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https://donorbox.org/embed/delorean-legacy-project?a=b
Submission: On September 05 via manual from US — Scanned from US
Submission: On September 05 via manual from US — Scanned from US
Form analysis 1 forms found in the DOM
POST https://donorbox.org/donation
<form data-ga-org-id="514861" data-ga-form-id="596563" data-ga-form-name="DeLorean Legacy Project" data-ga-org-name="Far Away Projects" data-ga-org-category="nonprofit | " data-send-billing-address-to-stripe="false"
data-controller="ecommerce-tracking" data-ecommerce-tracking-default-currency-value="usd" class="donation-form" id="new_donation" novalidate="novalidate" action="https://donorbox.org/donation" accept-charset="UTF-8" data-remote="true"
method="post">
<input value="embed" autocomplete="off" type="hidden" name="donation[acquisition_channel_attributes][name]" id="donation_acquisition_channel_attributes_name">
<input value="https://donorbox.org" autocomplete="off" type="hidden" name="donation[acquisition_channel_attributes][source]" id="donation_acquisition_channel_attributes_source">
<input autocomplete="off" type="hidden" value="596563" name="donation[form_id]" id="donation_form_id">
<input autocomplete="off" type="hidden" name="donation[sms_message_id]" id="donation_sms_message_id">
<input value="1.5" autocomplete="off" type="hidden" name="donation[form_version]" id="donation_form_version">
<input type="hidden" name="currency" id="currency" value="usd" autocomplete="off">
<input type="hidden" name="slug" id="slug" value="delorean-legacy-project" autocomplete="off">
<input type="hidden" name="bf" id="bf" autocomplete="off">
<input type="hidden" name="sf" id="sf" autocomplete="off">
<input type="hidden" name="idempotency_key_index" id="idempotency_key_index" autocomplete="off">
<input type="hidden" name="new_indian_regulation" id="new_indian_regulation" value="false" autocomplete="off">
<input type="hidden" name="upsell_max_value" id="upsell_max_value" value="{"usd":200}" autocomplete="off">
<input type="hidden" name="upsell_50_value" id="upsell_50_value" value="{"usd":25}" autocomplete="off">
<input type="hidden" name="upsell_25_value" id="upsell_25_value" value="{"usd":75}" autocomplete="off">
<input type="hidden" name="s" id="s" value="MTcyNTU" autocomplete="off">
<input type="hidden" name="t" id="t" value="0MzczOA" autocomplete="off">
<input type="hidden" name="donation_type" id="donation_type" autocomplete="off">
<input autocomplete="off" type="hidden" name="donation[utm_params_attributes][utm_source]" id="donation_utm_params_attributes_utm_source">
<input autocomplete="off" type="hidden" name="donation[utm_params_attributes][utm_medium]" id="donation_utm_params_attributes_utm_medium">
<input autocomplete="off" type="hidden" name="donation[utm_params_attributes][utm_campaign]" id="donation_utm_params_attributes_utm_campaign">
<input autocomplete="off" type="hidden" name="donation[utm_params_attributes][utm_term]" id="donation_utm_params_attributes_utm_term">
<input autocomplete="off" type="hidden" name="donation[utm_params_attributes][utm_content]" id="donation_utm_params_attributes_utm_content">
<input type="hidden" name="fee_amount" id="fee_amount" value="0" autocomplete="off">
<input type="hidden" name="embedded_form" id="embedded_form" value="true" autocomplete="off">
<input type="hidden" name="enable_upsell_one_time_donors" id="enable_upsell_one_time_donors" value="false" autocomplete="off">
<input type="hidden" id="currency-symbol" value="$">
<div class="tabs-content">
<div class="content step-1 active" data-ecommerce-tracking-target="step1Content" id="donor-form-step-1">
<div class="donation-type-tab-section is-active" id="standard-donation-section">
<div id="plan_durations_selectors" class="mdl-grid ">
<div class="mdl-cell mdl-cell--12-col">
<div class="mdl-btn-group active-basic-color-background">
<fieldset><input type="radio" name="plan_duration" id="plan_duration_one_time" value="" class="pd_radio" tabindex="0" role="button" data-interval="one_time" checked="checked"><label class="plan_duration"
for="plan_duration_one_time">One-time</label><input type="radio" name="plan_duration" id="plan_duration_monthly" value="1 M" class="pd_radio" tabindex="0" role="button" data-interval="monthly"><label class="plan_duration"
for="plan_duration_monthly">Monthly</label></fieldset>
</div>
</div>
</div>
<div class="recurring msg no-opacity" style="display: none;">
<div class="mdl-tooltip mdl-tooltip--top" for="donor_account_info" data-upgraded=",MaterialTooltip">A donor account is created automatically for recurring donations. Account setup info will be emailed to you.</div><span
