous() || show.anonymousDonationAmounts() -->
<div class="donation-table_columns donation-table_columns_without_margin ng-scope" data-ng-if="show.anonymous() || show.anonymousDonationAmounts()">
<!-- ngIf: show.anonymous() -->
<div class="donation-table_column ng-scope" data-ng-if="show.anonymous()">
<button type="button" class="inline sc-checkbox " data-ng-click="toggle()" role="checkbox" aria-checked="false" data-sc-checkbox="" aria-label="Make donation anonymous" data-ng-model="MODEL.is_anonymous"
name="is_anonymous"><span class="sc-checkbox_input"></span><span class="sc-checkbox_label" data-ng-transclude="" aria-hidden="true"> Hide my name from the public. </span></button>
<i tabindex="0" class="fa fa-question-circle donation-tooltip inline ng-binding ng-isolate-scope" data-sc-tooltip="" data-sc-tooltip-class="donation-tooltip_message" data-ng-style="{ color: theme.current.styles.primaryColor }" data-hasqtip="0" style="color: rgb(204, 0, 0);"></i>
</div><!-- end ngIf: show.anonymous() -->
<!-- ngIf: show.anonymousDonationAmounts() -->
</div><!-- end ngIf: show.anonymous() || show.anonymousDonationAmounts() -->
</div>
</div>
</div>
<!-- ngIf: show.suffix() -->
<!-- ngInclude: ::template('email') -->
<div data-heap-ignore="true" class="mp-sensitive ng-scope" data-ng-include="::template('email')">
<div class="donation-table ng-scope">
<div class="donation-table_label">
<label class="donation-label required" data-sc-form-error="highlight if member_email_address fails">Email</label>
</div>
<div class="donation-table_row">
<div class="donation-table_columns">
<div class="donation-table_column">
<input class="donation-text_input ng-pristine ng-untouched ng-empty ng-valid-email-address ng-invalid ng-invalid-required ng-not-modified" data-ng-model="MODEL.member_email_address"
data-sc-form-error="highlight if member_email_address fails" data-sc-validate-email-address="" data-sc-retain-focus-validity="" type="text" name="member_email_address"
aria-label="Email address. Your receipt will be emailed here." required="" aria-invalid="false">
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if member_email_address fails required" style="display: none;"> Don't forget your email address. </span>
<span class="donation-error ng-binding" data-sc-form-error="show if member_email_address fails emailAddress" style="display: none;"> Please enter in the format: name@domain.com. </span>
</div>
<small class="donation-table_row-helper"> Your receipt will be emailed here. </small>
<sc-consent data-show="!campaign.current.hide_contact_opt_in" data-opt-in="MODEL.opt_in" data-language="MODEL.opt_in_wording" name="opt_in" class="ng-isolate-scope">
<!-- ngIf: $ctrl.show --><!-- end ngIf: $ctrl.show -->
</sc-consent>
</div>
</div>
</div>
<!-- ngInclude: ::template('phone') -->
<div data-heap-ignore="true" class="mp-sensitive ng-scope" data-ng-include="::template('phone')">
<div class="donation-table ng-scope">
<div class="donation-table_label">
<label class="donation-label" data-ng-class="{ required: get.homephone('is_required') }" data-sc-form-error="highlight if member_phone fails">Phone Number</label>
</div>
<div class="donation-table_row">
<div class="donation-table_columns">
<div class="donation-table_column half">
<input class="donation-text_input ng-pristine ng-untouched ng-valid ng-empty ng-valid-phone-number ng-valid-required ng-not-modified" data-ng-model="MODEL.member_phone" data-sc-form-error="highlight if member_phone fails"
data-sc-validate-phone="" data-sc-retain-focus-validity="" data-ng-required="get.homephone('is_required')" inputmode="numeric" type="tel" aria-label="phone number, numbers only" name="member_phone" aria-invalid="false">
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if member_phone fails phoneNumber" style="display: none;"> Please enter a valid phone number. </span>
<span class="donation-error ng-binding" data-sc-form-error="show if member_phone fails required" style="display: none;"> Don't forget your phone number. </span>
</div>
</div>
</div>
</div>
<!-- ngIf: show.cellPhone() -->
<!-- ngIf: show.comment() -->
<!-- ngIf: show.company() -->
<!-- ngIf: show.blog() -->
<!-- ngIf: show.website() -->
<!-- ngIf: show.gender() -->
<!-- ngIf: show.pronoun() -->
<!-- ngIf: show.birthdate() -->
<!-- ngIf: show.customQuestions() --><!-- ngInclude: ::template('custom-questions') -->
<div data-heap-ignore="true" class="mp-sensitive ng-scope" data-ng-include="::template('custom-questions')" data-ng-if="show.customQuestions()"><!-- ngRepeat: question in list.customQuestions -->
<div class="donation-table ng-scope billing-mailing-same" data-ng-repeat="question in list.customQuestions" style="display: none;">
<!-- ngInclude: ::template('questions/' + question.type) -->
<div data-ng-include="::template('questions/' + question.type)" class="ng-scope">
<div class="donation-table_label ng-scope">
<label class="donation-label ng-binding" data-sc-form-error="highlight if cq_710217 fails" data-ng-class="{ required: question.is_required }">My mailing address is the same as my billing address</label>
</div>
<div class="donation-table_row ng-scope">
<div class="donation-table_columns">
<div class="donation-table_column">
<radio-control value="'Yes'" ng-model="META.answers[question.id]" ng-model-options="{ getterSetter: true }" ng-required="question.is_required" sc-form-error="highlight if cq_710217 fails" name="cq_710217"
class="ng-valid ng-isolate-scope ng-valid-required ng-not-modified ng-not-empty ng-dirty ng-valid-parse ng-touched" aria-invalid="false">
<button class="form__radio-control checked" aria-checked="true" role="radio" tabindex="0" ng-class="{ checked: $ctrl.isChecked() }" ng-click="$ctrl.select()" ng-keydown="$ctrl.onKeyDown($event)"
ng-disabled="$ctrl.disabled" type="button" aria-label="" _spec="button">
<span class="form__radio-control_input" sc-error-class="$ctrl.ngModelCtrl.$name" ng-style="{ color: $ctrl.color }" _spec="radio" style="color: rgb(204, 0, 0);"></span>
<span class="form__radio-control_label" qa-id="radio-field" ng-transclude="" _spec="label"> Yes </span>
</button>
</radio-control>
<radio-control value="'No'" ng-model="META.answers[question.id]" ng-model-options="{ getterSetter: true }" ng-required="question.is_required" sc-form-error="highlight if cq_710217 fails" name="cq_710217"
class="ng-pristine ng-untouched ng-valid ng-isolate-scope ng-valid-required ng-not-modified ng-not-empty" aria-invalid="false">
<button class="form__radio-control" aria-checked="false" role="radio" tabindex="0" ng-class="{ checked: $ctrl.isChecked() }" ng-click="$ctrl.select()" ng-keydown="$ctrl.onKeyDown($event)" ng-disabled="$ctrl.disabled"
type="button" aria-label="" _spec="button">
<span class="form__radio-control_input" sc-error-class="$ctrl.ngModelCtrl.$name" ng-style="{ color: $ctrl.color }" _spec="radio" style="color: rgb(204, 0, 0);"></span>
<span class="form__radio-control_label" qa-id="radio-field" ng-transclude="" _spec="label"> No </span>
</button>
</radio-control>
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if cq_710217 fails required" style="display: none;"> This field is required. </span>
</div>
</div>
</div>
</div>
<!-- end ngRepeat: question in list.customQuestions --><!-- end ngRepeat: question in list.customQuestions --><!-- end ngRepeat: question in list.customQuestions --><!-- end ngRepeat: question in list.customQuestions --><!-- end ngRepeat: question in list.customQuestions --><!-- end ngRepeat: question in list.customQuestions --><!-- end ngRepeat: question in list.customQuestions -->
</div><!-- end ngIf: show.customQuestions() -->
</div>
<div class="donation-payment-method-select row" ng-hide="$ctrl.hideButtons">
<div class="column-md-7">
<summary-amount amount="$ctrl.meta.summaryAmount" recur_until="$ctrl.parentModel.recur_until" feeprocessing="$ctrl.feeProcessing" frequency="$ctrl.parentModel.frequency" taxcompliance="$ctrl.meta.unsupportedTaxCompliance"
currency="$ctrl.parentModel.payment.raw_currency_code" estimatedcharge="$ctrl.meta.estimatedCharge" class="ng-isolate-scope" style="display: none;">
<p class="donation-summary-amount">
<span class="sr-only">your currently selected donation amount is </span>
<!-- ngIf: !$ctrl.preventRecurringFrequency --><span class="donation-summary-amount-label ng-binding ng-scope" aria-hidden="true" ng-if="!$ctrl.preventRecurringFrequency">One-time
donation</span><!-- end ngIf: !$ctrl.preventRecurringFrequency -->
<!-- ngIf: $ctrl.preventRecurringFrequency -->
<span class="donation-summary-amount-amount ng-binding" data-ng-class="{ processing: $ctrl.feeprocessing }"> €100.00<!-- ngIf: $ctrl.preventRecurringFrequency -->
<span class="donation-summary-amount-currency ng-binding">EUR</span>
<span class="donation-summary-amount-processing">
<span class="donation-summary-amount-processing-spinner"></span>
</span>
</span>
<!-- ngIf: !$ctrl.preventRecurringFrequency && $ctrl.recurUntil -->
<!-- ngIf: !$ctrl.preventRecurringFrequency --><span class="donation-summary-amount-date ng-binding ng-scope" ng-if="!$ctrl.preventRecurringFrequency"></span><!-- end ngIf: !$ctrl.preventRecurringFrequency -->
<!-- ngIf: $ctrl.taxCompliance -->
</p>
</summary-amount>
<fee-on-top fot="$ctrl.parentModel.fee_on_top" class="ng-isolate-scope"><!-- ngIf: $ctrl.showFOT() -->
<div class="donation-table ng-scope" ng-if="$ctrl.showFOT()" style="margin-top:0">
<div class="donation-table_row">
<div class="donation-table_columns donation-table_columns_without_margin">
<div class="donation-table_column">
<button type="button" class="fot-checkbox sc-checkbox " data-ng-click="toggle()" role="checkbox" aria-checked="false" data-sc-checkbox="" data-ng-model="$ctrl.fot" name="donation_fot"
aria-label="I’d like to cover the credit card fees associated with my donation so more of my donation goes directly to The Leukemia &amp; Lymphoma Society"><span class="sc-checkbox_input"></span><span
class="sc-checkbox_label" data-ng-transclude="" aria-hidden="true">
<span data-sc-ctx-bind-html="$ctrl.classyModeAppeal() | scTrustedHtml" class="ng-scope">
<p>I’d like to cover the credit card fees associated with my donation so more of my donation goes directly to The Leukemia & Lymphoma Society</p>
</span>
</span></button>
</div>
</div>
</div>
</div><!-- end ngIf: $ctrl.showFOT() -->
</fee-on-top>
</div>
<div class="column-md-5">
<small ng-hide="$ctrl.showDW" class="donation-payment-method-select_description ng-hide"> Donate with your preferred payment method: <img id="digicert"
src="https://classy-prod-assets.s3.amazonaws.com/_marketing/o33874/DigiCert_logo.svg.png"></small>
<!-- ngIf: $ctrl.showDW --><small ng-if="$ctrl.showDW" class="donation-payment-method-select_dwterms ng-scope"> By clicking the donate button, I agree to the
<a href="https://www.classy.org/terms/" target="_blank">Terms of Service</a> and <a href="https://www.classy.org/terms/privacy/" target="_blank">Privacy Policy</a>
</small><!-- end ngIf: $ctrl.showDW -->
