dons-urgenceetdeveloppement.bnpparibas.com
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Submitted URL: https://ediis.emsecure.net/optiext/optiextension.dll?ID=D%2B_D%2BGTFdhJpSgdTOcuw5BqmkKg8frT%2BTKGqTS73g6ehwSBTuXfGo5Kkjf7pJ...
Effective URL: https://dons-urgenceetdeveloppement.bnpparibas.com/site/bnp/2024_cyclone_mayotte/en/don/index.html?donorType=E&from=2024CMD
Submission: On December 18 via manual from FR — Scanned from FR
Effective URL: https://dons-urgenceetdeveloppement.bnpparibas.com/site/bnp/2024_cyclone_mayotte/en/don/index.html?donorType=E&from=2024CMD
Submission: On December 18 via manual from FR — Scanned from FR
Form analysis 1 forms found in the DOM
Name: nfform — POST /site/bnp/2024_cyclone_mayotte/en/don/index.html
<form id="nfform" name="nfform" method="post" action="/site/bnp/2024_cyclone_mayotte/en/don/index.html" enctype="application/x-www-form-urlencoded">
<input type="hidden" name="nfform" value="nfform">
<div id="cbody">
<div id="sidebar">
<div id="step1"></div>
<div id="nfform:typeDon" class="module_don">
<h2>Frequency</h2>
<ul class="periodicite">
<li><input name="nfform:radioPeriod" id="nfform:radioPeriod:periode0" type="radio" checked="checked" class="choixSimple" value="oneshot">
<label for="nfform:radioPeriod:periode0">single donation</label>
</li>
<li><input name="nfform:radioPeriod" id="nfform:radioPeriod:periode1" type="radio" class="choixRegulier" value="month">
<label for="nfform:radioPeriod:periode1">regular donation : each month</label>
</li>
</ul>
<h2>Donation amount</h2>
<ul id="oneshotPriceList" class="listeMontants">
<h3>I give <span class="small">once</span></h3>
<ul class="radio">
<li class="radioMontant item_amount"><input name="nfform:radioAmount" id="nfform:radioAmount:propositionAmount" type="radio" checked="checked" class="radioOneShot radioOneShot0" value="10.0">
<label>10</label>
</li>
<li class="radioMontant item_amount"><input name="nfform:radioAmount" id="nfform:radioAmount:j_idt130" type="radio" class="radioOneShot radioOneShot1" value="20.0">
<label>20</label>
</li>
<li class="radioMontant item_amount"><input name="nfform:radioAmount" id="nfform:radioAmount:j_idt135" type="radio" class="radioOneShot radioOneShot2" value="30.0">
<label>30</label>
</li>
<li class="radioMontant item_amount"><input name="nfform:radioAmount" id="nfform:radioAmount:j_idt140" type="radio" class="radioOneShot radioOneShot3" value="50.0">
<label>50</label>
</li>
</ul>
<div class="clear"></div>
<p class="otherAmount"><label for="nfform:fmontant">Other amount</label><input id="nfform:fmontant" type="text" name="nfform:fmontant" class="autreMontant autreMontantSimple input-form" maxlength="7" size="7" style="text-align:left">
</p>
</ul>
<ul id="prelPriceList" class="listeMontants" style="display: none;">
<h3>I give <span class="small">every months</span></h3>
<ul class="radio">
<li class="radioMontant item_amount"><input name="nfform:radioAmountPrelevement" id="nfform:radioAmountPrelevement:propositionAmountPrelevement" type="radio" class="prelAmount prelAmount0" value="5.0">
<label for="nfform:propositionAmountPrelevement">5</label>
</li>
<li class="radioMontant item_amount"><input name="nfform:radioAmountPrelevement" id="nfform:radioAmountPrelevement:j_idt161" type="radio" checked="checked" class="prelAmount prelAmount1" value="10.0">
<label for="nfform:propositionAmountPrelevement">10</label>
</li>
<li class="radioMontant item_amount"><input name="nfform:radioAmountPrelevement" id="nfform:radioAmountPrelevement:j_idt166" type="radio" class="prelAmount prelAmount2" value="20.0">
<label for="nfform:propositionAmountPrelevement">20</label>
</li>
<li class="radioMontant item_amount"><input name="nfform:radioAmountPrelevement" id="nfform:radioAmountPrelevement:j_idt171" type="radio" class="prelAmount prelAmount3" value="30.0">