class="tooltip-wrapper"><span class="tooltip-wrapper-span apply-opacity">You can log in to edit your recurring donation any time</span><span class="tooltip-wrapper-span"><span class="help-hint" id="donor_account_info"
tabindex="0"></span></span></span>
</div><input autocomplete="off" type="hidden" value="" name="donation[fmv_payment_attributes][amount]" id="donation_fmv_payment_attributes_amount"><input autocomplete="off" type="hidden" name="donation[fmv_payment_attributes][description]"
id="donation_fmv_payment_attributes_description" value=""><input autocomplete="off" type="hidden" name="donation[suggested_text]" id="donation_suggested_text" value="">
<div class="suggested-amount-boxes">
<fieldset>
<div class="suggested-amount-box amount"><input class="box-input suggested-amount mc_input" data-usd="10.0" data-fmv-usd="0.0" id="donation_suggested_amount_amount_1" tabindex="0" type="radio" value="10.0"
name="donation[suggested_amount]"><label class="box-label" data-action="ecommerce-tracking#selectItem" for="donation_suggested_amount_amount_1"><span class="box-item mc_el usd len-2" role="button"><span
class="box-currency symbol_first">$</span><span class="box-amount mc_amount symbol_first">10</span></span></label></div>
<div class="suggested-amount-box amount"><input class="box-input suggested-amount mc_input" data-usd="50.0" data-fmv-usd="0.0" id="donation_suggested_amount_amount_2" tabindex="0" type="radio" value="50.0"
name="donation[suggested_amount]"><label class="box-label" data-action="ecommerce-tracking#selectItem" for="donation_suggested_amount_amount_2"><span class="box-item mc_el usd len-2" role="button"><span
class="box-currency symbol_first">$</span><span class="box-amount mc_amount symbol_first">50</span></span></label></div>
<div class="suggested-amount-box amount"><input class="box-input suggested-amount mc_input" data-usd="100.0" data-fmv-usd="0.0" id="donation_suggested_amount_amount_3" tabindex="0" type="radio" value="100.0"
name="donation[suggested_amount]"><label class="box-label" data-action="ecommerce-tracking#selectItem" for="donation_suggested_amount_amount_3"><span class="box-item mc_el usd len-3" role="button"><span
class="box-currency symbol_first">$</span><span class="box-amount mc_amount symbol_first">100</span></span></label></div>
</fieldset>
</div>
<div class="donorbox-custom-amount"><span class="custom-amount-text mc_el usd ">$</span><input inputmode="decimal" class="custom-amount-input suggested-amount" placeholder="Custom Amount" tabindex="0" aria-label="Custom Amount" maxlength="10"
type="text" name="donation[custom_amount]" id="donation_custom_amount" style="padding-left: 31px;"></div>
<div class="mdl-grid leave_a_comment height_auto">
<div class="mdl-cell mdl-cell--12-col"><label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect mdl-js-ripple-effect--ignore-events is-upgraded" for="leave_a_comment" data-upgraded=",MaterialCheckbox,MaterialRipple"><input
type="checkbox" name="leave_a_comment" id="leave_a_comment" class="mdl-checkbox__input" tabindex="0"><span class="mdl-checkbox__label" role="button">Write us a comment</span><span class="mdl-checkbox__focus-helper"></span><span
class="mdl-checkbox__box-outline"><span class="mdl-checkbox__tick-outline"></span></span><span class="mdl-checkbox__ripple-container mdl-js-ripple-effect mdl-ripple--center" data-upgraded=",MaterialRipple"><span
class="mdl-ripple"></span></span></label></div>
</div>
<div class="mdl-grid comment">
<div class="mdl-cell mdl-cell--12-col">
<div class="mdl-textfield mdl-js-textfield is-upgraded" style="display: none;" data-upgraded=",MaterialTextfield"><textarea id="ty-msg" rows="1" data-id="comment" class="mdl-textfield__input" tabindex="0"
name="donation[comment]"></textarea><label for="ty-msg" class="mdl-textfield__label">Your comment</label></div>
</div>
</div>
<div class="donor-wall-options">
<div class="mdl-grid donor-wall-option height_auto">
<div class="mdl-cell mdl-cell--12-col"><label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect mdl-js-ripple-effect--ignore-events is-upgraded" for="show_comment_in_donor_wall"
data-upgraded=",MaterialCheckbox,MaterialRipple"><input type="checkbox" name="show_comment_in_donor_wall" id="show_comment_in_donor_wall" class="mdl-checkbox__input" tabindex="0"><span class="mdl-checkbox__label" role="button">Display
your donation & comment on the donor wall</span><span class="mdl-checkbox__focus-helper"></span><span class="mdl-checkbox__box-outline"><span class="mdl-checkbox__tick-outline"></span></span><span
class="mdl-checkbox__ripple-container mdl-js-ripple-effect mdl-ripple--center" data-upgraded=",MaterialRipple"><span class="mdl-ripple"></span></span></label></div>