<!-- ngIf: !$ctrl.isTrial --><cp-digital-wallets data-ng-if="!$ctrl.isTrial" frequency="$ctrl.parentModel.frequency" amount="$ctrl.meta.summaryAmount" currency="$ctrl.parentModel.payment.raw_currency_code"
submit="$ctrl.submitDigitalWallets" pay-type="$ctrl.meta.digitalWalletType" class="ng-scope ng-isolate-scope"><!-- ngIf: $ctrl.showDigitalWallets -->
<div ng-if="$ctrl.showDigitalWallets" class="ng-scope">
<button type="button" aria-label="Donate With Google Pay" role="link" class="digital-wallets-btn google-pay" data-tracked-element="donation-page_checkout_digital-wallet" ng-click="$ctrl.openDWModal()"> Donate with <img
ng-src="/static/global/images/digitalWallets/GooglePay-logo.svg" alt="Google Pay" src="/static/global/images/digitalWallets/GooglePay-logo.svg">
</button>
</div><!-- end ngIf: $ctrl.showDigitalWallets -->
</cp-digital-wallets><!-- end ngIf: !$ctrl.isTrial -->
<!-- ngIf: $ctrl.show.paypal() && !$ctrl.isTrial --><cp-paypal-widget data-ng-if="$ctrl.show.paypal() && !$ctrl.isTrial" model="$ctrl.payment.paypal" sc-validity-reporter="" ng-model="$ctrl.payment.paypal.status"
on-ready="$ctrl.onPaypalReady()" on-success="$ctrl.onPaypalSuccess(params)" on-cancel="$ctrl.onPaypalCancel()" currency="$ctrl.currency"
class="ng-pristine ng-untouched ng-valid ng-scope ng-isolate-scope ng-not-empty ng-not-modified">
<div class="cp-paypal-widget">
<button data-tracked-element="donation-page_checkout_paypal-btn" type="button" ng-click="$ctrl.openModal()" ng-class="{'logged-in': $ctrl.model.status === $ctrl.constants.STATUS.SUCCESS}"
class="payment-method-select-btn__paypal" id="btPaypal" ng-show="$ctrl.model.status !== $ctrl.constants.STATUS.INACTIVE"><img ng-src="/static/global/images/payments/logo-paypal.svg" alt="PayPal" <="" button=""
src="/static/global/images/payments/logo-paypal.svg">
</button>
</div>
</cp-paypal-widget><!-- end ngIf: $ctrl.show.paypal() && !$ctrl.isTrial -->
<!-- ngIf: $ctrl.show.paypalCommerce() || $ctrl.show.venmo() -->
<button data-tracked-element="donation-page_checkout_credit-card-btn" class="payment-method-select-btn__cc" type="button" style="background:rgb(204, 0, 0)" ng-click="$ctrl.showCardInputs()" aria-expanded="true"
aria-controls="donation-page_checkout_payment-form donation-page_checkout_payment-details">Credit Card<div class="cc-img"><img src="https://classy-prod-assets.s3.amazonaws.com/_marketing/o33874/credit-card.png"></div></button>
<!-- ngIf: $ctrl.show.achButton() && !$ctrl.isTrial -->
<!-- ngIf: $ctrl.show.accountRoutingButton() && !$ctrl.isTrial -->
</div>
</div>
<cp-payment-details label="$ctrl.getPaymentLabel()" details="$ctrl.paymentDetails" payment-method="$ctrl.getPaymentMethod()" payment="$ctrl.payment" show="$ctrl.show" on-token="$ctrl.handleTokenexToken(token)"
on-card="$ctrl.handleTokenexCard(brand, lastFour)" primary-color="$ctrl.theme.styles.primaryColor" hide-postal="$ctrl.hidePostal" currency="$ctrl.currency" class="ng-isolate-scope">
<div class="donation-table">
<div class="donation-table_label" data-ng-hide="$ctrl.show.cc()">
<!-- ngIf: $ctrl.paymentMethod === 'PayPal_Commerce' || $ctrl.paymentMethod === 'PayPal' -->
<!-- ngIf: $ctrl.paymentMethod === 'Venmo' -->
<!-- ngIf: $ctrl.show.stripe() -->
<div data-ng-if="$ctrl.show.stripe()" class="ng-scope">
<span class="donation-label required">Card Number</span>
<div id="cc-entry-el" class="sr-only" tabindex="-1" aria-hidden="true">tab to enter credit card field</div>
</div><!-- end ngIf: $ctrl.show.stripe() -->
<!-- ngIf: $ctrl.show.accountRouting() -->
<!-- ngIf: $ctrl.paymentMethod === 'ACH' && !$ctrl.show.accountRouting() -->
</div>
<div class="donation-table_row">
<div class="donation-table_columns">
<div class="donation-table_column">
<div class="cp-payment-widget">
<!-- ngIf: $ctrl.show.cc() -->
<!-- ngIf: $ctrl.show.stripe() --><cp-stripe-widget class="donation-table_column mobile-large-half ng-scope ng-isolate-scope" data-ng-if="$ctrl.show.stripe()" model="$ctrl.payment.stripe"
card-error-class-name="donation-error" input-class-name="donation-text_input" hide-postal="$ctrl.hidePostal" currency="$ctrl.currency">
<div id="card-element" data-tracked-element="donation-page_checkout_stripe-input" class="donation-text_input StripeElement--empty">
<div class="__PrivateStripeElement"
style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important;"><iframe
name="__privateStripeFrame22317" frameborder="0" allowtransparency="true" scrolling="no" role="presentation" allow="payment *"
src="https://js.stripe.com/v3/elements-inner-card-84b04129cea7abd2bdb3f462e289166d.html#wait=true&mids[guid]=NA&mids[muid]=NA&mids[sid]=NA&hidePostalCode=true&style[base][fontFamily]='Mulish'%2C+sans-serif&style[base][fontSize]=16px&style[base][lineHeight]=20px&rtl=false&componentName=card&keyMode=live&apiKey=pk_live_h5ocNWNpicLCfBJvLialXsb900SaJnJscz&referrer=https%3A%2F%2Fgivenow.lls.org%2Fgive%2F342076%2F%3Futm_source%3Dsfmc%26utm_medium%3Demail%26utm_campaign%3DAmanda_20221228_National%26utm_id%3D327953%26sfmc_id%3D227166675%23!%2Fdonation%2Fcheckout&controllerId=__privateStripeController22312"
title="Secure card payment input frame"
style="border: none !important; margin: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; height: 20px;"
data-gtm-yt-inspected-216179_308="true" data-gtm-yt-inspected-8="true"></iframe><input class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important;">
</div>
</div>
<div id="card-errors" class="donation-error" role="alert" style="display: none;"></div>
</cp-stripe-widget><!-- end ngIf: $ctrl.show.stripe() -->
</div>
<!-- ngIf: $ctrl.show.accountRouting() -->
<div ng-hide="$ctrl.show.accountRouting() || $ctrl.show.cc() || $ctrl.show.stripe()" class="ng-binding ng-hide"> <span class="payment-details-change ng-hide" ng-click="$ctrl.changeAccount($ctrl.paymentMethod)"
ng-show="!$ctrl.waitingChange && !$ctrl.paymentMethod === 'PayPal_Commerce'">change</span></div>
<div class="payment-details-openModal ng-hide" ng-show="$ctrl.waitingChange && $ctrl.changeAccountTo === 'PayPal'" ng-click="$ctrl.openModal()">Connect to PayPal</div>
<div class="payment-details-openModal ng-hide" ng-show="$ctrl.waitingChange && $ctrl.changeAccountTo === 'ACH'" ng-click="$ctrl.openModal()">Link to Bank Account</div>
</div>
</div>
</div>
</div>
</cp-payment-details>
<cp-donate-footer donation-frequency="$ctrl.parentModel.frequency" donation-currency="$ctrl.parentModel.payment.raw_currency_code" donation-amount="$ctrl.meta.summaryAmount" btn-color="$ctrl.theme.styles.primaryColor"
class="ng-isolate-scope"><!-- ngIf: $ctrl.is.accessible --></cp-donate-footer>
</div><!-- end ngIf: $ctrl.meta.showPaymentDetails -->
</cp-payment-widget>
</div>
<!-- ngIf: META.showPaymentDetails -->
<div ng-if="META.showPaymentDetails" id="donation-page_checkout_payment-form" class="ng-scope">
<!-- ngIf: show.companyName() --><!-- ngInclude: ::template('company-name-checkbox') -->
<div data-heap-ignore="true" class="mp-sensitive ng-scope" data-ng-include="::template('company-name-checkbox')" data-ng-if="show.companyName()">
<div class="donation-table donation-company-name-checkbox ng-scope">
<div class="donation-table_row">
<div class="donation-table_columns donation-table_columns_without_margin">
<div class="donation-table_column">
<button type="button" class="donation-payment_company-name-checkbox sc-checkbox " data-ng-click="toggle()" role="checkbox" aria-checked="false" data-sc-checkbox="" data-ng-model="META.showCompanyName"
data-tracked-element="donation-page_checkout_toggle-company-name" name="show_company_name" aria-labelledby="corporate-donation-checkbox-label"><span class="sc-checkbox_input"></span><span class="sc-checkbox_label"
data-ng-transclude="" aria-hidden="true">
<span id="corporate-donation-checkbox-label" class="ng-scope">Is this a company credit card?</span>
</span></button>
</div>
</div>
</div>
</div>
<style class="ng-binding ng-scope">
.donation-payment_company-name-checkbox.checked .sc-checkbox_input:before {
background: rgb(204, 0, 0);
color: white;
border: 1px solid rgb(204, 0, 0);
}
</style>
</div><!-- end ngIf: show.companyName() -->
<!-- ngIf: show.companyName() && META.showCompanyName -->
<!-- ngInclude: ::template('billing-name') -->
<div data-heap-ignore="true" class="mp-sensitive ng-scope" data-ng-include="::template('billing-name')">
<div class="donation-table ng-scope">
<div class="donation-table_row">
<div class="donation-table_columns donation-table_columns_without_margin">
<div class="donation-table_column half">
<span class="donation-label required" data-sc-form-error="highlight if billing_first_name fails">Billing First Name</span>
<input class="donation-text_input ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-not-modified" data-ng-model="MODEL.billing_first_name" data-sc-form-error="highlight if billing_first_name fails"
data-sc-retain-focus-validity="" type="text" name="billing_first_name" aria-label="Please enter your billing first name" required="" aria-invalid="false">
</div>
<div class="donation-table_column half">
<span class="donation-label required" data-sc-form-error="highlight if billing_last_name fails">Billing Last Name</span>
<input class="donation-text_input ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-not-modified" data-ng-model="MODEL.billing_last_name" data-sc-form-error="highlight if billing_last_name fails"
data-sc-retain-focus-validity="" type="text" name="billing_last_name" aria-label="Please enter your billing last name" required="" aria-invalid="false">
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if [billing_first_name,billing_last_name] fails" style="display: none;"> Please enter your billing name. </span>
</div>
</div>
</div>
</div>
<!-- ngIf: !show.billingAddressAutocomplete() -->
<div data-ng-if="!show.billingAddressAutocomplete()" class="donation-table_with_margin_bottom ng-scope">
<!-- ngInclude: ::template('billing-country') -->
<div data-heap-ignore="true" class="mp-sensitive ng-scope" data-ng-include="::template('billing-country')">
<div class="donation-table ng-scope">
<div class="donation-table_label">
<label class="donation-label required" data-sc-form-error="highlight if billing_country fails">Country</label>
</div>
<div class="donation-table_row">
<div class="donation-table_columns">
<div class="donation-table_column half">
<!-- TODO: Exclude SG? -->
<select ng-options="country.value as country.label disable when country.disable for country in countries" qa-id="select-field" class="donation-select ng-not-empty ng-valid ng-valid-required ng-not-modified"
data-ng-model="MODEL.billing_country" data-sc-form-error="highlight if billing_country fails" data-sc-select-countries="" name="billing_country" aria-label="billing country" required="required" aria-invalid="false">
<option value="" class="">Please Select</option>
<option label="Afghanistan" value="string:AF">Afghanistan</option>
<option label="Aland Islands" value="string:AX">Aland Islands</option>
<option label="Albania" value="string:AL">Albania</option>
<option label="Algeria" value="string:DZ">Algeria</option>
