support.loyolamedicine.org Open in urlscan Pro
205.139.107.185  Public Scan

Submitted URL: https://support.loyolamedicine.org/
Effective URL: https://support.loyolamedicine.org/loyola/giving
Submission: On October 19 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 2 forms found in the DOM

POST /loyola/giving

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              </ul>
              <!--END MENU-->
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      <!--end branding--> <!--begin navigation button-->
      <div class="nav-button hidden-desktop">
        <a href="#" id="nav-button"><span class="fa fa-bars"></span></a>
      </div>
      <!--end navigation button--> <!--begin navigation-->
      <div id="navigation">
        <div class="container">
          <div class="row visible-desktop">
            <div id="main-nav" class="g-12 remove-bottom">
              <!--START MENU-->
              <ul class="">
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    <!--end header--> <!--begin content-->
    <div id="content">
      <div class="container">
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          <div id="content-main" class="g-12 remove-bottom">
            <div class="row">
              <div id="breadcrumbs" class="g-12">
                <p><a href="https://www.loyolamedicine.org/">Home</a><span>»</span><a href="https://www.loyolamedicine.org/giving-loyola">Giving to Loyola</a><span>»</span><a class="dynPageTitle">Make a gift to support Loyola Medicine</a></p>
              </div>
            </div>
            <div class="row">
              <div class="g-12 page-title remove-bottom">
                <h1></h1>
                <h1 class="BBPageTitle BBDynamicPageTitle">Make a gift to support Loyola Medicine</h1>
              </div>
            </div>
            <div class="row">
              <div class="g-12 add-bottom"></div>
            </div>
            <div class="row">
              <div class="g-12 add-bottom">
                <div id="PC5520_UpdatePanel">
                  <style type="text/css">
                    .ColumnNoWrapHelper {
                      white-space: nowrap;
                    }

                    .hdCheckoutCompleteBtn {
                      display: none;
                    }
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                  <input name="PC5520$HiddenID" type="hidden" id="PC5520_HiddenID">
                  <input name="PC5520$hdnDesignationIds" type="hidden" id="PC5520_hdnDesignationIds">
                  <div id="PC5520_pnlDonationForm" role="main">
                    <h1 style="display: none;">Donation Form</h1>
                    <a id="PC5520_DonationCapture1_lnkTarget" title="Donation Link" href="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions(&quot;PC5520$DonationCapture1$lnkTarget&quot;, &quot;&quot;, true, &quot;&quot;, &quot;&quot;, false, true))"></a>
                    <div id="PC5520_DonationCapture1_pnlConsentPopup" class="displayNone pnlConsentPopup" align="center" style="display: none; position: fixed;">
                      <div class="modal-body">
                      </div>
                    </div><span id="PC5520_DonationCapture1_AddressCtl_ctl08" style="display:none;"></span><span id="PC5520_DonationCapture1_CustomValidatorEmail" style="visibility:hidden;"></span><span
                      id="PC5520_DonationCapture1_RequiredFieldAccountType" style="display:none;"></span><span id="PC5520_DonationCapture1_CustomValidatorNzAccountNum" style="display:none;"></span><span
                      id="PC5520_DonationCapture1_CustomValidatorNzAccountSuffix" style="display:none;"></span><span id="PC5520_DonationCapture1_CustomValidatorNzAccountNumNumeric" style="display:none;"></span><span
                      id="PC5520_DonationCapture1_CustomValidatorNzAccountSuffixNumeric" style="display:none;"></span><span id="PC5520_DonationCapture1_CustomValidatorAccountNumReq" style="display:none;"></span><span
                      id="PC5520_DonationCapture1_CustomValidatorAccountNumNumeric" style="display:none;"></span><span id="PC5520_DonationCapture1_CustomValidatorCANADAAccountNumNumeric" style="display:none;"></span><span
                      id="PC5520_DonationCapture1_CustomValidatorCANADAAccountNumReq" style="display:none;"></span><span id="PC5520_DonationCapture1_ctl54" style="display:none;"></span><span id="PC5520_DonationCapture1_ctl55"
                      style="display:none;"></span><span id="PC5520_DonationCapture1_ctl56" style="display:none;"></span><span id="PC5520_DonationCapture1_ctl67" style="display:none;"></span><input type="button" name="PC5520$btnPopupCheckoutComplete"
                      value="" onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions(&quot;PC5520$btnPopupCheckoutComplete&quot;, &quot;&quot;, true, &quot;&quot;, &quot;&quot;, false, true))" id="btnPopupCheckoutComplete"
                      class="hdCheckoutCompleteBtn">
                    <table class="BBFormTable DonationFormTable">
                      <tbody>
                        <tr>
                          <td class="BBMessage DonationMessage" colspan="2">
                          </td>
                        </tr>
                        <tr>
                          <td class="BBMessage DonationMessage" colspan="2">
                          </td>
                        </tr>
                        <tr>
                          <td colspan="2">
                            <div id="PC5520_ValidationSummary1" class="BBFormValidatorSummary DonationValidationSummary DonationClientValidationSummary" style="display:none;">
                            </div>
                          </td>