</div>
<div class="mdl-grid donor-wall-option extra height_auto" style="display: none;">
<div class="mdl-cell mdl-cell--12-col"><label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect mdl-js-ripple-effect--ignore-events is-upgraded" for="display_first_name" data-upgraded=",MaterialCheckbox,MaterialRipple"><input
type="checkbox" name="donation[donor_wall_option_attributes][only_first_name]" id="display_first_name" class="mdl-checkbox__input" tabindex="0"><span class="mdl-checkbox__label" role="button">Display your first name instead of full
name</span><span class="mdl-checkbox__focus-helper"></span><span class="mdl-checkbox__box-outline"><span class="mdl-checkbox__tick-outline"></span></span><span
class="mdl-checkbox__ripple-container mdl-js-ripple-effect mdl-ripple--center" data-upgraded=",MaterialRipple"><span class="mdl-ripple"></span></span></label></div>
</div>
<div class="mdl-grid donor-wall-option extra height_auto" style="display: none;">
<div class="mdl-cell mdl-cell--12-col"><label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect mdl-js-ripple-effect--ignore-events is-upgraded" for="hide_donation_amount" data-upgraded=",MaterialCheckbox,MaterialRipple"><input
type="checkbox" name="donation[donor_wall_option_attributes][hide_donation_amount]" id="hide_donation_amount" class="mdl-checkbox__input" tabindex="0"><span class="mdl-checkbox__label" role="button">Hide donation amount</span><span
class="mdl-checkbox__focus-helper"></span><span class="mdl-checkbox__box-outline"><span class="mdl-checkbox__tick-outline"></span></span><span class="mdl-checkbox__ripple-container mdl-js-ripple-effect mdl-ripple--center"
data-upgraded=",MaterialRipple"><span class="mdl-ripple"></span></span></label></div>
</div>
</div>
</div>
</div>
<style type="text/css">
.cta-message {
text-align: center;
font-size: 16px;
color: #000;
margin-bottom: 17px
}
.donation-widget .donation-form .mdl-grid.gift-aid-block {
margin-top: 20px
}
#gift-aid-block .mdl-checkbox {
height: initial !important
}
#gift-aid-block .mdl-checkbox p {
display: block;
line-height: 20px;
margin-bottom: 12px;
letter-spacing: 0.01em
}
#gift-aid-block .mdl-checkbox small {
display: block;
line-height: 13px;
font-size: 11px;
font-family: "Open Sans", sans-serif;
text-transform: initial
}
</style>
<div class="content step-2" id="donor-form-step-2">
<p class="payment-label">Choose a payment option:</p>
<div class="payment-methods">
<div class="apple-or-google-pay payment-method" data-payment="apple-or-google" style="display: none;">
<div class="apple-pay" style="display: none;"><img src="https://donorbox.org/assets/apple-pay-logo-8defa2d27c9ce10d3ff68fd1e9d452aacf5a9f2dd68b4c185a45dbab9c1b1380.png"></div>
<div class="google-pay" style="display: none;"><img src="https://donorbox.org/assets/google-pay-logo-5741c955d2352ce45c46aea3079731bf4cb4e7554086a0b9131bd8b0e111f0fb.png"></div>
</div>
<div class="payment-method paypal normal-paypal" data-payment="paypal">
<div class="paypal"><img src="https://donorbox.org/assets/paypal-step2-logo-d0571d3406f153163f5f4a245106e7bf251a5abf3910905781c6afb0e7ce566d.png"></div>
</div>
<div class="payment-method paypal venmo" data-payment="venmo">
<div class="paypal"><img src="https://donorbox.org/assets/paypal-venmo-6b70bfcd9c3f01334cf28f386dd8262bbc64002e421d8325fe04fa1da03f7cea.png"></div>
</div>
<div class="payment-method paypal mercadopago" data-payment="mercadopago">
<div class="paypal"><img src="https://donorbox.org/assets/payapl-mergado-796af1a4c44e5399c5dec83889c45053c8a4292dc4e1287173b436251b466463.png"></div>
</div>
<div class="more-options payment-method" data-payment="credit-card">
<div class="credit-debit-card"><img src="https://donorbox.org/assets/widget-tab-icons/cc-cb5445759a11316084fef676f9f2f1f049f630a7db8322e1f6df9a5bb4ac91d6.svg"><span>Credit/Debit Card</span></div>
</div>
<div class="more-options payment-method" data-payment="bank-transfer">
<div class="bank-transfer"><img src="https://donorbox.org/assets/widget-tab-icons/bank-c3e7c9c1d57b401c43d2146596304afc3bc47ee7ee9a933566df903c2d06ee0d.svg"><span>Bank Transfer</span></div>
</div>
</div>
</div>
<div class="content step-3" id="donor-form-step-3">
<div class="error" id="dw-message-0"></div>
<div id="donation-info">
<div class="mdl-grid quick-payment">
<div class="mdl-cell mdl-cell--6-col">
<div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-invalid is-upgraded" data-upgraded=",MaterialTextfield">
<div class="input-with-icon"><span class="icon"><i class="torso-icon"></i></span><input class="mdl-textfield__input" tabindex="0" data-id="text" required="required" aria-required="true" type="text" name="donation[first_name]"
