stars.cancercouncil.com.au
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13.54.37.202
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URL:
https://stars.cancercouncil.com.au/fundraisers/shootersrealestate/stars-of-dubbo-2024
Submission: On February 05 via manual from AU — Scanned from AU
Submission: On February 05 via manual from AU — Scanned from AU
Form analysis 1 forms found in the DOM
POST https://stars.cancercouncil.com.au/sponsor/fundraiser/shootersrealestate/stars-of-dubbo-2024
<form method="post" class="form-horizontal funraisin-form " id="ProfileDonationForm" action="https://stars.cancercouncil.com.au/sponsor/fundraiser/shootersrealestate/stars-of-dubbo-2024" novalidate="novalidate">
<input type="hidden" name="CSRFToken" value="cb52be52b0b39467eade4c5300147d0b">
<input type="hidden" name="mandatory" id="mandatory" value="d_receipt,d_fname,d_lname,d_email,payment_method,d_amount">
<input type="hidden" name="token" id="token">
<input type="hidden" name="payment_intent_id" id="payment_intent_id">
<input type="hidden" name="card_brand" id="card_brand">
<input type="hidden" name="card_country" id="card_country">
<input type="hidden" name="donation_frequency" id="donation_frequency">
<input type="hidden" name="donation_period" id="donation_period">
<input type="hidden" name="d_amount" autocomplete="new-password" id="d_amount">
<input type="hidden" name="d_amount_sel" autocomplete="new-password" id="d_amount_sel">
<input type="hidden" name="d_fee" autocomplete="new-password" id="d_fee">
<input type="hidden" name="initial_amount" autocomplete="new-password" id="initial_amount">
<input type="hidden" name="is_profile_donation" id="is_profile_donation" value="Y">
<input type="hidden" name="d_photo" id="d_photo" value="">
<input type="hidden" name="fbuser_id" id="fbuser_id" value="">
<input type="hidden" name="fbuser_pic" id="fbuser_pic" value="">
<input type="hidden" name="event_id" id="event_id" value="63">
<input type="hidden" name="elements_payment_method" id="elements_payment_method" value="card">
<script src="https://www.google.com/recaptcha/api.js?render=6LfBTawiAAAAACbOU8slf1OIe5wiOH_ZYjd2Rejt"></script>
<input type="hidden" name="g-recaptcha-response" id="g-recaptcha-response">
<input type="hidden" name="elements_payment_method" id="elements_payment_method" value="card">
<div class="sidebar-form-panel text-center active" id="chooseamount">
<h4>
<strong>Select amount to donate</strong>
</h4>
<div class="donationHandlers horizontal">
<div class="col-sm-6 handleHorizontal">
<div class="radio no-image no-text">
<a class="radio-amount" data-rel="25" tabindex="0" aria-label="$25" role="button" aria-pressed="false" onkeydown="handleBtnKeyDown(event)">
<span class="radio-wrap">
<span class="amount-wrap"><span class="amount">$25</span></span>
</span>
</a>
<div class="clear"></div>
</div>
</div>
<div class="col-sm-6 handleHorizontal">
<div class="radio no-image no-text">
<a class="radio-amount" data-rel="50" tabindex="0" aria-label="$50" role="button" aria-pressed="false" onkeydown="handleBtnKeyDown(event)">
<span class="radio-wrap">
<span class="amount-wrap"><span class="amount">$50</span></span>
</span>
</a>
<div class="clear"></div>
</div>
</div>
<div class="col-sm-6 handleHorizontal">
<div class="radio no-image no-text">
<a class="radio-amount" data-rel="100" tabindex="0" aria-label="$100" role="button" aria-pressed="false" onkeydown="handleBtnKeyDown(event)">
<span class="radio-wrap">
<span class="amount-wrap"><span class="amount">$100</span></span>
</span>
</a>
<div class="clear"></div>
</div>
</div>
<div class="col-sm-6 handleHorizontal">
<div class="radio no-image no-text">
<a class="radio-amount" data-rel="250" tabindex="0" aria-label="$250" role="button" aria-pressed="false" onkeydown="handleBtnKeyDown(event)">
<span class="radio-wrap">
<span class="amount-wrap"><span class="amount">$250</span></span>
</span>
</a>
<div class="clear"></div>
</div>
</div>
<script>
function toggleBtn(ele) {