                        </tr>
                        <tr>
                          <td id="PC5520_DonorChallengeInfo" colspan="2" class="BBMessage DonationMessage DonorChallenge">
                          </td>
                        </tr>
                        <tr>
                          <td class="BBListingHeading DonationListingHeading" colspan="2">
                            <span id="PC5520_lblPersonal">Donation Information</span>
                          </td>
                        </tr>
                      </tbody>
                      <tbody id="PC5520_TB_pnlDonation" class="DonationFormTable_DonationPanel">
                        <tr>
                          <td id="PC5520_thCaptionAmount" class="BBFieldCaption DonationFieldCaption">
                            <label for="PC5520_txtAmount" id="PC5520_lblAmountCaption" class="required">Amount:</label>
                          </td>
                          <td class="BBFieldControlCell DonationFieldControlCell">
                            <table id="PC5520_tblAmount" class="taLeft" cellpadding="3">
                              <tbody>
                                <tr id="PC5520_trOther" style="display:;">
                                  <td class="wsNowrap BBFieldControlCell DonationFieldControlCell">
                                    <table style="margin-left: -3px">
                                      <tbody>
                                        <tr>
                                          <td>
                                            <span id="PC5520_lblSymbol" class="DonationFormTable_DonationPanel_SymbolLabel">$</span>
                                          </td>
                                          <td id="PC5520_Td1">
                                            <input name="PC5520$txtAmount" type="text" maxlength="10" id="PC5520_txtAmount" class="BBFormTextbox DonationTextboxNarrow" onkeyup="UpdateSummary();"> &nbsp; <span id="PC5520_ReqFldValidatorAmount"
                                              style="display:none;" class="required"></span><span id="PC5520_CmpValidatorAmount" style="display:none;" class="required"></span>
                                          </td>
                                          <td> &nbsp; </td>
                                          <td>
                                            <span id="PC5520_lblAmtRequiredMarker" class="BBFormRequiredFieldMarker DonationRequiredFieldMarker hiddenRequiredField required">*</span>
                                          </td>
                                        </tr>
                                      </tbody>
                                    </table>
                                  </td>
                                </tr>
                              </tbody>
                            </table>
                          </td>
                        </tr>
                      </tbody>
                      <tbody>
                        <tr id="PC5520_trDesignation">
                          <td class="BBFieldCaption DonationFieldCaption DonationFieldDropDownCaption">
                            <label for="PC5520_ddlDesignations" id="PC5520_lblDesignationCaption">Designation:</label>
                          </td>
                          <td class="BBFieldControlCell DonationFieldControlCell">
                            <select name="PC5520$ddlDesignations" id="PC5520_ddlDesignations" class="BBFormSelectList DonationSelectList" style="max-width: 355px !Important;">
                              <option value="3436">Loyola Medicine Colleague Assistance Fund</option>
                              <option value="3437">COVID-19 Response Fund</option>
                              <option value="1128">Anesthesiology Resident Wellness</option>
                              <option value="1310">Bone Marrow Transplant Program </option>
                              <option value="1135">Burn Center Fund </option>
                              <option value="1396">Greatest Needs of the Cardinal Bernardin Cancer Center</option>
                              <option value="1129">Greatest Needs of the Division of Cardiology</option>
                              <option value="1994">Child Life Program &amp; Hospital Playroom </option>
                              <option value="2657">COVID-19 Response Fund</option>
                              <option value="3076">Department of Emergency Medicine Resident Wellness Fund</option>
                              <option selected="selected" value="1172">Excellence in Care </option>
                              <option value="1134">Excellence in Graduate Medical Education Fund </option>
                              <option value="3275">Greatest Needs of Musculoskeletal Care</option>
                              <option value="4163">Greatest Needs of the Department of Pathology</option>
                              <option value="3128">Greatest Needs of Pediatrics (CLUC)</option>
                              <option value="3951">Greatest Needs of the Department of Ophthalmology</option>
                              <option value="3121">Greatest Needs of the Department of Otolaryngology</option>
                              <option value="2968">Greatest Needs of the Department of Surgery</option>
                              <option value="1141">Heart Transplant Fund </option>
                              <option value="1138">Hospice and Home Health </option>
                              <option value="1896">John and Dorothy Gormley Fund for Oncology Patient Support</option>
                              <option value="1142">Kidney Transplant Greatest Needs </option>