<label for="nfform:propositionAmountPrelevement">30</label>
</li>
</ul>
<div class="clear"></div>
<p class="otherAmount"><label for="nfform:fmontantPrelevement">Other amount</label><input id="nfform:fmontantPrelevement" type="text" name="nfform:fmontantPrelevement" class="autreMontant autreMontantPrel input-form" maxlength="7" size="7"
style="text-align:left">
</p>
</ul>
<p class="chooseCurrency"><label for="nfform:currency">Currency</label><select id="nfform:currency" name="nfform:currency" class="select-currency select-form" size="1">
<option value="EUR" selected="selected">Euro</option>
<option value="USD">US Dollar</option>
<option value="GBP">British Pound</option>
<option value="CHF">Swiss francs</option>
<option value="AUD"> Australian dollar</option>
<option value="JPY">Japanese Yen</option>
</select>
</p>
<script>
changeValue();
</script>
</div>
<div id="bnp_double">
<p id="bnp_double_1">BNP PARIBAS</p>
<p id="bnp_double_2">matches your donation !</p>
<p id="bnp_double_3">For example, for 20€ donated to the fund, 40€ are given to the NGOs !</p>
</div>
</div>
<div id="content60">
<div id="step2"></div>
<div class="item-page">
<fieldset>
<div class="coordonnee nfstyle">
<div class="ui-message"></div>
<br class="clear"><label for="nfform:j_idt210:visitorType" class="label-form cacheLabel">You are</label><select id="nfform:j_idt210:visitorType" name="nfform:j_idt210:visitorType" class="typeDonateur select-form" size="1"
onchange="updateDonorType();">
<option value="E" selected="selected">BNP Paribas employee</option>
</select>
<br class="clear"><label for="nfform:donorUID" class="label-form uidLabel uidFields">BNP Paribas Directory user ID<span class="ui-outputlabel-rfi">*</span></label><input id="nfform:donorUID" type="text" name="nfform:donorUID"
class="input-form uidField uidFields">
<br class="clear uidFields">
<label class="label-form"></label>
<a href="/site/bnp/defaut/en/accueil/faqCollaborateur.html" class="btn-blue faqCollaborateurLink faqLink" style="">Need help
</a>
<a href="/site/bnp/defaut/en/accueil/faqRetraite.html" class="btn-blue faqRetraiteLink faqLink" style="display: none;">Need help
</a>
<a href="/site/bnp/defaut/en/accueil/faq.html" class="btn-blue faqClientLink faqLink" style="display: none;">Need help
</a>
<hr id="helpHr">
<br class="clear"><label for="nfform:visitorCountry" class="label-form cacheLabel">Country<span class="etoile"> *</span></label><select id="nfform:visitorCountry" name="nfform:visitorCountry" class="select-form select-pays" size="1"
onchange="mojarra.ab(this,event,'valueChange','@this','@this nfform:redirectCountryPanel nfform:typeDon')">
<option value="0">-- Select --</option>
<option value="63" selected="selected">France</option>
<option value="217">Afghanistan</option>
<option value="81">Albania</option>
<option value="3">Algeria</option>
<option value="86">Andorra</option>
<option value="87">Angola</option>
<option value="234">Anguilla</option>
<option value="243">Anguilla</option>
<option value="199">Antarctica</option>
<option value="88">Antigua And Barbuda</option>
<option value="42">Argentina</option>
<option value="220">Armees 25</option>
<option value="221">Armees 27</option>
<option value="222">Armees 55</option>
<option value="223">Armees 69</option>
<option value="224">Armees 71</option>
<option value="225">Armees 85</option>
<option value="226">Armees 91</option>
<option value="91">Armenia</option>
<option value="36">Australia</option>
<option value="31">Austria</option>
<option value="92">Azerbaijan</option>
<option value="93">Bahamas</option>
<option value="2">Bahrain</option>
<option value="94">Bangladesh</option>
<option value="95">Barbados</option>