id="donation_first_name"></div><label class="mdl-textfield__label" for="donation_first_name">First Name</label>
</div>
</div>
<div class="mdl-cell mdl-cell--6-col">
<div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-invalid is-upgraded" data-upgraded=",MaterialTextfield"><input class="mdl-textfield__input" tabindex="0" data-id="text" required="required" aria-required="true"
type="text" name="donation[last_name]" id="donation_last_name"><label class="mdl-textfield__label" for="donation_last_name">Last Name</label></div>
</div>
</div>
<div class="mdl-grid ">
<div class="mdl-cell mdl-cell--12-col"><label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect mdl-js-ripple-effect--ignore-events is-upgraded" for="donation_anonymous_donation"
data-upgraded=",MaterialCheckbox,MaterialRipple"><input name="donation[anonymous_donation]" type="hidden" value="off" autocomplete="off"><input class="anonymous_donation mdl-checkbox__input" type="checkbox" value="on"
name="donation[anonymous_donation]" id="donation_anonymous_donation"><span class="mdl-checkbox__label">Make donation anonymous</span><span id="anonymous_tooltip" class="help-hint" tabindex="0"></span><span for="anonymous_tooltip"
class="mdl-tooltip mdl-tooltip--top " data-upgraded=",MaterialTooltip"><span id="anonymous_tooltip_text">The organization will always keep your personal information private. This option will further mark your donation as Anonymous in
their donation records.</span></span><span class="mdl-checkbox__focus-helper"></span><span class="mdl-checkbox__box-outline"><span class="mdl-checkbox__tick-outline"></span></span><span
class="mdl-checkbox__ripple-container mdl-js-ripple-effect mdl-ripple--center" data-upgraded=",MaterialRipple"><span class="mdl-ripple"></span></span></label></div>
</div>
<div class="mdl-grid ">
<div class="mdl-cell mdl-cell--12-col"><label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect mdl-js-ripple-effect--ignore-events is-upgraded" for="is_donating_company" data-upgraded=",MaterialCheckbox,MaterialRipple"><input
type="checkbox" name="is_donating_company" id="is_donating_company" class="mdl-checkbox__input" tabindex="0"><span class="mdl-checkbox__label" role="button">This donation is on behalf of a company</span><span
class="mdl-checkbox__focus-helper"></span><span class="mdl-checkbox__box-outline"><span class="mdl-checkbox__tick-outline"></span></span><span class="mdl-checkbox__ripple-container mdl-js-ripple-effect mdl-ripple--center"
data-upgraded=",MaterialRipple"><span class="mdl-ripple"></span></span></label></div>
</div>
<div id="donating_company_fields" style="display: none">
<div class="mdl-grid ">
<div class="mdl-cell mdl-cell--12-col">
<div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-upgraded" data-upgraded=",MaterialTextfield"><input class="mdl-textfield__input" tabindex="0" autocomplete="off" data-id="text" aria-required="false"
type="text" name="donation[donating_company]" id="donation_donating_company"><label class="mdl-textfield__label" for="donation_donating_company">Donating Company</label></div>
</div>
</div>
</div>
<div class="mdl-grid quick-payment">
<div class="mdl-cell mdl-cell--12-col">
<div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-invalid is-upgraded" data-upgraded=",MaterialTextfield">
<div class="input-with-icon"><span class="icon"><i class="email-icon"></i></span><input class="mdl-textfield__input" tabindex="0" data-id="email" required="required" aria-required="true" type="email" name="donation[email]"
id="donation_email"></div><label class="mdl-textfield__label" for="donation_email">Email</label>
</div>
</div>
</div>
<div class="mdl-grid quick-payment">
<div class="mdl-cell mdl-cell--12-col">
<div class="a11y-dropdown accessible-dropdown">
<div>
<div class="autocomplete__wrapper">
<div style="border: 0px; clip: rect(0px, 0px, 0px, 0px); height: 1px; margin-bottom: -1px; margin-right: -1px; overflow: hidden; padding: 0px; position: absolute; white-space: nowrap; width: 1px;">
<div id="donation_country__status--A" role="status" aria-atomic="true" aria-live="polite"></div>
<div id="donation_country__status--B" role="status" aria-atomic="true" aria-live="polite"></div>
</div><input aria-expanded="false" aria-owns="donation_country__listbox" aria-autocomplete="both" aria-describedby="donation_country__assistiveHint" autocomplete="off" class="autocomplete__input autocomplete__input--show-all-values"
id="donation_country" name="" placeholder="" type="text" role="combobox">