$('.radio-amount').attr('aria-pressed', 'false');
ele.setAttribute("aria-pressed", "true");
$(ele).parent().trigger('click');
}
function handleBtnKeyDown(event) {
// Check to see if space or enter were pressed
if (event.key === " " || event.key === "Enter" || event.key === "Spacebar") { // "Spacebar" for IE11 support
// Prevent the default action to stop scrolling when space is pressed
event.preventDefault();
toggleBtn(event.target);
}
}
$(window).on('load', function() {
$('.radio-image').each(function() {
$(this).height($(this).parent().parent().find('.copy').outerHeight());
});
});
$('.radio').click(function() {
$('#d_amount,#initial_amount').val($(this).find('.radio-amount').attr('data-rel'));
$('#d_amount_sel').val($(this).find('.radio-amount').attr('data-rel'));
//$('.amountdonating').html($(this).find('.radio-amount').attr('data-rel'));
calculateDonation();
positionform();
showPersonalPanel();
if ($('.radio').hasClass('selected') || $('#d_amount_free').val() != "") {
$.post('/profile/trackfees', {
'action': 'change',
'amount': $('#d_amount').val(),
'fee': $('#d_fee').val()
}, function() {});
} else {
$.post('/profile/trackfees', {
'action': 'set',
'amount': $('#d_amount').val(),
'fee': $('#d_fee').val()
}, function() {});
}
$('#d_amount_free').val('');
$('.radio').removeClass('selected');
$(this).addClass('selected');
return false;
});
</script>
</div>
<div id="OwnAmount">
<h4>
<strong>Or enter an amount</strong>
</h4>
<div class="form-group">
<div class="col-xs-3 col-3"></div>
<div class="col-xs-6 col-6">
<div class="input-group">
<span class="input-group-addon bg-primary">$</span>
<input class="form-control" type="text" name="d_amount_free" id="d_amount_free" autocomplete="new-password" onfocus="$('#d_amount,#initial_amount').val('');$('input[name=d_amount_sel]').attr('checked',false);"
onkeyup="RemoveJunk(this,'nofloat','');" aria-label="Or enter an amount">
</div>
</div>
</div>
</div>
<!-- Express donate //-->
<!--
<div class="form-group text-center">
<div class="col-sm-3"></div>
<div class="col-sm-6">
<a href="javascript:;" class="btn btn-tertiary btn-next btn-block" rel="personaldetails">Donate</a>
</div>
</div>
//-->
<div class="form-group text-center">
<div class="col-sm-12">
<a href="javascript:;" class="btn btn-tertiary btn-next btn-block" rel="personaldetails">Donate</a>
</div>
</div>
</div>
<div class="sidebar-form-panel" id="personaldetails">
<div class="col-md-12">
<script>
function receiptKeydown(event) {
// Check to see if space or enter were pressed
if (event.key === " " || event.key === "Enter" || event.key === "Spacebar") { // "Spacebar" for IE11 support
// Prevent the default action to stop scrolling when space is pressed
event.preventDefault();
$(event.target).trigger('click');
$('#d_receipt_container .toggle-btn').attr('aria-pressed', 'false');
event.target.setAttribute("aria-pressed", "true");
}
}
</script>
<div class="text-center Mandatory toggle-switch form-group">
<div class="col-xs-12 col-12">
<label class="bg-primary border-primary col-xs-6 col-6 toggle-btn"
onclick="$('#OrganisationInfo').slideUp(300);$('#mandatory').val($('#mandatory').val().replace(',d_organisation',''));$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');$('.giftAidBlock').visibleIn();"
role="button" aria-pressed="true" tabindex="0" onkeydown="receiptKeydown(event)">
<input type="radio" name="d_receipt" value="personal" checked="checked"> Personal Donation </label>
<label class="col-xs-6 col-6 toggle-btn"
onclick="$('#OrganisationInfo').slideDown(300);$('#mandatory').val($('#mandatory').val() +',d_organisation');$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');$('#gift_aid').attr('checked',false);$('.giftAidBlock').visibleOut();"
role="button" aria-pressed="false" tabindex="0" onkeydown="receiptKeydown(event)">
<input type="radio" name="d_receipt" value="business"> Company Donation </label>
</div>
</div>
</div>
<div class="col-md-12">
<div class="form-group" style="display:none;" id="OrganisationInfo">