<option value="26">Belarus</option>
<option value="62">Belgium</option>
<option value="96">Belize</option>
<option value="97">Benin</option>
<option value="235">Bermudes</option>
<option value="244">Bermudes</option>
<option value="98">Bhutan</option>
<option value="43">Bolivia</option>
<option value="99">Bosnia And Herzegovina</option>
<option value="100">Botswana</option>
<option value="74">Brazil</option>
<option value="200">British Indian Ocean Territory</option>
<option value="89">British West Indies</option>
<option value="101">Brunei</option>
<option value="27">Bulgaria</option>
<option value="102">Burkina Faso</option>
<option value="104">Burundi</option>
<option value="105">Cambodia</option>
<option value="106">Cameroon</option>
<option value="37">Canada</option>
<option value="107">Cape Verde</option>
<option value="178">Central African Republic</option>
<option value="198">Chad</option>
<option value="44">Chile</option>
<option value="23">China</option>
<option value="45">Colombia</option>
<option value="109">Comoros</option>
<option value="179">Congo - Brazzaville</option>
<option value="175">Congo - Kinshasa</option>
<option value="46">Costa Rica</option>
<option value="64">Croatia</option>
<option value="113">Cuba</option>
<option value="108">Cyprus</option>
<option value="29">Czech Republic</option>
<option value="30">Denmark</option>
<option value="114">Djibouti</option>
<option value="115">Dominica</option>
<option value="47">Dominican Republic</option>
<option value="116">Ecuador</option>
<option value="4">Egypt</option>
<option value="57">El Salvador</option>
<option value="218">Equatorial Guinea</option>
<option value="117">Eritrea</option>
<option value="60">Estonia</option>
<option value="118">Ethiopia</option>
<option value="133">Falkland Islands</option>
<option value="119">Fiji</option>
<option value="61">Finland</option>
<option value="215">French Guiana</option>
<option value="173">French Polynesia</option>
<option value="120">Gabon</option>
<option value="121">Gambia</option>
<option value="122">Georgia</option>
<option value="33">Germany</option>
<option value="123">Ghana</option>
<option value="124">Gibraltar</option>
<option value="35">Greece</option>
<option value="127">Greenland</option>
<option value="126">Grenada</option>
<option value="213">Guadeloupe</option>
<option value="49">Guatemala</option>
<option value="128">Guinea</option>
<option value="129">Guinea-bissau</option>
<option value="130">Guyana</option>
<option value="131">Haiti</option>
<option value="50">Honduras</option>
<option value="24">Hong Kong Sar China</option>
<option value="65">Hungary</option>
<option value="66">Iceland</option>
<option value="245">Iles Caimans</option>
<option value="237">Iles Caimans</option>
<option value="246">Iles Chagos</option>
<option value="247">Iles Falkland</option>
<option value="248">Iles Turques Et Caiques</option>
<option value="239">Iles Turques Et Caiques</option>
<option value="242">Iles Vierges Britanniques</option>
<option value="236">Iles Vierges Britanniques</option>
<option value="18">India</option>
<option value="137">Indonesia</option>
<option value="138">Iran</option>
<option value="5">Iraq</option>
<option value="39">Ireland</option>
<option value="19">Israel</option>
<option value="67">Italy</option>
<option value="111">Ivory Coast</option>
<option value="142">Jamaica</option>
<option value="20">Japan</option>
<option value="6">Jordan</option>
<option value="139">Kazakhstan</option>
<option value="140">Kenya</option>
<option value="141">Kiribati</option>
<option value="241">Kosovo</option>
<option value="7">Kuwait</option>
<option value="176">Kyrgyzstan</option>
<option value="143">Laos</option>
<option value="145">Latvia</option>