<div class="autocomplete__dropdown-arrow-down-wrapper"><span class="autocomplete__dropdown-arrow-down" role="presentation"></span></div>
<ul class="autocomplete__menu autocomplete__menu--overlay autocomplete__menu--hidden" id="donation_country__listbox" role="listbox">
<li aria-selected="false" class="autocomplete__option" id="donation_country__option--0" role="option" tabindex="-1" aria-posinset="1" aria-setsize="1">United States</li>
</ul><span id="donation_country__assistiveHint" style="display: none;">When autocomplete results are available use up and down arrows to review and enter to select. Touch device users, explore by touch or with swipe gestures.</span>
</div>
</div><select skip_default_ids="false" allow_method_names_outside_object="false" data-postal-code="true" name="donation[country]" id="donation_country-select" style="display: none;">
<option value="">Choose your country</option>
<option selected="selected" value="US">United States</option>
<option value="CA">Canada</option>
<option value="GB">United Kingdom</option>
<option value="AU">Australia</option>
<option disabled="disabled" value="---------------">---------------</option>
<option value="AF">Afghanistan</option>
<option value="AX">Åland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia</option>
<option value="BQ">Bonaire, Sint Eustatius and Saba</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="CV">Cabo Verde</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo, The Democratic Republic of the</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Côte d'Ivoire</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czechia</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="SZ">Eswatini</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="VA">Holy See (Vatican City State)</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran, Islamic Republic of</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IM">Isle of Man</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KP">Korea, Democratic People's Republic of</option>
<option value="KR">Korea, Republic of</option>
<option value="XK">Kosovo</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Lao People's Democratic Republic</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia, Federated States of</option>
<option value="MD">Moldova</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MK">North Macedonia</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestine, State of</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Réunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin (French part)</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SX">Sint Maarten (Dutch part)</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="SS">South Sudan</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="US">United States</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</option>
<option value="VG">Virgin Islands, British</option>
<option value="VI">Virgin Islands, U.S.</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select>
</div>
</div>
</div>
<div class="mdl-grid quick-payment">
<div class="mdl-cell mdl-cell--12-col">
<div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-invalid is-upgraded" data-upgraded=",MaterialTextfield">
<div class="input-with-icon"><span class="icon"><i class="address-icon"></i></span><input class="mdl-textfield__input pac-target-input" tabindex="0" data-id="text" required="required" aria-required="true" data-hj-allow="" type="text"
name="donation[address]" id="donation_address" placeholder="" autocomplete="off"></div><label class="mdl-textfield__label" for="donation_address">Address</label>
</div>
</div>
</div>
<div class="mdl-grid quick-payment">
<div class="mdl-cell mdl-cell--12-col">
<div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-upgraded" data-upgraded=",MaterialTextfield">
<div class="input-with-icon"><span class="icon"><i class="address-icon"></i></span><input class="mdl-textfield__input" tabindex="0" data-id="text" aria-required="false" data-hj-allow="" type="text" name="donation[address_line_2]"
id="donation_address_line_2"></div><label class="mdl-textfield__label" for="donation_address_line_2">Address 2</label>
</div>
</div>
</div>
<div class="mdl-grid quick-payment">
<div class="mdl-cell mdl-cell--6-col" id="zip_code_container">
<div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-invalid is-upgraded" data-upgraded=",MaterialTextfield"><input class="mdl-textfield__input" tabindex="0" data-id="text" required="" maxlength="10"
aria-required="true" size="10" type="text" name="donation[zip_code]" id="donation_zip_code"><label class="mdl-textfield__label" for="donation_zip_code">Postal Code</label></div>
</div>