<option label="American Samoa" value="string:AS">American Samoa</option>
<option label="Andorra" value="string:AD">Andorra</option>
<option label="Angola" value="string:AO">Angola</option>
<option label="Anguilla" value="string:AI">Anguilla</option>
<option label="Antarctica" value="string:AQ">Antarctica</option>
<option label="Antigua and Barbuda" value="string:AG">Antigua and Barbuda</option>
<option label="Argentina" value="string:AR">Argentina</option>
<option label="Armenia" value="string:AM">Armenia</option>
<option label="Aruba" value="string:AW">Aruba</option>
<option label="Australia" value="string:AU">Australia</option>
<option label="Austria" value="string:AT">Austria</option>
<option label="Azerbaijan" value="string:AZ">Azerbaijan</option>
<option label="Bahamas" value="string:BS">Bahamas</option>
<option label="Bahrain" value="string:BH">Bahrain</option>
<option label="Bangladesh" value="string:BD">Bangladesh</option>
<option label="Barbados" value="string:BB">Barbados</option>
<option label="Belgium" value="string:BE">Belgium</option>
<option label="Belize" value="string:BZ">Belize</option>
<option label="Benin" value="string:BJ">Benin</option>
<option label="Bermuda" value="string:BM">Bermuda</option>
<option label="Bhutan" value="string:BT">Bhutan</option>
<option label="Bolivia" value="string:BO">Bolivia</option>
<option label="Bonaire, Saint Eustatius and Saba " value="string:BQ">Bonaire, Saint Eustatius and Saba </option>
<option label="Bosnia and Herzegovina" value="string:BA">Bosnia and Herzegovina</option>
<option label="Botswana" value="string:BW">Botswana</option>
<option label="Bouvet Island" value="string:BV">Bouvet Island</option>
<option label="Brazil" value="string:BR">Brazil</option>
<option label="British Indian Ocean Territory" value="string:IO">British Indian Ocean Territory</option>
<option label="British Virgin Islands" value="string:VG">British Virgin Islands</option>
<option label="Brunei" value="string:BN">Brunei</option>
<option label="Bulgaria" value="string:BG">Bulgaria</option>
<option label="Burkina Faso" value="string:BF">Burkina Faso</option>
<option label="Burundi" value="string:BI">Burundi</option>
<option label="Cambodia" value="string:KH">Cambodia</option>
<option label="Cameroon" value="string:CM">Cameroon</option>
<option label="Canada" value="string:CA">Canada</option>
<option label="Cape Verde" value="string:CV">Cape Verde</option>
<option label="Cayman Islands" value="string:KY">Cayman Islands</option>
<option label="Central African Republic" value="string:CF">Central African Republic</option>
<option label="Chad" value="string:TD">Chad</option>
<option label="Chile" value="string:CL">Chile</option>
<option label="China" value="string:CN">China</option>
<option label="Christmas Island" value="string:CX">Christmas Island</option>
<option label="Cocos Islands" value="string:CC">Cocos Islands</option>
<option label="Colombia" value="string:CO">Colombia</option>
<option label="Comoros" value="string:KM">Comoros</option>
<option label="Cook Islands" value="string:CK">Cook Islands</option>
<option label="Costa Rica" value="string:CR">Costa Rica</option>
<option label="Croatia" value="string:HR">Croatia</option>
<option label="Cuba" value="string:CU">Cuba</option>
<option label="Curacao" value="string:CW">Curacao</option>
<option label="Cyprus" value="string:CY">Cyprus</option>
<option label="Czech Republic" value="string:CZ">Czech Republic</option>
<option label="Denmark" value="string:DK">Denmark</option>
<option label="Djibouti" value="string:DJ">Djibouti</option>
<option label="Dominica" value="string:DM">Dominica</option>
<option label="Dominican Republic" value="string:DO">Dominican Republic</option>
<option label="East Timor" value="string:TL">East Timor</option>
<option label="Ecuador" value="string:EC">Ecuador</option>
<option label="Egypt" value="string:EG">Egypt</option>
<option label="El Salvador" value="string:SV">El Salvador</option>
<option label="Equatorial Guinea" value="string:GQ">Equatorial Guinea</option>
<option label="Eritrea" value="string:ER">Eritrea</option>
<option label="Estonia" value="string:EE">Estonia</option>
<option label="Ethiopia" value="string:ET">Ethiopia</option>
<option label="Falkland Islands" value="string:FK">Falkland Islands</option>
<option label="Faroe Islands" value="string:FO">Faroe Islands</option>
<option label="Fiji" value="string:FJ">Fiji</option>
<option label="Finland" value="string:FI">Finland</option>
<option label="France" value="string:FR">France</option>
<option label="French Guiana" value="string:GF">French Guiana</option>
<option label="French Polynesia" value="string:PF">French Polynesia</option>
<option label="French Southern Territories" value="string:TF">French Southern Territories</option>
<option label="Gabon" value="string:GA">Gabon</option>
<option label="Gambia" value="string:GM">Gambia</option>
<option label="Georgia" value="string:GE">Georgia</option>
<option label="Germany" value="string:DE">Germany</option>
<option label="Ghana" value="string:GH">Ghana</option>
<option label="Gibraltar" value="string:GI">Gibraltar</option>
<option label="Greece" value="string:GR">Greece</option>
<option label="Greenland" value="string:GL">Greenland</option>
<option label="Grenada" value="string:GD">Grenada</option>
<option label="Guadeloupe" value="string:GP">Guadeloupe</option>
<option label="Guam" value="string:GU">Guam</option>
<option label="Guatemala" value="string:GT">Guatemala</option>
<option label="Guernsey" value="string:GG">Guernsey</option>
<option label="Guinea" value="string:GN">Guinea</option>
<option label="Guinea-Bissau" value="string:GW">Guinea-Bissau</option>
<option label="Guyana" value="string:GY">Guyana</option>
<option label="Haiti" value="string:HT">Haiti</option>
<option label="Heard Island and McDonald Islands" value="string:HM">Heard Island and McDonald Islands</option>
<option label="Honduras" value="string:HN">Honduras</option>
<option label="Hong Kong" value="string:HK">Hong Kong</option>
<option label="Hungary" value="string:HU">Hungary</option>
<option label="Iceland" value="string:IS">Iceland</option>
<option label="India" value="string:IN">India</option>
<option label="Indonesia" value="string:ID">Indonesia</option>
<option label="Ireland" value="string:IE">Ireland</option>
<option label="Isle of Man" value="string:IM">Isle of Man</option>
<option label="Israel" value="string:IL">Israel</option>
<option label="Italy" value="string:IT">Italy</option>
<option label="Ivory Coast" value="string:CI">Ivory Coast</option>
<option label="Jamaica" value="string:JM">Jamaica</option>
<option label="Japan" value="string:JP">Japan</option>
<option label="Jersey" value="string:JE">Jersey</option>
<option label="Jordan" value="string:JO">Jordan</option>
<option label="Kazakhstan" value="string:KZ">Kazakhstan</option>
<option label="Kenya" value="string:KE">Kenya</option>
<option label="Kiribati" value="string:KI">Kiribati</option>
<option label="Kosovo" value="string:XK">Kosovo</option>
<option label="Kuwait" value="string:KW">Kuwait</option>
<option label="Kyrgyzstan" value="string:KG">Kyrgyzstan</option>
<option label="Laos" value="string:LA">Laos</option>
<option label="Latvia" value="string:LV">Latvia</option>
<option label="Lebanon" value="string:LB">Lebanon</option>
<option label="Lesotho" value="string:LS">Lesotho</option>
<option label="Libya" value="string:LY">Libya</option>
<option label="Liechtenstein" value="string:LI">Liechtenstein</option>
<option label="Lithuania" value="string:LT">Lithuania</option>
<option label="Luxembourg" value="string:LU">Luxembourg</option>
<option label="Macao" value="string:MO">Macao</option>
<option label="Macedonia" value="string:MK">Macedonia</option>
<option label="Madagascar" value="string:MG">Madagascar</option>
<option label="Malawi" value="string:MW">Malawi</option>
<option label="Malaysia" value="string:MY">Malaysia</option>
<option label="Maldives" value="string:MV">Maldives</option>
<option label="Mali" value="string:ML">Mali</option>
<option label="Malta" value="string:MT">Malta</option>
<option label="Marshall Islands" value="string:MH">Marshall Islands</option>
<option label="Martinique" value="string:MQ">Martinique</option>
<option label="Mauritania" value="string:MR">Mauritania</option>
<option label="Mauritius" value="string:MU">Mauritius</option>
<option label="Mayotte" value="string:YT">Mayotte</option>
<option label="Mexico" value="string:MX">Mexico</option>
<option label="Micronesia" value="string:FM">Micronesia</option>
<option label="Moldova" value="string:MD">Moldova</option>
<option label="Monaco" value="string:MC">Monaco</option>
<option label="Mongolia" value="string:MN">Mongolia</option>
<option label="Montenegro" value="string:ME">Montenegro</option>
<option label="Montserrat" value="string:MS">Montserrat</option>
<option label="Morocco" value="string:MA">Morocco</option>
<option label="Mozambique" value="string:MZ">Mozambique</option>
<option label="Myanmar" value="string:MM">Myanmar</option>
<option label="Namibia" value="string:NA">Namibia</option>
<option label="Nauru" value="string:NR">Nauru</option>
<option label="Nepal" value="string:NP">Nepal</option>
<option label="Netherlands" value="string:NL">Netherlands</option>
<option label="New Caledonia" value="string:NC">New Caledonia</option>
<option label="New Zealand" value="string:NZ">New Zealand</option>
<option label="Nicaragua" value="string:NI">Nicaragua</option>
<option label="Niger" value="string:NE">Niger</option>
<option label="Nigeria" value="string:NG">Nigeria</option>
<option label="Niue" value="string:NU">Niue</option>
<option label="Norfolk Island" value="string:NF">Norfolk Island</option>
<option label="Northern Mariana Islands" value="string:MP">Northern Mariana Islands</option>
<option label="Norway" value="string:NO">Norway</option>
<option label="Oman" value="string:OM">Oman</option>
<option label="Pakistan" value="string:PK">Pakistan</option>
<option label="Palau" value="string:PW">Palau</option>
<option label="Palestinian Territory" value="string:PS">Palestinian Territory</option>
<option label="Panama" value="string:PA">Panama</option>
<option label="Papua New Guinea" value="string:PG">Papua New Guinea</option>
<option label="Paraguay" value="string:PY">Paraguay</option>
<option label="Peru" value="string:PE">Peru</option>
<option label="Philippines" value="string:PH">Philippines</option>
<option label="Pitcairn" value="string:PN">Pitcairn</option>
<option label="Poland" value="string:PL">Poland</option>
<option label="Portugal" value="string:PT">Portugal</option>
<option label="Puerto Rico" value="string:PR">Puerto Rico</option>
<option label="Qatar" value="string:QA">Qatar</option>
<option label="Republic of the Congo" value="string:CG">Republic of the Congo</option>
<option label="Reunion" value="string:RE">Reunion</option>
<option label="Romania" value="string:RO">Romania</option>
<option label="Russia" value="string:RU">Russia</option>
