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Submitted URL: http://secure.dav.org/
Effective URL: https://help.dav.org/page/53019/donate/1?ea.tracking.id=fund_webdav&en_txn6=FFN001JAAA&utm_campaign=fund&utm_medium=m...
Submission: On March 20 via manual from US — Scanned from DE
Effective URL: https://help.dav.org/page/53019/donate/1?ea.tracking.id=fund_webdav&en_txn6=FFN001JAAA&utm_campaign=fund&utm_medium=m...
Submission: On March 20 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
Name: pb_CDR_FUND_WEB53019DAVorg_main_web_formnickoto — POST /page/53019/donate/2
<form method="post" id="pb_53019" name="pb_CDR_FUND_WEB53019DAVorg_main_web_formnickoto" action="/page/53019/donate/2" class="en__component en__component--page">
<input type="hidden" name="hidden" class="en__hiddenFields"
value="transaction.trbopts,supporter.questions.601938,transaction.honname,transaction.infname,transaction.infadd1,transaction.infcity,transaction.infreg,transaction.infpostcd,transaction.infcountry,transaction.gftrsn">
<input type="hidden" name="sessionId" value="bff4ed5ecaf44f31b1253d67e0a95b1d-use2-prd-web1">
<input type="hidden" name="gatewaytype" value="Stripe Gateway">
<input type="hidden" name="gatewaykey" value="pk_live_51H3L9vEh71zMukUlZ51TUkmQd8PNvOO70RjDaSQMwOlliAZ5S5YtRgtuzSmKIvxRj0LcDai2JbugPEC8y5ypgADa00H85wPNhq">
<input type="hidden" name="gatewayaccountid" value="acct_1M48MBF8XYiooJ8F">
<input type="hidden" name="gatewaymode" value="LIVE">
<div class="en__component en__component--row en__component--row--2">
<div class="en__component en__component en__component--column en__component--column--1">
<div class="en__component en__component--codeblock">
<h1>Transforming Veteran Lives</h1>
<img src="https://acb0a5d73b67fccd4bbe-c2d8138f0ea10a18dd4c43ec3aa4240a.ssl.cf5.rackcdn.com/10111/DAV-Donation-Form-2019-Version-5-nick.jpg" alt="Disabled American Veteran in a wheel chair with wife and child.">
<p>Only with your support are we able to help more than 1 million veterans every year access the healthcare, disability, employment, education and financial benefits they have earned.</p>
<p>Your gift gives ill and injured veterans the opportunity to live a life with respect and dignity. Help change the lives of even more veterans in need with a donation to DAV today.</p>
</div>
</div>
<div class="en__component en__component en__component--column en__component--column--2">
<div class="en__component en__component--formblock" style="">
<input type="hidden" class="en__field__input en__field__input--hidden" name="supporter.appealCode" value="240003000000A01">
<input type="hidden" class="en__field__input en__field__input--hidden" name="transaction.othamt1" value="DAV">
<input type="hidden" class="en__field__input en__field__input--hidden" name="transaction.paycurrency" value="USD">
<input type="hidden" class="en__field__input en__field__input--hidden" name="transaction.recurrfreq" value="MONTHLY">
</div>
<div class="en__component en__component--formblock" style="">
<div class="en__field en__field--radio en__field--withOther en__field--616646 en__field--donationAmt en__mandatory">
<label class="en__field__label" style="">Gift Amount</label>
<div class="en__field__element en__field__element--radio
" style="display:block !important">
<div class="en__field__item" style="display: inline-block;">
<input type="radio" class="en__field__input en__field__input--radio" value="25" name="transaction.donationAmt" id="en__field_transaction_donationAmt0">
<label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt0">$25</label>
</div>
<div class="en__field__item" style="display: inline-block;">
<input checked="" type="radio" class="en__field__input en__field__input--radio" value="50" name="transaction.donationAmt" id="en__field_transaction_donationAmt1">
<label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt1">$50</label>
</div>
<div class="en__field__item" style="display: inline-block;">
<input type="radio" class="en__field__input en__field__input--radio" value="100" name="transaction.donationAmt" id="en__field_transaction_donationAmt2">
<label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt2">$100</label>
</div>
<div class="en__field__item" style="display: inline-block;">
<input type="radio" class="en__field__input en__field__input--radio" value="200" name="transaction.donationAmt" id="en__field_transaction_donationAmt3">
<label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt3">$200</label>
</div>
<div class="en__field__item" style="display: none;">