<div class="mdl-cell mdl-cell--6-col">
<div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-invalid is-upgraded" data-upgraded=",MaterialTextfield"><input class="mdl-textfield__input" tabindex="0" data-id="text" required="required" aria-required="true"
type="text" name="donation[city]" id="donation_city"><label class="mdl-textfield__label" for="donation_city">City</label></div>
</div>
</div>
<div class="state-providence">
<div class="mdl-grid quick-payment" id="state_container">
<div class="mdl-cell mdl-cell--12-col" id="state_cell">
<div class="a11y-dropdown accessible-dropdown"><label class="hint" for="donation_state">Choose your state / province</label>
<div>
<div class="autocomplete__wrapper">
<div style="border: 0px; clip: rect(0px, 0px, 0px, 0px); height: 1px; margin-bottom: -1px; margin-right: -1px; overflow: hidden; padding: 0px; position: absolute; white-space: nowrap; width: 1px;">
<div id="donation_state__status--A" role="status" aria-atomic="true" aria-live="polite"></div>
<div id="donation_state__status--B" role="status" aria-atomic="true" aria-live="polite"></div>
</div><input aria-expanded="false" aria-owns="donation_state__listbox" aria-autocomplete="both" aria-describedby="donation_state__assistiveHint" autocomplete="off" class="autocomplete__input autocomplete__input--show-all-values"
id="donation_state" name="" placeholder="" type="text" role="combobox">
<div class="autocomplete__dropdown-arrow-down-wrapper"><span class="autocomplete__dropdown-arrow-down" role="presentation"></span></div>
<ul class="autocomplete__menu autocomplete__menu--overlay autocomplete__menu--hidden" id="donation_state__listbox" role="listbox"></ul><span id="donation_state__assistiveHint" style="display: none;">When autocomplete results are
available use up and down arrows to review and enter to select. Touch device users, explore by touch or with swipe gestures.</span>
</div>
</div><select id="donation_state-select" name="donation[state]" required="" style="display: none;">
<option value="">Choose your state</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AS">American Samoa</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AA">Armed Forces Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="MP">Northern Mariana Islands</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UM">U.S. Outlying Islands</option>
<option value="VI">U.S. Virgin Islands</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</div>
</div>
</div>
</div>
<div class="mdl-grid mdl-processing-fee">
<div class="mdl-cell mdl-cell--12-col"><label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect mdl-js-ripple-effect--ignore-events is-checked is-upgraded" for="ask_for_cover_fee_on_donor_step"
data-upgraded=",MaterialCheckbox,MaterialRipple"><input type="checkbox" name="ask_for_cover_fee" id="ask_for_cover_fee_on_donor_step" class="mdl-checkbox__input" tabindex="0" checked="checked"><span class="mdl-checkbox__label"
role="button">Optionally add <var><span class="processing_fee"></span></var> to cover processing fees</span><span class="mdl-checkbox__focus-helper"></span><span class="mdl-checkbox__box-outline"><span
class="mdl-checkbox__tick-outline"></span></span><span class="mdl-checkbox__ripple-container mdl-js-ripple-effect mdl-ripple--center" data-upgraded=",MaterialRipple"><span class="mdl-ripple"></span></span></label></div>
</div>
<div id="donation-amount-description" class="mdl-grid ">
<div class="mdl-cell mdl-cell--12-col">
<h3 style="display: flex; font-weight: bold; margin-left: -3px;"><span class="lock-outline"><i class="material-icons"></i></span><var style="font-style: normal;"><span class="donation-amt"></span></var><span
class="donation-interval plan_duration_one_time" style="display: block;">One-time</span><span class="donation-interval plan_duration_monthly" style="display: none;">Monthly</span></h3>
</div>
</div>
<div id="recaptcha_v3_section">
<script src="https://www.recaptcha.net/recaptcha/api.js?render=6LcoYTscAAAAAM9KqIDhNEH8nQY_e9vOyA2M9YJz"></script>
<script>
// Define function so that we can call it again later if we need to reset it
// This executes reCAPTCHA and then calls our callback.
function executeRecaptchaForDonationCreate() {
grecaptcha.ready(function() {
grecaptcha.execute('6LcoYTscAAAAAM9KqIDhNEH8nQY_e9vOyA2M9YJz', {
action: 'donation_create'
}).then(function(token) {
setInputWithRecaptchaResponseTokenForDonationCreate('g-recaptcha-response-data-donation-create', token)
});
});
};
// Invoke immediately
executeRecaptchaForDonationCreate()
// Async variant so you can await this function from another async function (no need for
// an explicit callback function then!)