<option label="Rwanda" value="string:RW">Rwanda</option>
<option label="Saint Barthelemy" value="string:BL">Saint Barthelemy</option>
<option label="Saint Helena" value="string:SH">Saint Helena</option>
<option label="Saint Kitts and Nevis" value="string:KN">Saint Kitts and Nevis</option>
<option label="Saint Lucia" value="string:LC">Saint Lucia</option>
<option label="Saint Martin" value="string:MF">Saint Martin</option>
<option label="Saint Pierre and Miquelon" value="string:PM">Saint Pierre and Miquelon</option>
<option label="Saint Vincent and the Grenadines" value="string:VC">Saint Vincent and the Grenadines</option>
<option label="Samoa" value="string:WS">Samoa</option>
<option label="San Marino" value="string:SM">San Marino</option>
<option label="Sao Tome and Principe" value="string:ST">Sao Tome and Principe</option>
<option label="Saudi Arabia" value="string:SA">Saudi Arabia</option>
<option label="Senegal" value="string:SN">Senegal</option>
<option label="Serbia" value="string:RS">Serbia</option>
<option label="Seychelles" value="string:SC">Seychelles</option>
<option label="Singapore" value="string:SG">Singapore</option>
<option label="Sint Maarten" value="string:SX">Sint Maarten</option>
<option label="Slovakia" value="string:SK">Slovakia</option>
<option label="Slovenia" value="string:SI">Slovenia</option>
<option label="Solomon Islands" value="string:SB">Solomon Islands</option>
<option label="South Africa" value="string:ZA">South Africa</option>
<option label="South Georgia and the South Sandwich Islands" value="string:GS">South Georgia and the South Sandwich Islands</option>
<option label="South Korea" value="string:KR">South Korea</option>
<option label="South Sudan" value="string:SS">South Sudan</option>
<option label="Spain" value="string:ES">Spain</option>
<option label="Sri Lanka" value="string:LK">Sri Lanka</option>
<option label="Suriname" value="string:SR">Suriname</option>
<option label="Svalbard and Jan Mayen" value="string:SJ">Svalbard and Jan Mayen</option>
<option label="Swaziland" value="string:SZ">Swaziland</option>
<option label="Sweden" value="string:SE">Sweden</option>
<option label="Switzerland" value="string:CH">Switzerland</option>
<option label="Taiwan" value="string:TW">Taiwan</option>
<option label="Tajikistan" value="string:TJ">Tajikistan</option>
<option label="Tanzania" value="string:TZ">Tanzania</option>
<option label="Thailand" value="string:TH">Thailand</option>
<option label="Togo" value="string:TG">Togo</option>
<option label="Tokelau" value="string:TK">Tokelau</option>
<option label="Tonga" value="string:TO">Tonga</option>
<option label="Trinidad and Tobago" value="string:TT">Trinidad and Tobago</option>
<option label="Tunisia" value="string:TN">Tunisia</option>
<option label="Turkey" value="string:TR">Turkey</option>
<option label="Turkmenistan" value="string:TM">Turkmenistan</option>
<option label="Turks and Caicos Islands" value="string:TC">Turks and Caicos Islands</option>
<option label="Tuvalu" value="string:TV">Tuvalu</option>
<option label="U.S. Virgin Islands" value="string:VI">U.S. Virgin Islands</option>
<option label="Uganda" value="string:UG">Uganda</option>
<option label="Ukraine" value="string:UA">Ukraine</option>
<option label="United Arab Emirates" value="string:AE">United Arab Emirates</option>
<option label="United Kingdom" value="string:GB">United Kingdom</option>
<option label="United States" value="string:US" selected="selected">United States</option>
<option label="United States Minor Outlying Islands" value="string:UM">United States Minor Outlying Islands</option>
<option label="Uruguay" value="string:UY">Uruguay</option>
<option label="Uzbekistan" value="string:UZ">Uzbekistan</option>
<option label="Vanuatu" value="string:VU">Vanuatu</option>
<option label="Vatican" value="string:VA">Vatican</option>
<option label="Venezuela" value="string:VE">Venezuela</option>
<option label="Vietnam" value="string:VN">Vietnam</option>
<option label="Wallis and Futuna" value="string:WF">Wallis and Futuna</option>
<option label="Western Sahara" value="string:EH">Western Sahara</option>
<option label="Yemen" value="string:YE">Yemen</option>
<option label="Zambia" value="string:ZM">Zambia</option>
</select>
<!-- ngIf: countryResitrictedText -->
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if billing_country fails required" style="display: none;"> Please select your country. </span>
</div>
</div>
</div>
</div>
<!-- ngInclude: ::template('billing-address1') -->
<div data-heap-ignore="true" class="mp-sensitive ng-scope" data-ng-include="::template('billing-address1')">
<div class="donation-table ng-scope">
<div class="donation-table_label">
<label class="donation-label required" data-sc-form-error="highlight if billing_address1 fails">Address</label>
</div>
<div class="donation-table_row">
<div class="donation-table_columns donation-table_columns_without_margin">
<div class="donation-table_column">
<input class="donation-text_input ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-not-modified" data-ng-model="MODEL.billing_address1" data-sc-form-error="highlight if billing_address1 fails"
data-sc-retain-focus-validity="" type="text" name="billing_address1" aria-label="billing address 1" required="" aria-invalid="false">
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if billing_address1 fails required" style="display: none;"> Don't forget to provide a billing address. </span>
</div>
</div>
</div>
</div>
<!-- ngInclude: ::template('billing-address2') -->
<div data-heap-ignore="true" class="mp-sensitive ng-scope" data-ng-include="::template('billing-address2')">
<div class="donation-table ng-scope">
<div class="donation-table_label">
<label class="donation-label">Address 2</label>
</div>
<div class="donation-table_row">
<div class="donation-table_columns">
<div class="donation-table_column">
<!-- The name attribute needs to be specified with single quotes since input-field is a component. autocomplete is there for good measure -->
<!-- We should consider changing this to a normal input like the other billing-address1 field when we have time. -->
<input-field class="donation__address2 ng-isolate-scope" model="MODEL.billing_address2" maxlength="25" counter="true" name="'billing_address2'" autocomplete="address-line2" aria-label="billing address 2, not required">
<!-- ngIf: $ctrl.label -->
<!-- ngIf: !$ctrl.label && !$ctrl.noSpacer -->
<div class="form__text-input__outer" data-ng-class="{ 'admin-body__lock-field': $ctrl.lockField }">
<!-- ngIf: $ctrl.lockField -->
<input class="form__text-input--dark ng-not-modified sc-valid" ng-model="$ctrl.model" ng-model-options="{ getterSetter: $ctrl.getterSetter }" ng-required="$ctrl.required" sc-retain-focus-validity="" sc-validity-reporter=""
sc-validity-classes="" pattern=".*" ng-pattern=".*" maxlength="25" ng-maxlength="25" minlength="false" ng-minlength="false" type="text" name="billing_address2" aria-label="billing address 2, not required"
autocomplete="address-line2" ng-disabled="$ctrl.disableFlag" ng-change="$ctrl.onChange()" placeholder="" qa-id="text-input" _spec="input" aria-labelledby="billing_address2_id">
<!-- ngIf: $ctrl.maxlength && $ctrl.counter && $ctrl.model.length -->
</div>
<form-error name="$ctrl.name" messages="$ctrl.errorMessages" _spec="errors" class="ng-isolate-scope">
<p class="form__error" aria-live="polite" role="alert" sc-validity-message="::$ctrl.name" messages="::$ctrl.messages" style="display: none;"></p>
</form-error>
</input-field>
</div>
</div>
</div>
</div>
</div>
<!-- ngInclude: ::template('billing-city') -->
<div data-heap-ignore="true" class="mp-sensitive ng-scope" data-ng-include="::template('billing-city')">
<div class="donation-table ng-scope">
<div class="donation-table_label">
<label class="donation-label required" data-sc-form-error="highlight if billing_city fails">City</label>
</div>
<div class="donation-table_row">
<div class="donation-table_columns donation-table_columns_without_margin">
<div class="donation-table_column">
<input class="donation-text_input ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-not-modified" data-ng-model="MODEL.billing_city" data-sc-form-error="highlight if billing_city fails"
data-sc-retain-focus-validity="" type="text" name="billing_city" aria-label="billing city" required="" aria-invalid="false">
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if billing_city fails required" style="display: none;"> Don't forget to provide a billing city. </span>
</div>
</div>
</div>
</div>
<!-- ngInclude: ::template('billing-state-zip') -->
<div data-heap-ignore="true" class="mp-sensitive ng-scope" data-ng-include="::template('billing-state-zip')">
<div class="donation-table ng-scope">
<div class="donation-table_row">
<div class="donation-table_columns donation-table_columns_without_margin">
<!-- ngIf: show.states() -->
<div class="donation-table_column half ng-scope" data-ng-if="show.states()">
<span class="donation-label required" data-sc-form-error="highlight if billing_state fails">State</span>
<select ng-options="state.value as state.label for state in states" qa-id="select-field" aria-label="billing state" class="donation-select ng-empty ng-invalid ng-invalid-required ng-not-modified"
data-ng-model="MODEL.billing_state" data-sc-form-error="highlight if billing_state fails" data-sc-select-states="" data-only-states="true" name="billing_state" required="required" aria-invalid="false">
<option value="" class="">Please Select</option>
<option label="Alabama" value="string:AL">Alabama</option>
<option label="Alaska" value="string:AK">Alaska</option>
<option label="Arizona" value="string:AZ">Arizona</option>
<option label="Arkansas" value="string:AR">Arkansas</option>
<option label="California" value="string:CA">California</option>
<option label="Colorado" value="string:CO">Colorado</option>
<option label="Connecticut" value="string:CT">Connecticut</option>
<option label="Delaware" value="string:DE">Delaware</option>
<option label="District of Columbia" value="string:DC">District of Columbia</option>
<option label="Florida" value="string:FL">Florida</option>
<option label="Georgia" value="string:GA">Georgia</option>
<option label="Hawaii" value="string:HI">Hawaii</option>
<option label="Idaho" value="string:ID">Idaho</option>
<option label="Illinois" value="string:IL">Illinois</option>
<option label="Indiana" value="string:IN">Indiana</option>
<option label="Iowa" value="string:IA">Iowa</option>
<option label="Kansas" value="string:KS">Kansas</option>
<option label="Kentucky" value="string:KY">Kentucky</option>
<option label="Louisiana" value="string:LA">Louisiana</option>
<option label="Maine" value="string:ME">Maine</option>
<option label="Maryland" value="string:MD">Maryland</option>
<option label="Massachusetts" value="string:MA">Massachusetts</option>
<option label="Michigan" value="string:MI">Michigan</option>
<option label="Minnesota" value="string:MN">Minnesota</option>
<option label="Mississippi" value="string:MS">Mississippi</option>