<option value="8">Lebanon</option>
<option value="144">Lesotho</option>
<option value="146">Liberia</option>
<option value="9">Libya</option>
<option value="147">Liechtenstein</option>
<option value="68">Lithuania</option>
<option value="34">Luxembourg</option>
<option value="148">Macau Sar China</option>
<option value="70">Macedonia</option>
<option value="180">Madagascar</option>
<option value="150">Malawi</option>
<option value="149">Malaysia</option>
<option value="151">Maldives</option>
<option value="152">Mali</option>
<option value="153">Malta</option>
<option value="134">Marshall Islands</option>
<option value="212">Martinique</option>
<option value="155">Mauritania</option>
<option value="154">Mauritius</option>
<option value="156">Mayotte</option>
<option value="51">Mexico</option>
<option value="157">Micronesia</option>
<option value="158">Moldova</option>
<option value="103">Monaco</option>
<option value="159">Mongolia</option>
<option value="240">Montenegro</option>
<option value="238">Montserrat</option>
<option value="249">Montserrat</option>
<option value="10">Morocco</option>
<option value="160">Mozambique</option>
<option value="177">Myanmar [burma]</option>
<option value="161">Namibia</option>
<option value="162">Nauru</option>
<option value="163">Nepal</option>
<option value="71">Netherlands</option>
<option value="90">Netherlands Antilles</option>
<option value="166">New Caledonia</option>
<option value="40">New Zealand</option>
<option value="52">Nicaragua</option>
<option value="164">Niger</option>
<option value="165">Nigeria</option>
<option value="110">North Korea</option>
<option value="72">Norway</option>
<option value="11">Oman</option>
<option value="169">Pakistan</option>
<option value="135">Palau</option>
<option value="170">Palestinian Territories</option>
<option value="53">Panama</option>
<option value="171">Papua New Guinea</option>
<option value="56">Paraguay</option>
<option value="54">Peru</option>
<option value="172">Philippines</option>
<option value="132">Pitcairn Islands</option>
<option value="73">Poland</option>
<option value="75">Portugal</option>
<option value="55">Puerto Rico</option>
<option value="12">Qatar</option>
<option value="76">Romania</option>
<option value="77">Russia</option>
<option value="181">Rwanda</option>
<option value="214">Réunion</option>
<option value="232">Saint Barthelemy</option>
<option value="219">Saint Helena</option>
<option value="193">Saint Kitts And Nevis</option>
<option value="184">Saint Lucia</option>
<option value="233">Saint Martin</option>
<option value="216">Saint Pierre And Miquelon</option>
<option value="183">Saint Vincent And The Grenadines</option>
<option value="185">Samoa</option>
<option value="182">San Marino</option>
<option value="13">Saudi Arabia</option>
<option value="187">Senegal</option>
<option value="78">Serbia</option>
<option value="188">Seychelles</option>
<option value="189">Sierra Leone</option>
<option value="190">Singapore</option>
<option value="79">Slovakia</option>
<option value="80">Slovenia</option>
<option value="136">Solomon Islands</option>
<option value="191">Somalia</option>
<option value="41">South Africa</option>
<option value="21">South Korea</option>
<option value="227">Sp 25</option>
<option value="228">Sp 27</option>
<option value="229">Sp 69</option>
<option value="230">Sp 85</option>
<option value="231">Sp 91</option>
<option value="28">Spain</option>
<option value="192">Sri Lanka</option>
<option value="14">Sudan</option>
<option value="194">Suriname</option>
<option value="195">Swaziland</option>
<option value="82">Sweden</option>
<option value="32">Switzerland</option>
<option value="15">Syria</option>
<option value="186">São Tomé And Príncipe</option>