<label class="col-sm-12">Organisation Name *</label>
<div class="col-sm-12">
<input type="text" class="form-control" name="d_organisation" id="d_organisation" value="" autocomplete="organization" maxlength="50">
</div>
</div>
</div>
<div class="col-md-6 Mandatory">
<div class="form-group">
<label class="col-sm-12" for="d_fname">First Name*</label>
<div class="col-sm-12">
<input type="text" class="form-control" name="d_fname" id="d_fname" value="" autocomplete="given-name" maxlength="50">
</div>
</div>
</div>
<div class="col-md-6 Mandatory">
<div class="form-group">
<label class="col-sm-12" for="d_lname">Last Name*</label>
<div class="col-sm-12">
<input type="text" class="form-control" name="d_lname" id="d_lname" value="" autocomplete="family-name" maxlength="50">
</div>
</div>
</div>
<div class="col-md-12 Mandatory">
<div class="form-group">
<label class="col-sm-12" for="d_email">Email Address*</label>
<div class="col-sm-12">
<input type="text" class="form-control" name="d_email" id="d_email" value="" autocomplete="email">
</div>
</div>
</div>
<div class="col-md-12">
<input type="hidden" name="d_leave_message" id="d_leave_message" value="">
<!-- <div class="text-center toggle-switch form-group">
<div class="col-xs-12 col-12">
<label class="bg-primary border-primary col-xs-6 col-6 toggle-btn" onclick="$('.d_comment').slideDown(300);$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');">
<input type="radio" name="d_leave_message" value="Y" checked="checked" /> Leave a Message </label>
<label class="col-xs-6 col-6 toggle-btn" onclick="$('.d_comment').slideUp(300);$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');">
<input type="radio" name="d_leave_message" value="N" /> No Message </label>
</div>
</div> -->
<div class="form-group d_comment">
<label class="col-sm-12" for="d_comments">Leave a Message (Optional)</label>
<div class="col-sm-12">
<textarea class="form-control" name="d_comments" id="d_comments" rows="4" cols="30"></textarea>
</div>
</div>
<div class="form-group d_comment">
<label class="col-sm-12" for="d_display_name">Name to appear on page (Optional)</label>
<div class="col-sm-12">
<input class="form-control" type="text" name="d_display_name" id="d_display_name" autocomplete="name">
</div>
</div>
<script>
$('#d_comments').on('input change', function() {
if ($(this).val() != '') {
$('#d_leave_message').val('Y');
} else {
$('#d_leave_message').val('N');
}
});
</script>
<div class="form-group pt10">
<div class="col-sm-12">
<input type="checkbox" name="d_anonymous" value="Y" aria-label="I'd like to remain anonymous to the fundraiser" onclick="if(this.checked) { $('#d_display_name').val(''); }"> <span style="font-size:86%;">I'd like to remain anonymous to the
fundraiser</span>
</div>
</div>
<div class="height-20"></div>
<div class="form-group text-center vertical-align-container">
<div class="col-sm-3"><a href="javascript:;" class="btn btn-tertiary btn-back btn-block" rel="amountdetails"><i class="material-icons">chevron_left</i></a></div>
<div class="col-sm-9">
<a href="javascript:;" class="btn btn-tertiary btn-next btn-block" rel="paymentdetails" id="personaldetailsbutton">Next</a>
</div>
</div>
</div>
</div>
<div class="sidebar-form-panel" id="paymentdetails">
<p id="error" class="text-center error" style="display:none">
<b></b>
</p>
<a href="javascript:void(0);" data-rel="credit card" class="btn btn-payment-element btn-pay-creditcard" id="elements_credit_card" style="display: none;"><img src="https://d1p2vuwzdwq826.cloudfront.net/cacd2a43ec8cb767ea934456b7916b4f.svg" alt="Credit Card">Credit Card</a>
<input type="hidden" name="payment_method" id="payment_method" value="credit card">
<script>
$('.btn-payment-element').on('click', function() {
$('#payment_method').val($(this).data('rel'));
$('.btn-payment-element').addClass('fadeout');
$(this).removeClass('fadeout');
if ($(this).data('rel') == 'paypal') {
$('.creditcard,.eft,.ideal').addClass('hidden');
$('.paypal').removeClass('hidden');