<option label="Missouri" value="string:MO">Missouri</option>
<option label="Montana" value="string:MT">Montana</option>
<option label="Nebraska" value="string:NE">Nebraska</option>
<option label="Nevada" value="string:NV">Nevada</option>
<option label="New Hampshire" value="string:NH">New Hampshire</option>
<option label="New Jersey" value="string:NJ">New Jersey</option>
<option label="New Mexico" value="string:NM">New Mexico</option>
<option label="New York" value="string:NY">New York</option>
<option label="North Carolina" value="string:NC">North Carolina</option>
<option label="North Dakota" value="string:ND">North Dakota</option>
<option label="Ohio" value="string:OH">Ohio</option>
<option label="Oklahoma" value="string:OK">Oklahoma</option>
<option label="Oregon" value="string:OR">Oregon</option>
<option label="Pennsylvania" value="string:PA">Pennsylvania</option>
<option label="Rhode Island" value="string:RI">Rhode Island</option>
<option label="South Carolina" value="string:SC">South Carolina</option>
<option label="South Dakota" value="string:SD">South Dakota</option>
<option label="Tennessee" value="string:TN">Tennessee</option>
<option label="Texas" value="string:TX">Texas</option>
<option label="Utah" value="string:UT">Utah</option>
<option label="Vermont" value="string:VT">Vermont</option>
<option label="Virginia" value="string:VA">Virginia</option>
<option label="Washington" value="string:WA">Washington</option>
<option label="West Virginia" value="string:WV">West Virginia</option>
<option label="Wisconsin" value="string:WI">Wisconsin</option>
<option label="Wyoming" value="string:WY">Wyoming</option>
<option label="Armed Forces (the) Americas" value="string:AA">Armed Forces (the) Americas</option>
<option label="Armed Forces Europe" value="string:AE">Armed Forces Europe</option>
<option label="Armed Forces Pacific" value="string:AP">Armed Forces Pacific</option>
<option label="American Samoa" value="string:AS">American Samoa</option>
<option label="Guam" value="string:GU">Guam</option>
<option label="Northern Mariana Islands" value="string:MP">Northern Mariana Islands</option>
<option label="Puerto Rico" value="string:PR">Puerto Rico</option>
<option label="United States Minor Outlying Islands" value="string:UM">United States Minor Outlying Islands</option>
<option label="Virgin Islands" value="string:VI">Virgin Islands</option>
</select>
</div><!-- end ngIf: show.states() -->
<!-- ngIf: show.provinces() -->
<!-- ngIf: show.genericLevel1() -->
<div class="donation-table_column half">
<span class="donation-label required ng-binding" data-sc-form-error="highlight if billing_postal_code fails">ZIP</span>
<input class="donation-text_input ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-valid-minlength ng-valid-maxlength ng-not-modified" data-ng-model="MODEL.billing_postal_code"
data-sc-form-error="highlight if billing_postal_code fails" data-sc-retain-focus-validity="" data-ng-minlength="2" data-ng-maxlength="10" type="text" name="billing_postal_code" aria-label="ZIP" required=""
aria-invalid="false">
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if [billing_state,billing_postal_code] fails" style="display: none;">
</span>
</div>
</div>
</div>
</div>
</div><!-- end ngIf: !show.billingAddressAutocomplete() -->
<!-- ngIf: show.billingAddressAutocomplete() -->
<!-- ngIf: show.recaptcha() --><!-- ngInclude: ::template('recaptcha') -->
<div data-ng-include="::template('recaptcha')" data-ng-if="show.recaptcha()" class="ng-scope">
<div class="donation-table ng-scope">
<div class="donation-table_label"></div>
<div class="donation-table_row">
<div class="donation-table_columns">
<div class="donation-table_column donation-payment_recaptcha-container">
<div class="donation-payment_recaptcha-field">
<div data-sc-recaptcha="" data-form="FORM" class="ng-isolate-scope">
<div class="recaptcha" id="g-recaptcha-container">
<div required="" name="recaptcha" id="g-recaptcha" data-ng-model="Donation.recaptcha" class="ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-not-modified">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/enterprise/anchor?ar=1&k=6LeRsvwcAAAAAAAGdWMknu7f4ewlEf_5YVOyxIqF&co=aHR0cHM6Ly9naXZlbm93Lmxscy5vcmc6NDQz&hl=de&v=5qcenVbrhOy8zihcc2aHOWD4&size=normal&cb=bnm1fb11neym"
width="304" height="78" role="presentation" name="a-mqz79uxo24zv" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox" data-gtm-yt-inspected-216179_308="true" data-gtm-yt-inspected-8="true"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;" data-gtm-yt-inspected-216179_308="true" data-gtm-yt-inspected-8="true"></iframe>
</div><!-- ngIf: enableErrorState -->
<div data-ng-if="enableErrorState" ng-transclude="" class="ng-scope"></div><!-- end ngIf: enableErrorState -->
</div>
</div>
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if recaptcha fails required" style="display: none;"> Please verify that you are not a robot. </span>
</div>
</div>
</div>
</div>
</div><!-- end ngIf: show.recaptcha() -->
</div><!-- end ngIf: META.showPaymentDetails -->
<div id="custom-mailing">
<p>My mailing address is the same as my billing address</p>
<div class="mailing-buttons"><button id="mailing-yes" type="button" class="active-button" value="Button">Yes</button><button id="mailing-no" class="inactive-button" type="button" value="Button">No</button></div>
</div>
<div class="donation-table ng-scope custom-mailing-field" data-ng-repeat="question in list.customQuestions" style="display: none;">
<!-- ngInclude: ::template('questions/' + question.type) -->
<div data-ng-include="::template('questions/' + question.type)" class="ng-scope">
<div class="donation-table_label ng-scope">
<label class="donation-label ng-binding" data-sc-form-error="highlight if cq_710212 fails" data-ng-class="{ required: question.is_required }">Address</label>
</div>
<div class="donation-table_row ng-scope">
<div class="donation-table_columns">
<div class="donation-table_column half">
<input class="donation-text_input ng-pristine ng-untouched ng-valid ng-empty ng-valid-required ng-not-modified" data-ng-model="META.answers[question.id]" data-ng-model-options="{ getterSetter: true }"
data-sc-retain-focus-validity="" data-sc-form-error="highlight if cq_710212 fails" data-ng-required="question.is_required" name="cq_710212" aria-label="Address" type="text" aria-invalid="false">
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if cq_710212 fails required" style="display: none;"> This field is required. </span>
</div>
</div>
</div>
</div>
<div class="donation-table ng-scope custom-mailing-field" data-ng-repeat="question in list.customQuestions" style="display: none;">
<!-- ngInclude: ::template('questions/' + question.type) -->
<div data-ng-include="::template('questions/' + question.type)" class="ng-scope">
<div class="donation-table_label ng-scope">
<label class="donation-label ng-binding" data-sc-form-error="highlight if cq_710211 fails" data-ng-class="{ required: question.is_required }">Address 2</label>
</div>
<div class="donation-table_row ng-scope">
<div class="donation-table_columns">
<div class="donation-table_column half">
<input class="donation-text_input ng-pristine ng-untouched ng-valid ng-empty ng-valid-required ng-not-modified" data-ng-model="META.answers[question.id]" data-ng-model-options="{ getterSetter: true }"
data-sc-retain-focus-validity="" data-sc-form-error="highlight if cq_710211 fails" data-ng-required="question.is_required" name="cq_710211" aria-label="Address 2" type="text" aria-invalid="false">
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if cq_710211 fails required" style="display: none;"> This field is required. </span>
</div>
</div>
</div>
</div>
<div class="donation-table ng-scope custom-mailing-field" data-ng-repeat="question in list.customQuestions" style="display: none;">
<!-- ngInclude: ::template('questions/' + question.type) -->
<div data-ng-include="::template('questions/' + question.type)" class="ng-scope">
<div class="donation-table_label ng-scope">
<label class="donation-label ng-binding" data-sc-form-error="highlight if cq_710215 fails" data-ng-class="{ required: question.is_required }">Country</label>
</div>
<div class="donation-table_row ng-scope">
<div class="donation-table_columns">
<div class="donation-table_column half">
<select class="donation-select ng-pristine ng-untouched ng-empty ng-not-modified ng-valid ng-valid-required" data-ng-model="META.answers[question.id]" data-ng-model-options="{ getterSetter: true }"
data-sc-form-error="highlight if cq_710215 fails" data-ng-required="question.is_required" data-ng-options="option.label as option.label for option in question.enum_options" name="cq_710215" aria-invalid="false">
<option value="" class="" selected="selected">Please select</option>
<option label="Afghanistan" value="string:Afghanistan">Afghanistan</option>
<option label="Albania" value="string:Albania">Albania</option>
<option label="Algeria" value="string:Algeria">Algeria</option>
<option label="Andorra" value="string:Andorra">Andorra</option>
<option label="Angola" value="string:Angola">Angola</option>
<option label="Antigua and Barbuda" value="string:Antigua and Barbuda">Antigua and Barbuda</option>
<option label="Argentina" value="string:Argentina">Argentina</option>
<option label="Armenia" value="string:Armenia">Armenia</option>
<option label="Australia" value="string:Australia">Australia</option>
<option label="Austria" value="string:Austria">Austria</option>
<option label="Azerbaijan" value="string:Azerbaijan">Azerbaijan</option>
<option label="Bahamas" value="string:Bahamas">Bahamas</option>
<option label="Bahrain" value="string:Bahrain">Bahrain</option>
<option label="Bangladesh" value="string:Bangladesh">Bangladesh</option>
<option label="Barbados" value="string:Barbados">Barbados</option>
<option label="Belarus" value="string:Belarus">Belarus</option>
<option label="Belgium" value="string:Belgium">Belgium</option>
<option label="Belize" value="string:Belize">Belize</option>
<option label="Benin" value="string:Benin">Benin</option>
<option label="Bhutan" value="string:Bhutan">Bhutan</option>
<option label="Bolivia" value="string:Bolivia">Bolivia</option>
<option label="Bosnia and Herzegovina" value="string:Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option label="Botswana" value="string:Botswana">Botswana</option>
<option label="Brazil" value="string:Brazil">Brazil</option>
<option label="Brunei" value="string:Brunei">Brunei</option>
<option label="Bulgaria" value="string:Bulgaria">Bulgaria</option>
<option label="Burkina Faso" value="string:Burkina Faso">Burkina Faso</option>
<option label="Burundi" value="string:Burundi">Burundi</option>
<option label="Côte d'Ivoire" value="string:Côte d'Ivoire">Côte d'Ivoire</option>
<option label="Cabo Verde" value="string:Cabo Verde">Cabo Verde</option>
<option label="Cambodia" value="string:Cambodia">Cambodia</option>
<option label="Cameroon" value="string:Cameroon">Cameroon</option>