<option value="25">Taiwan</option>
<option value="196">Tajikistan</option>
<option value="197">Tanzania</option>
<option value="22">Thailand</option>
<option value="201">Togo</option>
<option value="202">Tonga</option>
<option value="203">Trinidad And Tobago</option>
<option value="16">Tunisia</option>
<option value="83">Turkey</option>
<option value="204">Turkmenistan</option>
<option value="205">Tuvalu</option>
<option value="167">Uganda</option>
<option value="84">Ukraine</option>
<option value="1">United Arab Emirates</option>
<option value="38">United Kingdom</option>
<option value="85">United States</option>
<option value="58">Uruguay</option>
<option value="168">Uzbekistan</option>
<option value="206">Vanuatu</option>
<option value="207">Vatican City</option>
<option value="59">Venezuela</option>
<option value="208">Vietnam</option>
<option value="209">Wallis And Futuna</option>
<option value="17">Yemen</option>
<option value="210">Zambia</option>
<option value="211">Zimbabwe</option>
</select>
<br class="clear"><span id="nfform:redirectCountryPanel"></span><label for="nfform:visitorCivility" class="label-form isNotEmpty">Civility<span class="etoile"> *</span></label><select id="nfform:visitorCivility"
name="nfform:visitorCivility" class="select-form" size="1">
<option value="MLLE">Miss</option>
<option value="MME">Madam</option>
<option value="M">Mister</option>
</select>
<br class="clear"><label for="nfform:visitorLastName" class="isNom label-form isNotEmpty cacheLabel">Last name<span class="etoile"> *</span></label><input id="nfform:visitorLastName" type="text" name="nfform:visitorLastName"
class="input-form">
<br class="clear"><label for="nfform:visitorFirstName" class="isPrenom label-form isNotEmpty cacheLabel">First name<span class="etoile"> *</span></label><input id="nfform:visitorFirstName" type="text" name="nfform:visitorFirstName"
class="input-form">
<br class="clear"><label for="nfform:visitorFloor" class="label-form cacheLabel">Apt, staircase, floor :</label><input id="nfform:visitorFloor" type="text" name="nfform:visitorFloor" value="" class="input-form">
<br class="clear"><label for="nfform:visitorBuilding" class="label-form cacheLabel">Building</label><input id="nfform:visitorBuilding" type="text" name="nfform:visitorBuilding" value="" class="input-form">
<br class="clear"><label for="nfform:visitorStreet" class="isAdresse label-form trim isNotEmpty cacheLabel">Address<span class="etoile"> *</span></label><input id="nfform:visitorStreet" type="text" name="nfform:visitorStreet" value=""
class="input-form visitorStreet" maxlength="50">
<br class="clear"><label for="nfform:visitorLocality" class=" label-form cacheLabel">PO box</label><input id="nfform:visitorLocality" type="text" name="nfform:visitorLocality" value="" class="input-form">
<br class="clear"><label for="nfform:visitorZipCode" class="isPostCode label-form isNotEmpty cacheLabel">Zip code<span class="etoile"> *</span></label><input id="nfform:visitorZipCode" type="text" name="nfform:visitorZipCode" value=""
class="input-form autocompleteCp ui-autocomplete-input" autocomplete="off">
<br class="clear"><label for="nfform:visitorCity" class="isVille label-form trim isNotEmpty cacheLabel">City<span class="etoile"> *</span></label><input id="nfform:visitorCity" type="text" name="nfform:visitorCity" value=""
class="input-form autocompleteVille ui-autocomplete-input" maxlength="38" autocomplete="off">
<br class="clear"><label for="nfform:visitorPhoneNumber" class="isPhoneNumber label-form removeSpaces isNotEmpty cacheLabel ">Phone number</label><input id="nfform:visitorPhoneNumber" type="text" name="nfform:visitorPhoneNumber"
class="input-form">