} else if ($(this).data('rel') == 'eft') {
$('.creditcard,.paypal,.ideal').addClass('hidden');
$('.eft').removeClass('hidden');
} else if ($(this).data('rel') == 'ideal') {
$('.creditcard,.paypal,.eft').addClass('hidden');
$('.ideal').removeClass('hidden');
} else {
$('.creditcard').removeClass('hidden');
$('.paypal,.eft,.ideal').addClass('hidden');
}
});
</script>
<div class="height-20"></div>
<div class="row creditcard">
<div class="form-group">
<label class="col-sm-12" for="card_name">Name on Card *</label>
<div class="col-sm-12">
<input class="form-control" type="text" name="card_name" id="card_name" data-stripe="name" autocomplete="cc-name" x-autocompletetype="cc-name">
</div>
</div>
</div>
<div class="row creditcard">
<div class="form-group">
<label class="col-sm-12" for="card_number">Card Number *</label>
<div class="col-sm-12">
<input class="form-control" type="text" id="card_number" name="card_number" data-eway-encrypt-name="EWAY_CARDNUMBER" data-braintree-name="number" data-stripe="number" autocomplete="cc-number" x-autocompletetype="cc-number">
</div>
</div>
</div>
<div class="row creditcard">
<div class="form-group">
<label class="col-sm-12">Card Expiry *</label>
<div class="col-sm-6">
<input class="form-control" type="text" id="card_expiry_month" name="card_expiry_month" maxlength="2" placeholder="MM" data-braintree-name="expiration_month" data-stripe="exp_month" aria-label="card_expiry_month">
</div>
<div class="col-sm-6">
<input class="form-control" type="text" id="card_expiry_year" name="card_expiry_year" maxlength="2" placeholder="YY" data-braintree-name="expiration_year" data-stripe="exp_year" aria-label="card_expiry_year">
</div>
</div>
</div>
<div class="row">
<div class="form-group">
<label class="col-sm-8 creditcard" for="card_cvv">CVV Number *</label>
<label class="col-xs-4 col-4 donation-amount-display hidden">Donation</label>
<div class="clear"></div>
<div class="col-xs-4 col-4 creditcard">
<input class="form-control" type="text" id="card_cvv" name="card_cvv" value="" maxlength="4" data-eway-encrypt-name="EWAY_CARDCVN" data-braintree-name="cvv" data-stripe="cvc" autocomplete="off">
</div>
<div class="col-xs-4 col-4 creditcard">
<img src="/funraisin.4.1/images/cvv.png" style="width:55px;margin-top:-10px;">
</div>
<div class="col-sm-4 donation-amount-display hidden">
<span class="currency">$</span><span class="amountdonating"></span>
</div>
</div>
</div>
<div class="form-group pb20">
<style>
.funraisin-fee-bordered .funraisin-fee-box {
border: 1px solid rgb(15, 30, 100);
}
.funraisin-fee-box {
padding: 5px 20px 20px;
border-radius: 5px;
}
.funraisin-fee-box i,
.funraisin-fee-box .hoverlink {
color: #0f1e64;
}
.optincheckbox:not(.funraisin-fee-bordered) .funraisin-fee-box {
background: #0f1e6410;
}
</style>
<input type="hidden" name="optin_fees_rate" id="optin_fees_rate" value="5.5">
<input type="hidden" name="d_optin_fees" id="d_optin_fees" value="Y">
<div class="row optincheckbox funraisin-fee-bordered funraisin-no-bg">
<div class="col-xs-12 col-12">
<div class="funraisin-fee-box funraisin-no-bg">
<label class="fee-box-header">Cover platform costs <span class="funraisin-fee-heart"><img class="static" src="https://d1gotx1r5o7hbd.cloudfront.net/e27154d713bcc89ca73cade1b4cd8e33.png"></span></label>
<p class="funraisin-fee-text hidden"><i class="only-default fa fa-heart"></i> Add a little to cover fees. <span class="hoverlink" data-toggle="tooltip" data-bs-container=".funraisin-fee-box" data-container=".funraisin-fee-box"
data-bs-toggle="tooltip" data-placement="top" data-bs-placement="top" title="" data-original-title="By helping cover our costs, you keep our donations platform free so we can help more people affected by cancer "><span
class="only-default">Why?</span><i class="material-icons-outlined only-bordered">info</i></span></p>
<div>
<div class="btn-group bootstrap-select form-control dropup"><button type="button" class="dropdown-toggle form-control" data-toggle="dropdown" role="button" data-id="d_fee_multiple" title="5.5%"><span