<option label="Canada" value="string:Canada">Canada</option>
<option label="Central African Republic" value="string:Central African Republic">Central African Republic</option>
<option label="Chad" value="string:Chad">Chad</option>
<option label="Chile" value="string:Chile">Chile</option>
<option label="China" value="string:China">China</option>
<option label="Colombia" value="string:Colombia">Colombia</option>
<option label="Comoros" value="string:Comoros">Comoros</option>
<option label="Congo (Congo-Brazzaville)" value="string:Congo (Congo-Brazzaville)">Congo (Congo-Brazzaville)</option>
<option label="Costa Rica" value="string:Costa Rica">Costa Rica</option>
<option label="Croatia" value="string:Croatia">Croatia</option>
<option label="Cuba" value="string:Cuba">Cuba</option>
<option label="Cyprus" value="string:Cyprus">Cyprus</option>
<option label="Czechia (Czech Republic)" value="string:Czechia (Czech Republic)">Czechia (Czech Republic)</option>
<option label="Democratic Republic of the Congo" value="string:Democratic Republic of the Congo">Democratic Republic of the Congo</option>
<option label="Denmark" value="string:Denmark">Denmark</option>
<option label="Djibouti" value="string:Djibouti">Djibouti</option>
<option label="Dominica" value="string:Dominica">Dominica</option>
<option label="Dominican Republic" value="string:Dominican Republic">Dominican Republic</option>
<option label="Ecuador" value="string:Ecuador">Ecuador</option>
<option label="Egypt" value="string:Egypt">Egypt</option>
<option label="El Salvador" value="string:El Salvador">El Salvador</option>
<option label="Equatorial Guinea" value="string:Equatorial Guinea">Equatorial Guinea</option>
<option label="Eritrea" value="string:Eritrea">Eritrea</option>
<option label="Estonia" value="string:Estonia">Estonia</option>
<option label="Eswatini" value="string:Eswatini">Eswatini</option>
<option label="Ethiopia" value="string:Ethiopia">Ethiopia</option>
<option label="Fiji" value="string:Fiji">Fiji</option>
<option label="Finland" value="string:Finland">Finland</option>
<option label="France" value="string:France">France</option>
<option label="Gabon" value="string:Gabon">Gabon</option>
<option label="Gambia" value="string:Gambia">Gambia</option>
<option label="Georgia" value="string:Georgia">Georgia</option>
<option label="Germany" value="string:Germany">Germany</option>
<option label="Ghana" value="string:Ghana">Ghana</option>
<option label="Greece" value="string:Greece">Greece</option>
<option label="Grenada" value="string:Grenada">Grenada</option>
<option label="Guatemala" value="string:Guatemala">Guatemala</option>
<option label="Guinea" value="string:Guinea">Guinea</option>
<option label="Guinea-Bissau" value="string:Guinea-Bissau">Guinea-Bissau</option>
<option label="Guyana" value="string:Guyana">Guyana</option>
<option label="Haiti" value="string:Haiti">Haiti</option>
<option label="Holy See" value="string:Holy See">Holy See</option>
<option label="Honduras" value="string:Honduras">Honduras</option>
<option label="Hungary" value="string:Hungary">Hungary</option>
<option label="Iceland" value="string:Iceland">Iceland</option>
<option label="India" value="string:India">India</option>
<option label="Indonesia" value="string:Indonesia">Indonesia</option>
<option label="Iran" value="string:Iran">Iran</option>
<option label="Iraq" value="string:Iraq">Iraq</option>
<option label="Ireland" value="string:Ireland">Ireland</option>
<option label="Israel" value="string:Israel">Israel</option>
<option label="Italy" value="string:Italy">Italy</option>
<option label="Jamaica" value="string:Jamaica">Jamaica</option>
<option label="Japan" value="string:Japan">Japan</option>
<option label="Jordan" value="string:Jordan">Jordan</option>
<option label="Kazakhstan" value="string:Kazakhstan">Kazakhstan</option>
<option label="Kenya" value="string:Kenya">Kenya</option>
<option label="Kiribati" value="string:Kiribati">Kiribati</option>
<option label="Kuwait" value="string:Kuwait">Kuwait</option>
<option label="Kyrgyzstan" value="string:Kyrgyzstan">Kyrgyzstan</option>
<option label="Laos" value="string:Laos">Laos</option>
<option label="Latvia" value="string:Latvia">Latvia</option>
<option label="Lebanon" value="string:Lebanon">Lebanon</option>
<option label="Lesotho" value="string:Lesotho">Lesotho</option>
<option label="Liberia" value="string:Liberia">Liberia</option>
<option label="Libya" value="string:Libya">Libya</option>
<option label="Liechtenstein" value="string:Liechtenstein">Liechtenstein</option>
<option label="Lithuania" value="string:Lithuania">Lithuania</option>
<option label="Luxembourg" value="string:Luxembourg">Luxembourg</option>
<option label="Madagascar" value="string:Madagascar">Madagascar</option>
<option label="Malawi" value="string:Malawi">Malawi</option>
<option label="Malaysia" value="string:Malaysia">Malaysia</option>
<option label="Maldives" value="string:Maldives">Maldives</option>
<option label="Mali" value="string:Mali">Mali</option>
<option label="Malta" value="string:Malta">Malta</option>
<option label="Marshall Islands" value="string:Marshall Islands">Marshall Islands</option>
<option label="Mauritania" value="string:Mauritania">Mauritania</option>
<option label="Mauritius" value="string:Mauritius">Mauritius</option>
<option label="Mexico" value="string:Mexico">Mexico</option>
<option label="Micronesia" value="string:Micronesia">Micronesia</option>
<option label="Moldova" value="string:Moldova">Moldova</option>
<option label="Monaco" value="string:Monaco">Monaco</option>
<option label="Mongolia" value="string:Mongolia">Mongolia</option>
<option label="Montenegro" value="string:Montenegro">Montenegro</option>
<option label="Morocco" value="string:Morocco">Morocco</option>
<option label="Mozambique" value="string:Mozambique">Mozambique</option>
<option label="Myanmar (formerly Burma)" value="string:Myanmar (formerly Burma)">Myanmar (formerly Burma)</option>
<option label="Namibia" value="string:Namibia">Namibia</option>
<option label="Nauru" value="string:Nauru">Nauru</option>
<option label="Nepal" value="string:Nepal">Nepal</option>
<option label="Netherlands" value="string:Netherlands">Netherlands</option>
<option label="New Zealand" value="string:New Zealand">New Zealand</option>
<option label="Nicaragua" value="string:Nicaragua">Nicaragua</option>
<option label="Niger" value="string:Niger">Niger</option>
<option label="Nigeria" value="string:Nigeria">Nigeria</option>
<option label="North Korea" value="string:North Korea">North Korea</option>
<option label="North Macedonia" value="string:North Macedonia">North Macedonia</option>
<option label="Norway" value="string:Norway">Norway</option>
<option label="Oman" value="string:Oman">Oman</option>
<option label="Pakistan" value="string:Pakistan">Pakistan</option>
<option label="Palau" value="string:Palau">Palau</option>
<option label="Palestine State" value="string:Palestine State">Palestine State</option>
<option label="Panama" value="string:Panama">Panama</option>
<option label="Papua New Guinea" value="string:Papua New Guinea">Papua New Guinea</option>
<option label="Paraguay" value="string:Paraguay">Paraguay</option>
<option label="Peru" value="string:Peru">Peru</option>
<option label="Philippines" value="string:Philippines">Philippines</option>
<option label="Poland" value="string:Poland">Poland</option>
<option label="Portugal" value="string:Portugal">Portugal</option>
<option label="Qatar" value="string:Qatar">Qatar</option>
<option label="Romania" value="string:Romania">Romania</option>
<option label="Russia" value="string:Russia">Russia</option>
<option label="Rwanda" value="string:Rwanda">Rwanda</option>
<option label="Saint Kitts and Nevis" value="string:Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option label="Saint Lucia" value="string:Saint Lucia">Saint Lucia</option>
<option label="Saint Vincent and the Grenadines" value="string:Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option label="Samoa" value="string:Samoa">Samoa</option>
<option label="San Marino" value="string:San Marino">San Marino</option>
<option label="Sao Tome and Principe" value="string:Sao Tome and Principe">Sao Tome and Principe</option>
<option label="Saudi Arabia" value="string:Saudi Arabia">Saudi Arabia</option>
<option label="Senegal" value="string:Senegal">Senegal</option>
<option label="Serbia" value="string:Serbia">Serbia</option>
<option label="Seychelles" value="string:Seychelles">Seychelles</option>
<option label="Sierra Leone" value="string:Sierra Leone">Sierra Leone</option>
<option label="Singapore" value="string:Singapore">Singapore</option>
<option label="Slovakia" value="string:Slovakia">Slovakia</option>
<option label="Slovenia" value="string:Slovenia">Slovenia</option>
<option label="Solomon Islands" value="string:Solomon Islands">Solomon Islands</option>
<option label="Somalia" value="string:Somalia">Somalia</option>
<option label="South Africa" value="string:South Africa">South Africa</option>
<option label="South Korea" value="string:South Korea">South Korea</option>
<option label="South Sudan" value="string:South Sudan">South Sudan</option>
<option label="Spain" value="string:Spain">Spain</option>
<option label="Sri Lanka" value="string:Sri Lanka">Sri Lanka</option>
<option label="Sudan" value="string:Sudan">Sudan</option>
<option label="Suriname" value="string:Suriname">Suriname</option>
<option label="Sweden" value="string:Sweden">Sweden</option>
<option label="Switzerland" value="string:Switzerland">Switzerland</option>
<option label="Syria" value="string:Syria">Syria</option>
<option label="Tajikistan" value="string:Tajikistan">Tajikistan</option>
<option label="Tanzania" value="string:Tanzania">Tanzania</option>
<option label="Thailand" value="string:Thailand">Thailand</option>
<option label="Timor-Leste" value="string:Timor-Leste">Timor-Leste</option>
<option label="Togo" value="string:Togo">Togo</option>
<option label="Tonga" value="string:Tonga">Tonga</option>
<option label="Trinidad and Tobago" value="string:Trinidad and Tobago">Trinidad and Tobago</option>
<option label="Tunisia" value="string:Tunisia">Tunisia</option>
<option label="Turkey" value="string:Turkey">Turkey</option>
<option label="Turkmenistan" value="string:Turkmenistan">Turkmenistan</option>
<option label="Tuvalu" value="string:Tuvalu">Tuvalu</option>
<option label="Uganda" value="string:Uganda">Uganda</option>
<option label="Ukraine" value="string:Ukraine">Ukraine</option>
<option label="United Arab Emirates" value="string:United Arab Emirates">United Arab Emirates</option>
<option label="United Kingdom" value="string:United Kingdom">United Kingdom</option>
<option label="United States of America" value="string:United States of America">United States of America</option>
<option label="Uruguay" value="string:Uruguay">Uruguay</option>
<option label="Uzbekistan" value="string:Uzbekistan">Uzbekistan</option>
<option label="Vanuatu" value="string:Vanuatu">Vanuatu</option>
