support.bellevuefarmersmarket.org
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https://support.bellevuefarmersmarket.org/
Submission: On October 07 via automatic, source certstream-suspicious — Scanned from DE
Submission: On October 07 via automatic, source certstream-suspicious — Scanned from DE
Form analysis 2 forms found in the DOM
GET https://support.bellevuefarmersmarket.org/
<form role="search" method="get" class="et-search-form" action="https://support.bellevuefarmersmarket.org/">
<input type="search" class="et-search-field" placeholder="Search …" value="" name="s" title="Search for:">
</form>POST /#gf_1
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_1" id="gform_1" action="/#gf_1" novalidate="">
<div class="gform_body gform-body">
<ul id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_1_4" class="gfield gfield_price gfield_price_1_4 gfield_product_1_4 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label">Please select your Monthly Donation
Level<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_1_4">
<li class="gchoice gchoice_1_4_0">
<input name="input_4" type="radio" value="20|20" id="choice_1_4_0">
<label for="choice_1_4_0" id="label_1_4_0">$20 per month</label>
</li>
<li class="gchoice gchoice_1_4_1">
<input name="input_4" type="radio" value="40|40" id="choice_1_4_1">
<label for="choice_1_4_1" id="label_1_4_1">$40 per month</label>
</li>
<li class="gchoice gchoice_1_4_2">
<input name="input_4" type="radio" value="60|60" id="choice_1_4_2">
<label for="choice_1_4_2" id="label_1_4_2">$60 per month</label>
</li>
<li class="gchoice gchoice_1_4_3">
<input name="input_4" type="radio" value="Other|0" id="choice_1_4_3">
<label for="choice_1_4_3" id="label_1_4_3">Other</label>
</li>
</ul>
</div>
</li>
<li id="field_1_6" class="gfield gfield_price gfield_price_1_6 gfield_product_1_6 field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_1_6">Monthly Donation (other
amount)</label>
<div class="ginput_container ginput_container_product_price">
<input name="input_6" id="input_1_6" type="text" value="" class="small ginput_amount" placeholder="$200" aria-invalid="false" aria-describedby="gfield_description_1_6" disabled="disabled">
</div>
<div class="gfield_description" id="gfield_description_1_6">You deside how much to give each month. This should be greater than the previous levels.</div>
</li>
<li id="field_1_1" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">Name</label>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_1_1">
<span id="input_1_1_3_container" class="name_first">
<input type="text" name="input_1.3" id="input_1_1_3" value="" aria-label="First name" aria-required="false">
<label for="input_1_1_3">First</label>
</span>
<span id="input_1_1_6_container" class="name_last">
<input type="text" name="input_1.6" id="input_1_1_6" value="" aria-label="Last name" aria-required="false">
<label for="input_1_1_6">Last</label>
</span>
</div>
</li>
<li id="field_1_2" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_2">Email</label>
<div class="ginput_container ginput_container_email">
<input name="input_2" id="input_1_2" type="email" value="" class="medium" aria-invalid="false">
</div>
</li>
<li id="field_1_3" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">Address</label>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address" id="input_1_3">
<span class="ginput_full address_line_1 ginput_address_line_1" id="input_1_3_1_container">
<input type="text" name="input_3.1" id="input_1_3_1" value="" aria-required="false">
<label for="input_1_3_1" id="input_1_3_1_label">Street Address</label>
</span><span class="ginput_full address_line_2 ginput_address_line_2" id="input_1_3_2_container">
<input type="text" name="input_3.2" id="input_1_3_2" value="" aria-required="false">
<label for="input_1_3_2" id="input_1_3_2_label">Address Line 2</label>
</span><span class="ginput_left address_city ginput_address_city" id="input_1_3_3_container">
<input type="text" name="input_3.3" id="input_1_3_3" value="" aria-required="false">
<label for="input_1_3_3" id="input_1_3_3_label">City</label>
</span><span class="ginput_right address_state ginput_address_state" id="input_1_3_4_container">
<input type="text" name="input_3.4" id="input_1_3_4" value="" aria-required="false">
<label for="input_1_3_4" id="input_1_3_4_label">State / Province / Region</label>
</span><span class="ginput_left address_zip ginput_address_zip" id="input_1_3_5_container">
<input type="text" name="input_3.5" id="input_1_3_5" value="" aria-required="false">
<label for="input_1_3_5" id="input_1_3_5_label">ZIP / Postal Code</label>
</span><span class="ginput_right address_country ginput_address_country" id="input_1_3_6_container">
<select name="input_3.6" id="input_1_3_6" aria-required="false">
<option value="" selected="selected"></option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos Islands">Cocos Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
<option value="Congo, Republic of the">Congo, Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Côte d'Ivoire">Côte d'Ivoire</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Eswatini (Swaziland)">Eswatini (Swaziland)</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard and McDonald Islands">Heard and McDonald Islands</option>
<option value="Holy See">Holy See</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="North Korea">North Korea</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine, State of">Palestine, State of</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Réunion">Réunion</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten">Sint Maarten</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia">South Georgia</option>
<option value="South Korea">South Korea</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="US Minor Outlying Islands">US Minor Outlying Islands</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
<option value="Åland Islands">Åland Islands</option>
</select>
<label for="input_1_3_6" id="input_1_3_6_label">Country</label>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_1_12" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_12">Preferred method of contact:<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_12" id="input_1_12" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value=""></option>