<input type="radio" class="en__field__input en__field__input--radio" value="20" name="transaction.donationAmt" id="en__field_transaction_donationAmt4">
<label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt4">$20</label>
</div>
<div class="en__field__item" style="display: none;">
<input type="radio" class="en__field__input en__field__input--radio" value="25" name="transaction.donationAmt" id="en__field_transaction_donationAmt5">
<label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt5">$25</label>
</div>
<div class="en__field__item" style="display: none;">
<input type="radio" class="en__field__input en__field__input--radio" value="50" name="transaction.donationAmt" id="en__field_transaction_donationAmt6">
<label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt6">$50</label>
</div>
<div class="en__field__item" style="display: none;">
<input type="radio" class="en__field__input en__field__input--radio" value="100" name="transaction.donationAmt" id="en__field_transaction_donationAmt7">
<label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt7">$100</label>
</div>
<div class="en__field__item">
<input type="radio" class="en__field__input en__field__input--radio" value="other" name="transaction.donationAmt" id="en__field_transaction_donationAmt8">
<label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt8">other</label>
</div>
<div class="en__field__item en__field__item--other en__field__item--hidden">
<input class="en__field__input en__field__input--other" type="text" name="transaction.donationAmt.other" value="" onclick="selectOther()" maxlength="6" placeholder="$ Other Amount">
</div>
</div>
</div>
<div class="en__field en__field--checkbox en__field--617032 en__field--recurrpay">
<div class="en__field__element en__field__element--checkbox
">
<div class="en__field__item">
<input id="en__field_transaction_recurrpay" type="checkbox" class="en__field__input en__field__input--checkbox" value="Y" name="transaction.recurrpay" onchange="monthlySelected()">
<label for="en__field_transaction_recurrpay" class="en__field__label en__field__label--item">Yes, I would like this to be a recurring monthly gift.</label>
</div>
</div>
</div>
</div>
<div class="en__component en__component--formblock payment-section" style="">
<div class="en__field en__field--checkbox en__field--617566 en__field--feeCover">
<div class="en__field__element en__field__element--checkbox
">
<div class="en__field__item">
<input id="en__field_transaction_feeCover" type="checkbox" class="en__field__input en__field__input--checkbox" value="Y" name="transaction.feeCover" onclick="updateSubButton()">
<label for="en__field_transaction_feeCover" class="en__field__label en__field__label--item">I want to make my gift go further by covering the online processing fee.</label>
</div>
</div>
</div>
<div class="en__field en__field--select en__field--617565 en__field--paymenttype en__mandatory">
<label for="en__field_transaction_paymenttype" class="en__field__label" style="">Payment Type*</label>
<div class="en__field__element en__field__element--select">
<select id="en__field_transaction_paymenttype" class="en__field__input en__field__input--select" name="transaction.paymenttype">
<option selected="selected" value="Visa">Visa</option>
<option value="Mastercard">Mastercard</option>
<option value="Discover">Discover</option>
<option value="American Express">American Express</option>
<option value="Paypal">PayPal</option>
</select>
</div>
</div>
<div class="en__field en__field--vgs en__field--617563 en__field--ccnumber en__mandatory">
<label for="en__field_transaction_ccnumber" class="en__field__label" style="">Credit Card Number*</label>
<div class="en__field__element en__field__element--vgs">
<input type="hidden" name="transaction.ccnumber">
<div id="en__field_transaction_ccnumber" class="en__field__input en__field__input--vgs vgs-collect-container__empty vgs-collect-container__invalid">
<iframe title="Secure card number input frame"
src="https://js.verygoodvault.com/vgs-collect/2.20.2/lib/index.html#type=card-number&name=transaction.ccnumber&validations%5B0%5D=required&validations%5B1%5D=validCardNumber&tokenization%5Bformat%5D=GENERIC_T_FOUR&tokenization%5Bstorage%5D=VOLATILE&formId=randomId2005041059119975986&fieldId=randomId20019424945724550025&createdAt=1710948785446&tnt=dG50Y2Z4ZHd5emg%3D&env=bGl2ZQ%3D%3D&logLevel=default&vgsCollectSessionId=549c7abb-a236-4bc0-bb6e-f6e567b3d66d&css%5Bpadding%5D=13px&css%5BboxSizing%5D=border-box&css%5BfontFamily%5D=Klavika%2C%20sans-serif&css%5BfontSize%5D=22px&css%5Bcolor%5D=rgb%280%2C%200%2C%200%29"