<option label="Venezuela" value="string:Venezuela">Venezuela</option>
<option label="Vietnam" value="string:Vietnam">Vietnam</option>
<option label="Yemen" value="string:Yemen">Yemen</option>
<option label="Zambia" value="string:Zambia">Zambia</option>
<option label="Zimbabwe" value="string:Zimbabwe">Zimbabwe</option>
</select>
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if cq_710215 fails required" style="display: none;"> This field is required. </span>
</div>
</div>
</div>
</div>
<div class="donation-table ng-scope custom-mailing-field" data-ng-repeat="question in list.customQuestions" style="display: none;">
<!-- ngInclude: ::template('questions/' + question.type) -->
<div data-ng-include="::template('questions/' + question.type)" class="ng-scope">
<div class="donation-table_label ng-scope">
<label class="donation-label ng-binding" data-sc-form-error="highlight if cq_710213 fails" data-ng-class="{ required: question.is_required }">City</label>
</div>
<div class="donation-table_row ng-scope">
<div class="donation-table_columns">
<div class="donation-table_column half">
<input class="donation-text_input ng-pristine ng-untouched ng-valid ng-empty ng-valid-required ng-not-modified" data-ng-model="META.answers[question.id]" data-ng-model-options="{ getterSetter: true }"
data-sc-retain-focus-validity="" data-sc-form-error="highlight if cq_710213 fails" data-ng-required="question.is_required" name="cq_710213" aria-label="City" type="text" aria-invalid="false">
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if cq_710213 fails required" style="display: none;"> This field is required. </span>
</div>
</div>
</div>
</div>
<div class="donation-table ng-scope custom-mailing-field" data-ng-repeat="question in list.customQuestions" style="display: none;">
<!-- ngInclude: ::template('questions/' + question.type) -->
<div data-ng-include="::template('questions/' + question.type)" class="ng-scope">
<div class="donation-table_label ng-scope">
<label class="donation-label ng-binding" data-sc-form-error="highlight if cq_710214 fails" data-ng-class="{ required: question.is_required }">State</label>
</div>
<div class="donation-table_row ng-scope">
<div class="donation-table_columns">
<div class="donation-table_column half">
<select class="donation-select ng-pristine ng-untouched ng-empty ng-not-modified ng-valid ng-valid-required" data-ng-model="META.answers[question.id]" data-ng-model-options="{ getterSetter: true }"
data-sc-form-error="highlight if cq_710214 fails" data-ng-required="question.is_required" data-ng-options="option.label as option.label for option in question.enum_options" name="cq_710214" aria-invalid="false">
<option value="" class="" selected="selected">Please select</option>
<option label="Alabama" value="string:Alabama">Alabama</option>
<option label="Alaska" value="string:Alaska">Alaska</option>
<option label="Arizona" value="string:Arizona">Arizona</option>
<option label="Arkansas" value="string:Arkansas">Arkansas</option>
<option label="California" value="string:California">California</option>
<option label="Colorado" value="string:Colorado">Colorado</option>
<option label="Connecticut" value="string:Connecticut">Connecticut</option>
<option label="Delaware" value="string:Delaware">Delaware</option>
<option label="Florida" value="string:Florida">Florida</option>
<option label="Georgia" value="string:Georgia">Georgia</option>
<option label="Hawaii" value="string:Hawaii">Hawaii</option>
<option label="Idaho" value="string:Idaho">Idaho</option>
<option label="Illinois" value="string:Illinois">Illinois</option>
<option label="Indiana" value="string:Indiana">Indiana</option>
<option label="Iowa" value="string:Iowa">Iowa</option>
<option label="Kansas" value="string:Kansas">Kansas</option>
<option label="Kentucky" value="string:Kentucky">Kentucky</option>
<option label="Louisiana" value="string:Louisiana">Louisiana</option>
<option label="Maine" value="string:Maine">Maine</option>
<option label="Maryland" value="string:Maryland">Maryland</option>
<option label="Massachusetts" value="string:Massachusetts">Massachusetts</option>
<option label="Michigan" value="string:Michigan">Michigan</option>
<option label="Minnesota" value="string:Minnesota">Minnesota</option>
<option label="Mississippi" value="string:Mississippi">Mississippi</option>
<option label="Missouri" value="string:Missouri">Missouri</option>
<option label="Montana" value="string:Montana">Montana</option>
<option label="Nebraska" value="string:Nebraska">Nebraska</option>
<option label="Nevada" value="string:Nevada">Nevada</option>
<option label="New Hampshire" value="string:New Hampshire">New Hampshire</option>
<option label="New Jersey" value="string:New Jersey">New Jersey</option>
<option label="New Mexico" value="string:New Mexico">New Mexico</option>
<option label="New York" value="string:New York">New York</option>
<option label="North Carolina" value="string:North Carolina">North Carolina</option>
<option label="North Dakota" value="string:North Dakota">North Dakota</option>
<option label="Ohio" value="string:Ohio">Ohio</option>
<option label="Oklahoma" value="string:Oklahoma">Oklahoma</option>
<option label="Oregon" value="string:Oregon">Oregon</option>
<option label="Pennsylvania" value="string:Pennsylvania">Pennsylvania</option>
<option label="Rhode Island" value="string:Rhode Island">Rhode Island</option>
<option label="South Carolina" value="string:South Carolina">South Carolina</option>
<option label="South Dakota" value="string:South Dakota">South Dakota</option>
<option label="Tennessee" value="string:Tennessee">Tennessee</option>
<option label="Texas" value="string:Texas">Texas</option>
<option label="Utah" value="string:Utah">Utah</option>
<option label="Vermont" value="string:Vermont">Vermont</option>
<option label="Virginia" value="string:Virginia">Virginia</option>
<option label="Washington" value="string:Washington">Washington</option>
<option label="Washington D.C." value="string:Washington D.C.">Washington D.C.</option>
<option label="West Virginia" value="string:West Virginia">West Virginia</option>
<option label="Wisconsin" value="string:Wisconsin">Wisconsin</option>
<option label="Wyoming" value="string:Wyoming">Wyoming</option>
</select>
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if cq_710214 fails required" style="display: none;"> This field is required. </span>
</div>
</div>
</div>
</div>
<div class="donation-table ng-scope custom-mailing-field" data-ng-repeat="question in list.customQuestions" style="display: none;">
<!-- ngInclude: ::template('questions/' + question.type) -->
<div data-ng-include="::template('questions/' + question.type)" class="ng-scope">
<div class="donation-table_label ng-scope">
<label class="donation-label ng-binding" data-sc-form-error="highlight if cq_710216 fails" data-ng-class="{ required: question.is_required }">Zip Code</label>
</div>
<div class="donation-table_row ng-scope">
<div class="donation-table_columns">
<div class="donation-table_column half">
<input class="donation-text_input ng-pristine ng-untouched ng-valid ng-empty ng-valid-required ng-not-modified" data-ng-model="META.answers[question.id]" data-ng-model-options="{ getterSetter: true }"
data-sc-retain-focus-validity="" data-sc-form-error="highlight if cq_710216 fails" data-ng-required="question.is_required" name="cq_710216" aria-label="Zip Code" type="text" aria-invalid="false">
</div>
</div>
<div aria-live="polite" role="alert">
<span class="donation-error ng-binding" data-sc-form-error="show if cq_710216 fails required" style="display: none;"> This field is required. </span>
</div>
</div>
</div>
</div>
</div>
</div>
</section><!-- end ngRepeat: component in list.components | filter:{section:'main'} | orderBy:'order' -->
<section class="block-component ng-scope" data-ng-repeat="component in list.components | filter:{section:'main'} | orderBy:'order'">
<!-- ngInclude: component.templateUrl -->
<div data-ng-include="component.templateUrl" class="ng-scope">
<section id="df_checkout_donation-footer" class="donation-footer ng-scope" data-ng-controller="frsDonationFooterCtrl" data-ng-show="META.showPaymentDetails">
<div data-ng-if="$ctrl.show" data-ng-hide="$ctrl.hide" class="sc-consent ng-scope">
<button type="button" class="sc-checkbox_top sc-checkbox checked" data-ng-click="toggle()" role="checkbox" aria-checked="true" data-sc-checkbox="" data-ng-model="$ctrl.optIn"
aria-label="Subscribe to The Leukemia & Lymphoma Society Newsletter" name="opt_in"><span class="sc-checkbox_input"></span><span class="sc-checkbox_label" data-ng-transclude="" aria-hidden="true"> Subscribe to The Leukemia &
Lymphoma Society Newsletter </span></button>
</div>
<div class="donation-footer_container">
<!-- ngIf: show.achTerms() -->
<small class="donation-footer_terms"> By clicking <span class="ng-binding">DONATE NOW</span>, I agree to the <a href="https://www.classy.org/terms" target="_blank" aria-label="View Terms of Service page">Terms of Service</a> and
<a href="https://www.classy.org/terms/privacy" target="_blank" aria-label="View Privacy Policy page">Privacy Policy</a>
</small>
<!-- ngIf: show.feeOnTop() -->
<div class="donation-footer_summary">
<!-- ngIf: show.creditee() -->
<summary-amount amount="META.summaryAmount" recur_until="MODEL.recur_until" feeprocessing="globalState.feeProcessing" frequency="MODEL.frequency" taxcompliance="META.unsupportedTaxCompliance" currency="MODEL.payment.raw_currency_code"
estimatedcharge="META.estimatedCharge" class="ng-isolate-scope">
<p class="donation-summary-amount">
<span class="sr-only">your currently selected donation amount is </span>
<!-- ngIf: !$ctrl.preventRecurringFrequency --><span class="donation-summary-amount-label ng-binding ng-scope" aria-hidden="true" ng-if="!$ctrl.preventRecurringFrequency">One-time
donation</span><!-- end ngIf: !$ctrl.preventRecurringFrequency -->
<!-- ngIf: $ctrl.preventRecurringFrequency -->
<span class="donation-summary-amount-amount ng-binding" data-ng-class="{ processing: $ctrl.feeprocessing }"> €100.00<!-- ngIf: $ctrl.preventRecurringFrequency -->
<span class="donation-summary-amount-currency ng-binding">EUR</span>
<span class="donation-summary-amount-processing">
<span class="donation-summary-amount-processing-spinner"></span>
</span>
</span>
<!-- ngIf: !$ctrl.preventRecurringFrequency && $ctrl.recurUntil -->
<!-- ngIf: !$ctrl.preventRecurringFrequency --><span class="donation-summary-amount-date ng-binding ng-scope" ng-if="!$ctrl.preventRecurringFrequency"></span><!-- end ngIf: !$ctrl.preventRecurringFrequency -->
<!-- ngIf: $ctrl.taxCompliance -->
</p>
<div class="donation-footer_controls">
<!-- ngIf: !editable --><button id="donate-cta-main" class="donation-footer_submit ng-binding ng-scope" ng-if="!editable" data-ng-style="{'background-color': theme.current.styles.primaryColor}"
data-ng-disabled="globalState.processing || globalState.submitDisabled" data-ng-bind="block['submit-button-text'] || 'Donate' " aria-label="click give now to donate €100.00" type="submit"