class="filter-option pull-left">5.5%</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">8%</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">7.5%</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">6.5%</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">5.5%</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4">
<a tabindex="0" class="only-default" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Other (or $0)</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5">
<a tabindex="0" class="only-bordered" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">I don't wish to help cover costs</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
</ul>
</div><select class="form-control selectpicker dropup" name="d_fee_multiple" id="d_fee_multiple" data-dropup-auto="false" autocomplete="off" tabindex="-98">
<option value="8" data-percentage="8" data-amount="">8%</option>
<option value="7.5" data-percentage="7.5" data-amount="">7.5%</option>
<option value="6.5" data-percentage="6.5" data-amount="">6.5%</option>
<option value="5.5" data-percentage="5.5" data-amount="" selected="" data-default="true">5.5%</option>
<option class="only-default" value="other">Other (or $0)</option>
<option class="only-bordered" value="0">I don't wish to help cover costs</option>
</select>
</div>
</div>
<div class="fee-other hidden">
<p>Your small contribution helps cover the costs of fundraising. Enter $0 to optout.</p>
<div class="input-group float-center">
<span class="input-group-addon border-radius-left white color-primary size-125"> $ </span>
<input type="number" class="form-control" name="d_fee_other" id="d_fee_other" value="1" min="0" autocomplete="off">
</div>
</div>
<p class="funraisin-fee-text optout-box only-bordered hidden">By helping cover our costs, you keep our donations platform free so we can help more people affected by cancer</p>
</div>
<div class="optout-box only-default hidden">
<img src="https://d1p2vuwzdwq826.cloudfront.net/1fb80280a4829cb2bc66f82295789c05.png">
<p> By helping cover our costs, you keep our donations platform free so we can help more people affected by cancer </p>
</div>
<div class="only-bordered funraisin-fee-total">
<span>Total amount <span class="donation-amount-incfee"></span></span>
</div>
</div>
</div>
<script>
$('.donation-amount-display').addClass('hidden');
var totalElement = '';
if ($('#d_amount').length) {
totalElement = $('#d_amount');
} else if ($('#total_paid').length) {
totalElement = $('#total_paid');
} else if ($('#total_amount').length) {
totalElement = $('#total_amount');
} else if ($('#total').length) {
totalElement = $('#total');
}
if (totalElement != '') {
var amountChange = function(element) {
var observer = new MutationObserver(function(mutations, observer) {
if (mutations[0].attributeName == "value") {
if (totalElement.val() > 0) {
$('.donation-amount-incfee').text('$' + (Number(totalElement.val()).toFixed(2).replace(/[.,]00$/, "")));
}
}
});
observer.observe(element, {
attributes: true
});
}
amountChange(totalElement[0]);
}
var populateFeeDropdown = function(total) {
var amount = total;
var maxamount = parseFloat(amount * (5.5 / 100));
var showpercentage = false;
$("#d_fee_multiple option").each(function() {
if ($(this).attr('value') != 'other' && $(this).attr('value') != '0') {
var percentage = $(this).data('percentage');
var value = (amount * (percentage / 100)).toFixed(2);
if (maxamount > 20 || value > 20) {
value = parseFloat(20 * (percentage / 5.5)).toFixed(2);
showpercentage = false;
if (percentage > 5.5) {
$(this).hide();
value = 20;
} else {
$(this).show();
}
} else {
$(this).show();
}
if (value > 0) {
if (showpercentage) {
$(this).text('$' + value);
} else {
$(this).text('$' + value);
}
} else {
if (percentage > 0) {
$(this).text(percentage + '%');
} else {
$(this).text('$0');
}
}
$(this).val(value);
}
});
$('select#d_fee_multiple').selectpicker('refresh');
}