// Returns a Promise that resolves with the response token.
async function executeRecaptchaForDonationCreateAsync() {
return new Promise((resolve, reject) => {
grecaptcha.ready(async function() {
resolve(await grecaptcha.execute('6LcoYTscAAAAAM9KqIDhNEH8nQY_e9vOyA2M9YJz', {
action: 'donation_create'
}))
});
})
};
var setInputWithRecaptchaResponseTokenForDonationCreate = function(id, token) {
var element = document.getElementById(id);
element.value = token;
}
</script>
<input type="hidden" name="g-recaptcha-response-data[donation_create]" id="g-recaptcha-response-data-donation-create" data-sitekey="6LcoYTscAAAAAM9KqIDhNEH8nQY_e9vOyA2M9YJz" class="g-recaptcha g-recaptcha-response "
value="03AFcWeA51bfSxWPwsClV-nOy5ggkxxZ1M5Kap881uTrt1r6T7WhwUkUiYCps-5w6EWs64f1SNeKRjxaSWtwNSkFWpYQiiPq3aeeZj0_-R0r4qSk8EZA25dQvqRJigzdRz8o2XJk-d4DNwDgPmpiXdlAXXMCP5tNedp8oRDRjgkMX_nSfRA0M8wZhxc7vALv09uCwEclcRu_Equ_EpCIJdSfM4bhCs2u2v9jw3Gt0QFvpbKJWDiGnFrkuovpvTwUC1eYBxZHrSshx_KiMDDg2dEenb34_6hHZ46qxlFlEzuQh3T9-m_sJGIrYpxlQdmqmEy56rdkcvhuWUY1Q64Sk2t8K4sQgCoG3soDh0uKWr-ti_93Z_FK-YyMusFPWvh6OjcG2J1Nux6dTSDDTtYWqTA9_DipA6xvObia1lAMftMfAZD_QE2o0euVeJ3gg7u6Ps4-P-Pve-nP0ECFvY0JrwKHznb-HFZEViwS7YXhI8cf6iFfsJbCqHHXvljiINUIN0To6BfGkR6WDWXHBW7OC8uEZa9jJmLYCZYEinTmTkHC7AS2fs-1pDAT6NpH4JlwzQgfj4IOaqTCuHdAPB8LsouSmw50ozeh8seX0Xx-7n8qtyl5vMO9jMVA9sh4upghw_4UmO-R_JchKx8N2wmAHPn5fMzKeK1istS3yWKA_QYPqpYAgpMgw-sUapwIEmhBTeZ0skbb4Q7rbPkx3uK0-Ro5F32bIq4u22KxxnG2JdXLCUkZ5dvKuymgP9BguiZkrl_lhnq2SRz6auAHx21K4mswKViT8mHbTq0jH2v7wylsj8SKPef_8091_l2HrBjKKqcXGeyr7n_vkB74El9rN-oaP_vRfUrX1_2gRPIxJIKay6Zz1Yn_Q_rSEQBIdfahemjPOYRVGhWhslj5dA_iJ7QQ9NUFRyYjSJZw"
style="">
<style type="text/css">
.form-group .recaptcha-container {
margin: 0 0 20px 0
}
</style>
</div>
<div class="mdl-grid">
<div class="mdl-cell mdl-cell--12-col" id="info-error">Please fix the errors above.</div>
</div>
<div id="payment-request-button-content">
<div class="row">
<div class="field">
<div class="button-wrapper"></div>
</div>
</div>
<div class="row pay-with">
<div class="field message apple">By using Apple Pay, you will provide your name, e-mail and address.</div>
<div class="field message google">By using Google Pay, you will provide your name, e-mail and address.</div>
</div>
</div>
<div class="fast-checkout-opt-container" id="fast-checkout-opt1" style="padding: 0 40px;">
<div class="mdl-grid ">
<div class="mdl-cell mdl-cell--12-col"><label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect mdl-js-ripple-effect--ignore-events is-checked is-upgraded" for="save_info_1_5" data-upgraded=",MaterialCheckbox,MaterialRipple"><input
type="checkbox" name="save_info" id="save_info_1_5" class="mdl-checkbox__input" tabindex="0" checked="checked"><span class="mdl-checkbox__label" role="button">Save my information for future donations.</span><span
class="mdl-checkbox__focus-helper"></span><span class="mdl-checkbox__box-outline"><span class="mdl-checkbox__tick-outline"></span></span><span class="mdl-checkbox__ripple-container mdl-js-ripple-effect mdl-ripple--center"
data-upgraded=",MaterialRipple"><span class="mdl-ripple"></span></span></label></div>
</div>
</div>
<div class="paypal-quick" id="paypal-quick-paypal"></div>
<div class="paypal-quick" id="paypal-quick-venmo"></div>
<div class="paypal-quick" id="paypal-quick-mercadopago"></div>
</div>
</div>
<div class="content step-4" id="donor-form-step-4">
<div class="mdl-tabs mdl-js-tabs is-upgraded" data-upgraded=",MaterialTabs">
<div class="mdl-tabs__tab-bar" id="payment_types" data-form-methods="["credit_card_href","paypal_href","plaid_href"]">
<a id="credit_card_href" class="mdl_tab_count mdl-tabs__tab is-active basic-color-background" href="#credit-card-panel" style="order: 0;">
<span class="payment-tab-icon cc"></span>
<span class="tab-label">CARD</span>
</a> <a href="#paypal-panel" id="paypal_href" class="mdl_tab_count mdl-tabs__tab basic-color-background" data-action="ecommerce-tracking#addPaymentInfo" style="order: 1;">
<span class="payment-tab-icon pp"></span>
<span class="tab-label">PAYPAL</span>