frameborder="0" scrolling="0" allowtransparency="true" id="randomId20019424945724550025" form-id="randomId2005041059119975986"></iframe>
</div>
</div>
</div>
<div class="en__field en__field--splitselect en__field--617567 en__field--ccexpire en__mandatory">
<label for="en__field_transaction_ccexpire" class="en__field__label" style="">Credit Card Expiration*</label>
<div class="en__field__element en__field__element--splitselect">
<input type="hidden" name="transaction.ccexpire.delimiter" value="/">
<div class="en__field__item">
<select id="en__field_transaction_ccexpire" class="en__field__input en__field__input--splitselect" name="transaction.ccexpire">
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
</div>
<div class="en__field__item">
<select class="en__field__input en__field__input--splitselect" name="transaction.ccexpire">
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
<option value="2031">2031</option>
<option value="2032">2032</option>
<option value="2033">2033</option>
<option value="2034">2034</option>
<option value="2035">2035</option>
<option value="2036">2036</option>
<option value="2037">2037</option>
</select>
</div>
</div>
</div>
<div class="en__field en__field--vgs en__field--617564 en__field--ccvv en__mandatory">
<label for="en__field_transaction_ccvv" class="en__field__label" style="">Security Code*</label>
<div class="en__field__element en__field__element--vgs">
<input type="hidden" name="transaction.ccvv">
<div id="en__field_transaction_ccvv" class="en__field__input en__field__input--vgs vgs-collect-container__empty vgs-collect-container__invalid">
<iframe title="Secure card security code input frame"
src="https://js.verygoodvault.com/vgs-collect/2.20.2/lib/index.html#type=card-security-code&name=transaction.ccvv&validations%5B0%5D=required&validations%5B1%5D=validCardSecurityCode&tokenization%5Bformat%5D=UUID&tokenization%5Bstorage%5D=VOLATILE&formId=randomId2005041059119975986&fieldId=randomId2006076439007887011&createdAt=1710948785447&tnt=dG50Y2Z4ZHd5emg%3D&env=bGl2ZQ%3D%3D&logLevel=default&vgsCollectSessionId=549c7abb-a236-4bc0-bb6e-f6e567b3d66d&css%5Bpadding%5D=13px&css%5BboxSizing%5D=border-box&css%5BfontFamily%5D=Klavika%2C%20sans-serif&css%5BfontSize%5D=22px&css%5Bcolor%5D=rgb%280%2C%200%2C%200%29"
frameborder="0" scrolling="0" allowtransparency="true" id="randomId2006076439007887011" form-id="randomId2005041059119975986" name="vgs-collect-cvv-field"></iframe>
</div>
</div>
</div>
</div>
<div class="en__component en__component--formblock billing-section" style="">
<div class="en__field en__field--email en__field--617553 en__field--emailAddress en__mandatory">
<label for="en__field_supporter_emailAddress" class="en__field__label" style="">Email Address*</label>
<div class="en__field__element en__field__element--email">
<input id="en__field_supporter_emailAddress" type="email" autocomplete="email" class="en__field__input en__field__input--email" name="supporter.emailAddress" value="">
</div>
</div><input type="hidden" class="en__field__input--hidden" name="supporter.sendOffset" value="+01:00">
<div class="en__field en__field--text en__field--617554 en__field--firstName en__mandatory">
<label for="en__field_supporter_firstName" class="en__field__label" style="">First Name*</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_firstName" type="text" class="en__field__input en__field__input--text" name="supporter.firstName" value="">
</div>
</div>
<div class="en__field en__field--text en__field--617555 en__field--lastName en__mandatory">
<label for="en__field_supporter_lastName" class="en__field__label" style="">Last Name*</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_lastName" type="text" class="en__field__input en__field__input--text" name="supporter.lastName" value="">
</div>
</div>
<div class="en__field en__field--text en__field--617557 en__field--address1 en__mandatory">
<label for="en__field_supporter_address1" class="en__field__label" style="">Address*</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_address1" type="text" class="en__field__input en__field__input--text" name="supporter.address1" value="">
</div>
</div>
<div class="en__field en__field--text en__field--617556 en__field--city en__mandatory">
<label for="en__field_supporter_city" class="en__field__label" style="">City*</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_city" type="text" class="en__field__input en__field__input--text" name="supporter.city" value="">
</div>
</div>
<div class="en__field en__field--select en__field--617560 en__field--region en__mandatory">
<label for="en__field_supporter_region" class="en__field__label" style="">State*</label>