                              <option value="1145">Loyola Children's Committee Gift Fund </option>
                              <option value="2658">Loyola Medicine Colleague Assistance Fund</option>
                              <option value="1143">Liver Transplant Support Fund </option>
                              <option value="1897">Lung Transplant Department Greatest Needs Fund</option>
                              <option value="1137">Neonatal Intensive Care Fund </option>
                              <option value="1136">Paul V. Galvin Memorial Chapel/Pastoral Care Dept Gift Fund </option>
                              <option value="1130">Paula Hindle Center for Nursing Excellence </option>
                              <option value="2000">Pediatric Oncology Fund</option>
                              <option value="1132">Pediatric Neurosciences Fund </option>
                              <option value="1131">Radiation Oncology Department Gift Fund </option>
                              <option value="1139">Tarik Ibrahim Graduate Education and Research for Neurosurgery Residents </option>
                              <option value="1309">Thomas J. Gohr Pancreatic Research Fund</option>
                              <option value="1458">Walter S. Jellish, MD, PhD, Anesthesiology Fund</option>
                            </select>
                          </td>
                        </tr>
                        <tr id="PC5520_trAdditInformation">
                          <td class="BBListingHeading DonationListingHeading" colspan="3">
                            <span id="PC5520_lblAdditInformation">Additional Information</span>
                          </td>
                        </tr>
                        <tr id="PC5520_trRecurrence" style="display:none;">
                          <td id="PC5520_tdFrequencyCaption" class="BBFieldCaption DonationFieldCaption">
                            <label for="PC5520_Recurrence_ddlFrequency" id="PC5520_lblFrequencyCaption">Frequency:</label>
                          </td>
                          <td colspan="2" class="BBFieldControlCell DonationFieldControlCell">
                            <table>
                              <tbody>
                                <tr>
                                  <td id="PC5520_Recurrence_tdFrequency" valign="bottom">
                                    <select name="PC5520$Recurrence$ddlFrequency" onchange="javascript:setTimeout('__doPostBack(\'PC5520$Recurrence$ddlFrequency\',\'\')', 0)" id="PC5520_Recurrence_ddlFrequency"
                                      class="BBFormSelectList DonationSelectList">
                                      <option selected="selected" value="1">Weekly</option>
                                      <option value="2">Monthly</option>
                                      <option value="3">Quarterly</option>
                                      <option value="4">Annually</option>
                                      <option value="7">Every 4 weeks</option>
                                    </select>
                                    <div id="PC5520_Recurrence_divFrequency">
                                      <table>
                                        <tbody>
                                          <tr id="PC5520_Recurrence_trWeekly">
                                            <td>
                                              <label for="PC5520_Recurrence_ddlDayOfWeek1" id="PC5520_Recurrence_lblTxtOnWeek" class="BBFieldCaption">On:</label> &nbsp;<select name="PC5520$Recurrence$ddlDayOfWeek1"
                                                id="PC5520_Recurrence_ddlDayOfWeek1" class="BBFormSelectList DonationSelectList">
                                                <option value="Sunday">Sunday</option>
                                                <option value="Monday">Monday</option>
                                                <option selected="selected" value="Tuesday">Tuesday</option>
                                                <option value="Wednesday">Wednesday</option>
                                                <option value="Thursday">Thursday</option>
                                                <option value="Friday">Friday</option>
                                                <option value="Saturday">Saturday</option>
                                              </select>
                                            </td>
                                          </tr>
                                          <tr id="PC5520_Recurrence_trRange">
                                            <td colspan="2" class="wsNowrap">
                                              <label for="PC5520_Recurrence_DatePickerStart" id="PC5520_Recurrence_lblTxtStarting" class="BBFieldCaption">Starting:</label>
                                              <input name="PC5520$Recurrence$DatePickerStart" type="text" value="10/19/2021" id="PC5520_Recurrence_DatePickerStart" class="BBFormTextbox DonationTextboxNarrow hasDatepicker"
                                                placeholder="mm/dd/yyyy"><img class="ui-datepicker-trigger" src="../images/calendar.gif" alt="Start Date" title="Start Date">&nbsp;&nbsp; <label for="PC5520_Recurrence_DatePickerEnd"
                                                id="PC5520_Recurrence_lblTxtEnding" class="BBFieldCaption">Ending:</label>
                                              <input name="PC5520$Recurrence$DatePickerEnd" type="text" id="PC5520_Recurrence_DatePickerEnd" class="BBFormTextbox DonationTextboxNarrow hasDatepicker" placeholder="mm/dd/yyyy"><img
                                                class="ui-datepicker-trigger" src="../images/calendar.gif" alt="End Date" title="End Date">