</a>
<a id="plaid_href" class="mdl_tab_count mdl-tabs__tab basic-color-background" style="order: 2;" href="#plaid-panel">
<span class="payment-tab-icon bank"></span>
<span class="tab-label">BANK TRANSFER</span>
</a>
</div>
<div id="dw-message" class="error"></div>
<div class="mdl-tabs-content">
<script>
window.org_stripe_id = 'acct_1B6RyxFJKPyWI9gc';
</script>
<div class="mdl-tabs__panel is-active" id="credit-card-panel">
<div id="credit-card-v3"><input type="hidden" name="stripe_token" id="stripe_token" autocomplete="off"><input type="hidden" name="stripe_pm_id" id="stripe_pm_id" autocomplete="off"><input type="hidden" name="stripe_pi_id"
id="stripe_pi_id" autocomplete="off">
<div class="row">
<div class="cc-icons"><span class="cc-icon cc-icon-visa"></span><span class="cc-icon cc-icon-mc"></span><span class="cc-icon cc-icon-amex"></span><span class="cc-icon cc-icon-discover"></span><span
class="cc-icon cc-icon-jcb"></span><span class="cc-icon cc-icon-diner-club"></span><span class="cc-icon cc-icon-unionpay"></span></div>
</div>
<div class="row-credit-card">
<div class="field"><span class="icon"><i class="credit-card-icon"></i></span>
<div class="input empty StripeElement" id="card-number">
<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="__privateStripeFrame1207" frameborder="0" allowtransparency="true" scrolling="no" role="presentation" allow="payment *"
src="https://js.stripe.com/v3/elements-inner-card-a4297f8548c1fb066efd5ed3730b87b3.html#locale=en&wait=false&mids[guid]=NA&mids[muid]=NA&mids[sid]=NA&showIcon=true&style[base][color]=%2332325D&style[base][fontWeight]=500&style[base][fontFamily]='Inter'%2C+sans-serif&style[base][fontSize]=16px&style[base][fontSmoothing]=antialiased&style[base][:-webkit-autofill][color]=%23e39f48&style[invalid][color]=%23d50000&style[invalid][::placeholder][color]=%23d50000&placeholder=&rtl=false&componentName=cardNumber&keyMode=live&apiKey=pk_live_1TiySUjG2VvU27ZhnX775lWtq4Gq45tuRo3f47l3fel2t9TuG0hHT2dc9IuyITSCdm8scWA6aQ50qIPoPZ8DZuMns009QRfWOPT&referrer=https%3A%2F%2Fdonorbox.org%2Fembed%2Fdelorean-legacy-project%3Fa%3Db&controllerId=__privateStripeController1205"
title="Secure card number input frame"
style="border: 0px !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: 19.2px;"></iframe><input
class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
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$95.02 Raised 3 Donations $755,000 Goal Choose amount Payment Information Payment Choose amount One-timeMonthly A donor account is created automatically for recurring donations. Account setup info will be emailed to you. You can log in to edit your recurring donation any time $10 $50 $100 $ Write us a comment Your comment Display your donation & comment on the donor wall Display your first name instead of full name Hide donation amount Choose a payment option: Credit/Debit Card Bank Transfer First Name Last Name Make donation anonymousThe organization will always keep your personal information private. This option will further mark your donation as Anonymous in their donation records. This donation is on behalf of a company Donating Company Email * United States When autocomplete results are available use up and down arrows to review and enter to select. Touch device users, explore by touch or with swipe gestures. 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CARD PAYPAL BANK TRANSFER Card number MM / YY CVC Code The 3-4 digits on the back of your credit card Billing Postal Code Enter the Zip/Postal code for your credit card billing address You will be redirected to PayPal.com after clicking the donate button below. Donate from your bank using Plaid, a secure and encrypted bank transfer service. Create a donor account to manage my donations and donate again faster. Optionally add to cover processing fees You can log in to edit your recurring donation any time Donate One-time Donate Monthly Processing . . . Next This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Powered by Donorbox