<div class="en__field__element en__field__element--select">
<select id="en__field_supporter_region" class="en__field__input en__field__input--select" name="supporter.region">
<option value="">Please select</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</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="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="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="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>
<option value="AB">Alberta</option>
<option value="BC">British Columbia</option>
<option value="MB">Manitoba</option>
<option value="NB">New Brunswick</option>
<option value="NL">Newfoundland and Labrador</option>
<option value="NS">Nova Scotia</option>
<option value="ON">Ontario</option>
<option value="PE">Prince Edward Island</option>
<option value="QC">Quebec</option>
<option value="SK">Saskatchewan</option>
<option value="NT">Northwest Territories</option>
<option value="NU">Nunavut</option>
<option value="YT">Yukon</option>
<option value="None">None</option>
</select>
</div>
</div>
<div class="en__field en__field--text en__field--617558 en__field--postcode en__mandatory">
<label for="en__field_supporter_postcode" class="en__field__label" style="">ZIP Postal Code*</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_supporter_postcode" type="text" class="en__field__input en__field__input--text" name="supporter.postcode" value="">
</div>
</div>
<div class="en__field en__field--select en__field--617561 en__field--country en__mandatory">
<label for="en__field_supporter_country" class="en__field__label" style="">Country*</label>
<div class="en__field__element en__field__element--select">
<select id="en__field_supporter_country" class="en__field__input en__field__input--select" name="supporter.country">
<option selected="selected" value="US">United States</option>
<option value="GB">United Kingdom</option>
<option value="CA">Canada</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, Plurinational State of</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="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">Czech Republic</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="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="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="MK">Macedonia, the former Yugoslav Republic of</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, Republic of</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="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="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan, Province of China</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania, United Republic of</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="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela, Bolivarian Republic of</option>
<option value="VN">Viet Nam</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 class="en__field en__field--telephone en__field--617559 en__field--phoneNumber2">
<label for="en__field_supporter_phoneNumber2" class="en__field__label" style="">Mobile Phone (Optional)</label>
<div class="en__field__element en__field__element--telephone">
<input id="en__field_supporter_phoneNumber2" type="tel" autocomplete="tel" class="en__field__input en__field__input--telephone" name="supporter.phoneNumber2" value="">
</div>
</div>
<div class="en__field en__field--checkbox en__field--question en__field--609239 en__field--email-opt-in-ver-2">
<div class="en__field__element en__field__element--checkbox
">
<div class="en__field__item">
<input id="en__field_supporter_questions_609239" checked="" type="checkbox" class="en__field__input en__field__input--checkbox" value="Y" name="supporter.questions.609239">
<label for="en__field_supporter_questions_609239" class="en__field__label en__field__label--item">Yes, please keep me informed about how DAV is supporting our nation's veterans.</label>
</div>
</div>
</div>
</div>
<div class="en__component en__component--formblock" style="">
<div class="en__field en__field--checkbox en__field--616628 en__field--inmem" style="display: block;">
<div class="en__field__element en__field__element--checkbox
">
<div class="en__field__item">
<input id="en__field_transaction_inmem" type="checkbox" class="en__field__input en__field__input--checkbox" value="Y" name="transaction.inmem">
<label for="en__field_transaction_inmem" class="en__field__label en__field__label--item">Yes, I would like to dedicate my gift.</label>
</div>
</div>
</div>
<div class="en__field en__field--select en__field--616634 en__field--trbopts en__hidden">