style="background-color: rgb(204, 0, 0);">DONATE NOW</button><!-- end ngIf: !editable -->
<!-- ngIf: editable -->
</div>
</summary-amount>
</div>
<!-- ngIf: META.unsupportedTaxCompliance -->
<div class="donation-footer__compliance--unsupported ng-scope" ng-if="META.unsupportedTaxCompliance">
<div class="donation-footer__compliance-img">
<i class="ci ci-world-hands"></i>
</div>
<div class="donation-footer__compliance-text">
<span class="donation-footer__compliance-title">International Gift</span>
<p class="ng-binding">You are giving to an organization located in United States. This donation will be processed and receipted in USD and deposited to a US bank account. Contributions are tax deductible to the extent allowed by the
laws of your country. Consult your local tax professional.</p>
</div>
</div><!-- end ngIf: META.unsupportedTaxCompliance -->
</div>
</section>
<div class="donation-border-top donation-footer__compliance ng-scope ng-hide" ng-show="META.showTaxComplianceLanguage">
<p ng-bind-html="META.taxComplianceLanguage" class="ng-binding"></p>
</div>
</div>
</section><!-- end ngRepeat: component in list.components | filter:{section:'main'} | orderBy:'order' -->
</form>
Text Content
Close Login DOUBLE YOUR IMPACT. YOUR GIFT WILL BE MATCHED DONAR REQUIRED FIELDS* DONAR To donate via bitcoin or other crypto currencies, please click here. Is this a monthly gift? YesNo One time recurring Choose a one-time amount * €1,000 * €470 * €100 * €47 AED | United Arab Emirates DirhamAFN | Afghan AfghaniALL | Albanian LekAMD | Armenian DramANG | Netherlands Antillean GuilderAOA | Angolan KwanzaARS | Argentine PesoAUD | Australian DollarAWG | Aruban FlorinAZN | Azerbaijani ManatBAM | Bosnia And Herzegovina Convertible MarkBBD | Barbados DollarBDT | Bangladeshi TakaBGN | Bulgarian LevBHD | Bahraini DinarBIF | Burundian FrancBMD | Bermudian Dollar (customarily Known As Bermuda Dollar)BND | Brunei DollarBOB | BolivianoBRL | Brazilian RealBSD | Bahamian DollarBTN | Bhutanese NgultrumBWP | Botswana PulaBZD | Belize DollarCAD | Canadian DollarCDF | Congolese FrancCHF | Swiss FrancCLF | Unidad De Fomento (funds Code)CLP | Chilean PesoCNY | Chinese YuanCOP | Colombian PesoCRC | Costa Rican ColonCUC | Cuban Convertible PesoCUP | Cuban PesoCVE | Cape Verde EscudoCZK | Czech KorunaDJF | Djiboutian FrancDKK | Danish KroneDOP | Dominican PesoDZD | Algerian DinarEGP | Egyptian PoundERN | Eritrean NakfaETB | Ethiopian BirrEUR | EuroFJD | Fiji DollarFKP | Falkland Islands PoundGBP | Pound SterlingGEL | Georgian LariGHS | Ghanaian CediGIP | Gibraltar PoundGMD | Gambian DalasiGNF | Guinean FrancGTQ | Guatemalan QuetzalGYD | Guyanese DollarHKD | Hong Kong DollarHNL | Honduran LempiraHRK | Croatian KunaHTG | Haitian GourdeHUF | Hungarian ForintIDR | Indonesian RupiahILS | Israeli New ShekelINR | Indian RupeeIQD | Iraqi DinarIRR | Iranian RialISK | Icelandic KrónaJMD | Jamaican DollarJOD | Jordanian DinarJPY | Japanese YenKES | Kenyan ShillingKGS | Kyrgyzstani SomKHR | Cambodian RielKMF | Comoro FrancKPW | North Korean WonKRW | South Korean WonKWD | Kuwaiti DinarKYD | Cayman Islands DollarKZT | Kazakhstani TengeLAK | Lao KipLBP | Lebanese PoundLKR | Sri Lankan RupeeLRD | Liberian DollarLSL | Lesotho LotiLYD | Libyan DinarMAD | Moroccan DirhamMDL | Moldovan LeuMGA | Malagasy AriaryMKD | Macedonian DenarMMK | Myanma KyatMNT | Mongolian TugrikMOP | Macanese PatacaMUR | Mauritian RupeeMVR | Maldivian RufiyaaMWK | Malawian KwachaMXN | Mexican PesoMYR | Malaysian RinggitMZN | Mozambican MeticalNAD | Namibian DollarNGN | Nigerian NairaNIO | Nicaraguan CórdobaNOK | Norwegian KroneNPR | Nepalese RupeeNZD | New Zealand DollarOMR | Omani RialPAB | Panamanian BalboaPEN | Peruvian Nuevo SolPGK | Papua New Guinean KinaPHP | Philippine PesoPKR | Pakistani RupeePLN | Polish ZłotyPYG | Paraguayan GuaraníQAR | Qatari RiyalRON | Romanian New LeuRSD | Serbian DinarRWF | Rwandan FrancSAR | Saudi RiyalSBD | Solomon Islands DollarSCR | Seychelles RupeeSDG | Sudanese PoundSEK | Swedish Krona/kronorSGD | Singapore DollarSHP | Saint Helena PoundSLL | Sierra Leonean LeoneSOS | Somali ShillingSRD | Surinamese DollarSSP | South Sudanese PoundSTD | São Tomé And Príncipe DobraSYP | Syrian PoundSZL | Swazi LilangeniTHB | Thai BahtTJS | Tajikistani SomoniTMT | Turkmenistani ManatTND | Tunisian DinarTOP | Tongan PaʻangaTRY | Turkish LiraTTD | Trinidad And Tobago DollarTWD | New Taiwan DollarTZS | Tanzanian ShillingUAH | Ukrainian HryvniaUGX | Ugandan ShillingUSD | United States DollarUYU | Uruguayan PesoUZS | Uzbekistan SomVND | Vietnamese DongVUV | Vanuatu VatuWST | Samoan TalaXAF | CFA Franc BEACXCD | East Caribbean DollarXDR | Special Drawing RightsXOF | CFA Franc BCEAOXPF | CFP FrancYER | Yemeni RialZAR | South African Rand EUR € SEE IF YOUR EMPLOYER WILL MATCH YOUR DONATION! See if your employer will match your donation Employer donation matching is provided by our partner Double the Donation. You may receive an email from Double the Donation with instructions on how to request a donation match from your employer. Company PERSONALIZE YOUR DONATION Is this gift a tribute? YesNo Dedicate my donation in honor or in memory of someone Type In honor of … In memory of … Honoree’s First Name Honoree’s Last Name Don't forget to give us a name for the dedication. Recipient's email Please enter dedication recipient email in the format: name@domain.com. Optionally send a notification email Recipient’s First Name Recipient’s Last Name Don't forget to include the of your recipient. Your Message to the Recipient Please spell check, include how you would like your name(s) signed, mention the amount if desired, and format your message as you would like it delivered. Include an e-Card? No e-Card PAYMENT INFORMATION YOUR INFORMATION First Name Last Name Be sure to provide your name. Hide my name from the public. Email Don't forget your email address. Please enter in the format: name@domain.com. Your receipt will be emailed here. Phone Number Please enter a valid phone number. Don't forget your phone number. My mailing address is the same as my billing address Yes No This field is required. your currently selected donation amount is One-time donation €100.00 EUR I’d like to cover the credit card fees associated with my donation so more of my donation goes directly to The Leukemia & Lymphoma Society Donate with your preferred payment method: By clicking the donate button, I agree to the Terms of Service and Privacy Policy Donate with Credit Card Card Number tab to enter credit card field change Connect to PayPal Link to Bank Account Is this a company credit card? Billing First Name Billing Last Name Please enter your billing name. Country Please SelectAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and Saba Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the CongoReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambia Please select your country. Address Don't forget to provide a billing address. Address 2 City Don't forget to provide a billing city. State Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (the) AmericasArmed Forces EuropeArmed Forces PacificAmerican SamoaGuamNorthern Mariana IslandsPuerto RicoUnited States Minor Outlying IslandsVirgin Islands ZIP Please verify that you are not a robot. My mailing address is the same as my billing address YesNo Address This field is required. Address 2 This field is required. Country Please selectAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongo (Congo-Brazzaville)Costa RicaCroatiaCubaCyprusCzechia (Czech Republic)Democratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (formerly Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorth MacedoniaNorwayOmanPakistanPalauPalestine StatePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe This field is required. City This field is required. State Please selectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyoming This field is required. Zip Code This field is required. Subscribe to The Leukemia & Lymphoma Society Newsletter By clicking DONATE NOW, I agree to the Terms of Service and Privacy Policy your currently selected donation amount is One-time donation €100.00 EUR DONATE NOW International Gift You are giving to an organization located in United States. This donation will be processed and receipted in USD and deposited to a US bank account. Contributions are tax deductible to the extent allowed by the laws of your country. Consult your local tax professional. Other Ways to Donate: contact us by email, call us at 888-557-7177, or mail. To donate via bitcoin or other crypto currencies, please click here. The Leukemia & Lymphoma Society is a 501(c)(3) organization, and all monetary donations are tax deductible to the fullest extent allowed by tax laws. Please check with your financial advisor if you have more questions. * Refund * | * Privacy * | * Copyright * | * Security * | * Disclaimer Prefer to donate with cryptocurrency? Donate Crypto DOUBLE YOUR IMPACT. YOUR GIFT WILL BE MATCHED Bitcoin Ethereum USDC Choose a donation amount $1,000.00 0.05980568 BTC $500.00 0.02990284 BTC $100.00 0.00598057 BTC $50.00 0.00299028 BTC USD BTC enter an amount greater than 0 What would you like your donation to support? Donate NaN BTC QUESTIONS Is this donation tax deductible? The Leukemia & Lymphoma Society is a 501(c)3 tax-exempt organization and your donation is tax-deductible within the guidelines of U.S. law. To claim a donation as a deduction on your U.S. taxes, please keep your email donation receipt as your official record. We'll send it to you upon successful completion of your donation. Is my donation secure? Yes – the security of your donation and interaction with LLS is of the highest priority, and we take our responsibility with respect to that information very seriously. LLS and its partner Classy are PCI Compliant, and adhere to industry best practice encryption and security, aligning with the PCI-SSC (Payment Card Industry Security Standards Council) to ensure the most secure environment for your donations. Will I be sent a receipt? Yes. We will send you a donation receipt to the email address provided. Please be sure to keep a copy of the receipt for tax purposes. If you select monthly donations, we will send you a receipt each month after the donation is processed. Can I donate by phone or mail? Yes. You can make your monthly or one-time gift by calling (888) 557-7177. To mail your gift using a check or money order, please send to The Leukemia & Lymphoma Society Donor Services, PO Box 98018 Washington DC 20090-8018. We are so grateful for your support. Need Help? (888) 557-7177 ❤️ Before you go Would you consider a donation? Your support will help create change and inspire hope throughout our community. Return to donate Is this a monthly gift? Gift Amount Personalize Your Donation Payment Information https://www.lls.org/sites/default/files/National/USA/Image/Donation_Page_Sidebar/donation-sidebar-image.jpg Hey there! * Log In * Share this page