$('select#d_fee_multiple').on('change', function() {
if ($(this).val() == '0') {
$('.funraisin-fee-heart img').hide().attr('src', 'https://d1gotx1r5o7hbd.cloudfront.net/e27154d713bcc89ca73cade1b4cd8e33.png');
$('.funraisin-fee-box').removeClass('active').addClass('nofee');
} else {
$('.funraisin-fee-heart img').show().attr('src', 'https://d1gotx1r5o7hbd.cloudfront.net/d0b892e8976d147d399529b3a410c42d.gif');
$('.funraisin-fee-box').addClass('active').removeClass('nofee');
setTimeout(function() {
$('.funraisin-fee-box').removeClass('active');
}, 2500);
}
if ($(this).val() == 'other') {} else {
$('d_fee').val($(this).find(':selected').data('amount'));
}
calculateDonation();
});
$('#d_fee_other').on('input', function() {
$('#d_fee').val($(this).val());
});
$(document).ready(function() {
$('select#d_fee_multiple').on('change', function() {
if ($(this).val() == 'other') {
$('.fee-other').removeClass('hidden');
} else {
$('.fee-other').addClass('hidden');
if ($(this).val() > 0) {
$('.optout-box').addClass('hidden');
} else {
$('.optout-box').removeClass('hidden');
}
}
});
$('#d_fee_other').on('input', function() {
if ($(this).val() > 0) {
$('.optout-box').addClass('hidden');
} else {
$('.optout-box').removeClass('hidden');
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$('select#d_fee_multiple').on('change', function() {
if ($(this).val() == 0) {
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if ($(this).val() > 20) {
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calculateDonation();
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$(".hoverlink").tooltip();
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</script>
</div>
<div class="form-group text-center">
<div class="col-sm-12">
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<p style="font-size: 85%;">By clicking “Donate Now” you confirm that you have read and agree to your State’s <br>
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</div>
</div>
</div><!-- end panel //-->
</form>Text Content
* Home * * Our Top Stars * Our Teachers * Sponsors * Impact * Contact Us * Find a Star * Buy tickets * Donate Login * * Buy Tickets * Find a Star * Donate * Buy Tickets * Find a Star * Donate * Home * Our Top Stars * Our Teachers * Sponsors * Impact * Contact Us * Login Login SJ SHOOTER REAL ESTATE Stars of Dubbo 2024 I'M FUNDRAISING FOR... Our vibrant team at SJ Shooter Real Estate is excitedly stepping into the 'Stars of Dubbo Dance for Cancer' fundraiser, a cause close to our hearts as we all have personal stories touched by cancer. With dance experience ranging from none to a bit of professional training, we embrace an enthusiastic, unrefined, and joyful dance style. PLEASE HELP ME REACH MY GOAL RAISED $0 MY GOAL $3,000 * $ * * SELECT AMOUNT TO DONATE $25 $50 $100 $250 OR ENTER AN AMOUNT $ Donate Personal Donation Company Donation Organisation Name * First Name* Last Name* Email Address* Leave a Message (Optional) Name to appear on page (Optional) I'd like to remain anonymous to the fundraiser chevron_left Next Credit Card Name on Card * Card Number * Card Expiry * CVV Number * Donation $ Cover platform costs Add a little to cover fees. Why?info 5.5% * 8% * 7.5% * 6.5% * 5.5% * Other (or $0) * I don't wish to help cover costs 8% 7.5% 6.5% 5.5% Other (or $0) I don't wish to help cover costs Your small contribution helps cover the costs of fundraising. Enter $0 to optout. $ By helping cover our costs, you keep our donations platform free so we can help more people affected by cancer By helping cover our costs, you keep our donations platform free so we can help more people affected by cancer Total amount Donate Now By clicking “Donate Now” you confirm that you have read and agree to your State’s Privacy Collection Statement. MY GALLERY Fundraising Guidelines | Privacy Collection Statement | Terms of Use © Cancer Council NSW 2021 | Cancer Council NSW is registered as a charity with the Australian Charities and Not-for-profits Commission | ABN 51 116 463 846