<div class="en__field__element en__field__element--select">
<select id="en__field_transaction_trbopts" class="en__field__input en__field__input--select" name="transaction.trbopts" disabled="">
<option value="in honor of">In honor of</option>
<option value="in memory of">In memory of</option>
<option value="in tribute of">In tribute of</option>
</select>
</div>
</div>
<div class="en__field en__field--checkbox en__field--question en__field--601938 en__field--send-gift-notification en__hidden">
<label class="en__field__label" style="">Send Gift Notification</label>
<div class="en__field__element en__field__element--checkbox
">
<div class="en__field__item">
<input id="en__field_supporter_questions_601938" type="checkbox" class="en__field__input en__field__input--checkbox" value="Y" name="supporter.questions.601938" disabled="">
<label for="en__field_supporter_questions_601938" class="en__field__label en__field__label--item">Yes, I would like to send a notification to someone about my gift.</label>
</div>
</div>
</div>
<div class="en__field en__field--text en__field--616629 en__field--honname en__hidden">
<label for="en__field_transaction_honname" class="en__field__label" style="">Honoree Name:</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_transaction_honname" type="text" class="en__field__input en__field__input--text" name="transaction.honname" value="" disabled="">
</div>
</div>
<div class="en__field en__field--text en__field--616632 en__field--infname en__hidden">
<label for="en__field_transaction_infname" class="en__field__label" style="">Notification Recipient Name:</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_transaction_infname" type="text" class="en__field__input en__field__input--text" name="transaction.infname" value="" disabled="">
</div>
</div>
<div class="en__field en__field--text en__field--616635 en__field--infadd1 en__hidden">
<label for="en__field_transaction_infadd1" class="en__field__label" style="">Notification Recipient Address:</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_transaction_infadd1" type="text" class="en__field__input en__field__input--text" name="transaction.infadd1" value="" disabled="">
</div>
</div>
<div class="en__field en__field--text en__field--616630 en__field--infcity en__hidden">
<label for="en__field_transaction_infcity" class="en__field__label" style="">Notification Recipient City:</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_transaction_infcity" type="text" class="en__field__input en__field__input--text" name="transaction.infcity" value="" disabled="">
</div>
</div>
<div class="en__field en__field--select en__field--616639 en__field--infreg en__hidden">
<label for="en__field_transaction_infreg" class="en__field__label" style="">Notification Recipient State or Province:</label>
<div class="en__field__element en__field__element--select">
<select id="en__field_transaction_infreg" class="en__field__input en__field__input--select" name="transaction.infreg" disabled="">
<option value="">Please select</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</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="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="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</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="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>
<option value="AB">Alberta</option>
<option value="BC">British Columbia</option>
<option value="MB">Manitoba</option>
<option value="NB">New Brunswick</option>
<option value="NL">Newfoundland and Labrador</option>
<option value="NS">Nova Scotia</option>
<option value="ON">Ontario</option>
<option value="PE">Prince Edward Island</option>
<option value="QC">Quebec</option>
<option value="SK">Saskatchewan</option>
<option value="NT">Northwest Territories</option>
<option value="NU">Nunavut</option>
<option value="YT">Yukon</option>
<option value="">None</option>
</select>
</div>
</div>
<div class="en__field en__field--text en__field--616633 en__field--infpostcd en__hidden">
<label for="en__field_transaction_infpostcd" class="en__field__label" style="">Notification Recipient Postcode:</label>
<div class="en__field__element en__field__element--text">
<input id="en__field_transaction_infpostcd" type="text" class="en__field__input en__field__input--text" name="transaction.infpostcd" value="" disabled="">
</div>
</div>
<div class="en__field en__field--select en__field--616622 en__field--infcountry en__hidden">
<label for="en__field_transaction_infcountry" class="en__field__label" style="">Notification Recipient Country:</label>