<option value="email">email</option>
<option value="phone">phone</option>
<option value="US Mail">US Mail</option>
</select></div>
</li>
<li id="field_1_11" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_11">My employer offers gift matching. Name of Employer:</label>
<div class="ginput_container ginput_container_text"><input name="input_11" id="input_1_11" type="text" value="" class="medium" aria-describedby="gfield_description_1_11" aria-invalid="false"> </div>
<div class="gfield_description" id="gfield_description_1_11">If your employer offers gift matching please include the name of your employer. </div>
</li>
<li id="field_1_7" class="gfield gfield_price gfield_price_1_ gfield_total gfield_total_1_ field_sublabel_below field_description_below gfield_visibility_visible" aria-atomic="true" aria-live="polite"><label class="gfield_label"
for="input_1_7">Total Monthly Donation</label>
<div class="ginput_container ginput_container_total">
<span class="ginput_total ginput_total_1">$0.00</span>
<input type="hidden" name="input_7" id="input_1_7" class="gform_hidden" value="0">
</div>
<div class="gfield_description" id="gfield_description_1_7">We will charge your card one-time per month the amount shown above.</div>
</li>
<li id="field_1_13" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex" for="input_1_13_1">Credit Card<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard" id="input_1_13">
<div class="ginput_full" id="input_1_13_1_container">
<div id="input_1_13_1" class="StripeElement 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="__privateStripeFrame1775" frameborder="0" allowtransparency="true" scrolling="no" allow="payment *"
src="https://js.stripe.com/v3/elements-inner-card-48ca348ac945b252d3d8415098c760ff.html#wait=false&mids[guid]=NA&mids[muid]=NA&mids[sid]=NA&hidePostalCode=false&rtl=false&componentName=card&keyMode=live&apiKey=pk_live_CaixssJzIbJDSuaCyUjhbf2A00YAiceDhg&referrer=https%3A%2F%2Fsupport.bellevuefarmersmarket.org%2F&controllerId=__privateStripeController1771"
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; will-change: transform !important; height: 16.8px;"></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><label for="input_1_13_1" id="input_1_13_1_label">Card Details</label>
</div>
<div class="ginput_full" id="input_1_13_5_container">
<input type="text" name="input_13.5" id="input_1_13_5" value="">
<label for="input_1_13_5" id="input_1_13_5_label">Cardholder Name</label>
</div>
</div>
</li>
<li id="field_1_14" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_14">Comments</label>
<div class="ginput_container"><input name="input_14" id="input_1_14" type="text" value="" autocomplete="new-password"></div>
<div class="gfield_description" id="gfield_description_1_14">This field is for validation purposes and should be left unchanged.</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Complete My Donation"
onclick="if (!window.__cfRLUnblockHandlers) return false; if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} "
onkeypress="if (!window.__cfRLUnblockHandlers) return false; if( event.keyCode == 13 ){ if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} jQuery("#gform_1").trigger("submit",[true]); }">
<input type="hidden" name="gform_ajax" value="form_id=1&title=1&description=1&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_1" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="1">
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</form>Text Content
* Monthly Sustainer
* One-Time Donation
Select Page
* Monthly Sustainer
* One-Time Donation
MONTHLY DONATION
We invite you to join the Pillars of Sustainability with a monthly gift to
Bellevue Farmers Market. Monthly giving is the best way to make an ongoing
commitment to the market, allowing you to predict and space out your giving
while sending more of your donation to the BFM mission. Your credit card will
automatically be charged each month, and you may cancel at any time.
* Please select your Monthly Donation Level*
* $20 per month
* $40 per month
* $60 per month
* Other
* Monthly Donation (other amount)
You deside how much to give each month. This should be greater than the
previous levels.
* Name
First Last
* Email
* Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal
Code AfghanistanAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire,
Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet
IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina
FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African
RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo,
Democratic Republic of theCongo, Republic of theCook IslandsCosta
RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte
d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland
IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench
Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
and McDonald IslandsHoly SeeHondurasHong
KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao
People's Democratic
RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth
KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State
ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts
and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and
the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint
MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth
KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen
IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad
and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor
Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited
StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin
Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands
Country
* Preferred method of contact:*
emailphoneUS Mail
* My employer offers gift matching. Name of Employer:
If your employer offers gift matching please include the name of your
employer.
* Total Monthly Donation
$0.00
We will charge your card one-time per month the amount shown above.
* Credit Card*
Card Details
Cardholder Name
* Comments
This field is for validation purposes and should be left unchanged.
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