<br class="clear"><label for="nfform:visitorEmailPro" class="label-form trim isNotEmpty isEmail cacheLabel emailProfs">Professional email<span class="etoile"> *</span></label><input id="nfform:visitorEmailPro" type="text"
name="nfform:visitorEmailPro" class="input-form emailProf emailProfs">
<br class="clear emailProfs"><label for="nfform:visitorEmail" class="label-form trim isNotEmpty isEmail cacheLabel">Personal email<span class="etoile"> *</span></label><input id="nfform:visitorEmail" type="text" name="nfform:visitorEmail"
class="input-form">
<br class="clear">
<span class="etoile"> *</span> Mandatory fields
</div>
</fieldset>
</div>
</div>
<div id="sidebar-2">
<div id="step3"></div>
<div class="module_montant_total">
<strong>Total amount :</strong>
<span id="montant_total">10.00 €</span><span class="seulementRegulier" style="display: none;"> a month</span><input id="nfform:totalAmountHidden" type="hidden" name="nfform:totalAmountHidden" value="10.00" class="totalAmountHidden"><input
id="nfform:donDefaultOneshot" type="hidden" name="nfform:donDefaultOneshot" value="10.0" class="donDefaultOneshot"><input id="nfform:donMin" type="hidden" name="nfform:donMin" value="1.0" class="donMin"><input id="nfform:donMax"
type="hidden" name="nfform:donMax" value="10000.0" class="donMax">
</div><span id="nfform:etapePaiement">
<div class="module_paiement module_paiement_cb">
<h2>By credit card </h2>
<p class="btn-paiement btn-paiement-cb">
<a class="btn-pink" onclick="validateWithRecaptcha(grecaptcha, '#nfform', '.cbButton');return false;">Payment validation</a><a id="nfform:doBillingByExternal" href="#" style="display:none;" onclick="mojarra.jsfcljs(document.getElementById('nfform'),{'nfform:doBillingByExternal':'nfform:doBillingByExternal'},'');return false" class="btn-pink cbButton">Payment validation</a>
</p>
</div>
<div class="module_paiement module_paiement_rib" style="display: none;">
<h2>By direct debit</h2>
<p>
<label class="label-form">Your IBAN <span class="important">*</span></label>
</p>
<div style="clear: both;"></div><input id="nfform:ribIban1" type="text" name="nfform:ribIban1" autocomplete="off" class="input-form-iban input-form-iban-first" maxlength="4" onkeyup="entryIbanCheck(event, this, document);"><input
id="nfform:ribIban2" type="text" name="nfform:ribIban2" autocomplete="off" class="input-form-iban" maxlength="4" onkeyup="entryIbanCheck(event, this, document);"><input id="nfform:ribIban3" type="text" name="nfform:ribIban3"
autocomplete="off" class="input-form-iban" maxlength="4" onkeyup="entryIbanCheck(event, this, document);"><input id="nfform:ribIban4" type="text" name="nfform:ribIban4" autocomplete="off" class="input-form-iban" maxlength="4"
onkeyup="entryIbanCheck(event, this, document);"><input id="nfform:ribIban5" type="text" name="nfform:ribIban5" autocomplete="off" class="input-form-iban" maxlength="4" onkeyup="entryIbanCheck(event, this, document);"><input
id="nfform:ribIban6" type="text" name="nfform:ribIban6" autocomplete="off" class="input-form-iban" maxlength="4" onkeyup="entryIbanCheck(event, this, document);"><input id="nfform:ribIban7" type="text" name="nfform:ribIban7"
autocomplete="off" class="input-form-iban input-form-iban-last" maxlength="3" onkeyup="entryIbanCheck(event, this, document);">
<p></p>
<p><label for="nfform:ibanBic" class="label-form trim isNotEmptyRib"> BIC <span class="important">*</span></label><input id="nfform:ibanBic" type="text" name="nfform:ibanBic" autocomplete="off" maxlength="11" size="14">
</p>
<p><label for="nfform:ibanFullNameAccount" class="label-form trim isNotEmptyRib">Account holder <span class="important">*</span></label><input id="nfform:ibanFullNameAccount" type="text" name="nfform:ibanFullNameAccount" autocomplete="off"
maxlength="32" size="28">
</p>
<p>
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