<div class="en__field__element en__field__element--select">
<select id="en__field_transaction_infcountry" class="en__field__input en__field__input--select" name="transaction.infcountry" disabled="">
<option selected="selected" value="US">United States</option>
<option value="CA">Canada</option>
<option value="GB">United Kingdom</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, Plurinational State of</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="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">Czech Republic</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="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="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="MK">Macedonia, the former Yugoslav Republic of</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, Republic of</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="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="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan, Province of China</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania, United Republic of</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="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela, Bolivarian Republic of</option>
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<option value="VI">Virgin Islands, U.S.</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
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<option value="ZW">Zimbabwe</option>
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<div id="en__digitalWallet__paypalTouch" class="en__digitalWallet__button" style="width: 100%; display: none;" data-theme="gold" data-node-uid="1">
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<div style="flex-basis:100%; height:0;"></div>
<div id="en__digitalWallet__chariot" class="en__digitalWallet__button" style="width: 100%; display: none;" data-theme="" data-node-uid="4">
<div id="en__digitalWallet__chariot__container" class="en__digitalWallet__container"></div>
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<div class="en__submit"><button style="">Donate $50 Now</button></div>
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<script src="https://acb0a5d73b67fccd4bbe-c2d8138f0ea10a18dd4c43ec3aa4240a.ssl.cf5.rackcdn.com/10111/evergreen-custom-v3.js?v=1705433814000"></script>
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checkFields(false)
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console.log("")
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</div>
</div>
</form>Text Content
TRANSFORMING VETERAN LIVES Only with your support are we able to help more than 1 million veterans every year access the healthcare, disability, employment, education and financial benefits they have earned. Your gift gives ill and injured veterans the opportunity to live a life with respect and dignity. Help change the lives of even more veterans in need with a donation to DAV today. Gift Amount $25 $50 $100 $200 $20 $25 $50 $100 other Yes, I would like this to be a recurring monthly gift. I want to make my gift go further by covering the online processing fee. Payment Type* Visa Mastercard Discover American Express PayPal Credit Card Number* Credit Card Expiration* 01 02 03 04 05 06 07 08 09 10 11 12 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 Security Code* Email Address* First Name* Last Name* Address* City* State* Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut Yukon None ZIP Postal Code* Country* United States United Kingdom Canada Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Mobile Phone (Optional) Yes, please keep me informed about how DAV is supporting our nation's veterans. Yes, I would like to dedicate my gift. In honor of In memory of In tribute of Send Gift Notification Yes, I would like to send a notification to someone about my gift. Honoree Name: Notification Recipient Name: Notification Recipient Address: Notification Recipient City: Notification Recipient State or Province: Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut Yukon None Notification Recipient Postcode: Notification Recipient Country: United States Canada United Kingdom Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Message Body: Donate $50 Now ABOUT YOUR GIFT By making a gift to DAV you are empowering veterans to lead high-quality lives with respect and dignity. Copyright © DAV, All Rights Reserved. The Disabled American Veterans (DAV) is a 501(c)(4) tax-exempt charity, IRS EIN 31-0263158. All contributions to DAV are tax-deductible according to IRS regulations.