                                              <span id="spanTruePledgeEndingDate" style="display:none"> &nbsp; <span id="PC5520_Recurrence_lblEndingOnCaption">Ending: </span> &nbsp; <span id="lblTruePledgeEndingDate"></span>
                                              </span>
                                            </td>
                                          </tr>
                                        </tbody>
                                      </table>
                                    </div>
                                  </td>
                                </tr>
                              </tbody>
                            </table>
                          </td>
                        </tr>
                        <tr id="PC5520_trCorporate">
                          <td class="BBFieldCaption DonationFieldCaption">
                            <span id="PC5520_lblCorporateCaption">Corporate:</span>
                          </td>
                          <td colspan="2" class="BBFieldControlCell DonationFieldControlCell">
                            <span class="BBFieldCheckboxCaption DonationFieldCheckboxCaption"><input id="PC5520_chkCorporate" type="checkbox" name="PC5520$chkCorporate" onclick="javascript:setTimeout('__doPostBack(\'PC5520$chkCorporate\',\'\')', 0)"
                                aria-label="lblchkCorporate"><label for="PC5520_chkCorporate" class="checkboxLabel">Give on behalf of a company</label></span>
                          </td>
                        </tr>
                        <tr id="PC5520_trAnonymous">
                          <td class="BBFieldCaption DonationFieldCaption">
                            <span id="PC5520_lblAnonymousCaption">Anonymous:</span>
                          </td>
                          <td colspan="2" class="BBFieldControlCell DonationFieldControlCell">
                            <span class="BBFieldCheckboxCaption DonationFieldCheckboxCaption"><input id="PC5520_chkAnonymous" type="checkbox" name="PC5520$chkAnonymous" aria-label="lblchkAnonymous"><label for="PC5520_chkAnonymous"
                                class="checkboxLabel">Give anonymously</label></span>
                          </td>
                        </tr>
                        <tr id="PC5520_trComments">
                          <td class="vaTop BBFieldCaption DonationFieldCaption">
                            <label for="PC5520_txtComments" id="PC5520_lblCommentsCaption">Comments:</label>
                          </td>
                          <td colspan="2">
                            <textarea name="PC5520$txtComments" rows="2" cols="20" id="PC5520_txtComments" class="BBFormTextArea DonationTextArea"></textarea>
                          </td>
                        </tr>
                      </tbody>
                      <tbody id="PC5520_DonationCapture1_tbdyFinderNumber">
                        <input type="hidden" name="PC5520$DonationCapture1$FinderNum$inDivFormat" id="PC5520_DonationCapture1_FinderNum_inDivFormat">
                      </tbody>
                      <tbody class="BBFormTable DonationCaptureFormTable pnlDonor">
                        <tr>
                          <td class="BBListingHeading DonationCaptureListingHeading" colspan="3">
                            <span id="PC5520_DonationCapture1_lblBilling">Billing Information</span>
                          </td>
                        </tr>
                        <tr>
                          <td class="BBFieldCaption DonationCaptureFieldCaption">
                            <label for="PC5520_DonationCapture1_cboTitle" id="PC5520_DonationCapture1_lblTitle1">Title:</label>
                          </td>
                          <td class="BBFieldControlCell DonationCaptureFieldControlCell">
                            <select name="PC5520$DonationCapture1$cboTitle" id="PC5520_DonationCapture1_cboTitle" class="BBFormSelectList DonationCaptureSelectList">
                              <option selected="selected" value=""></option>
                              <option value="Mr.">Mr.</option>
                              <option value="Mrs.">Mrs.</option>
                              <option value="Miss">Miss</option>
                              <option value="Ms.">Ms.</option>
                              <option value="Dr.">Dr.</option>
                              <option value="Drs.">Drs.</option>
                              <option value="Professor">Professor</option>
                              <option value="Hon.">Hon.</option>
                              <option value="Pastor">Pastor</option>
                              <option value="Sister">Sister</option>
                              <option value="Brother">Brother</option>
                              <option value="Ambassador">Ambassador</option>
                              <option value="The Reverend Dr.">The Reverend Dr.</option>
                              <option value="Chief">Chief</option>
                              <option value="Chaplain">Chaplain</option>
                              <option value="Bishop">Bishop</option>
                              <option value="Congresswoman">Congresswoman</option>
                              <option value="Reverend">Reverend</option>
                              <option value="Congressman">Congressman</option>
                              <option value="Colonel">Colonel</option>
                              <option value="Major General">Major General</option>
                              <option value="Father">Father</option>
                              <option value="Major">Major</option>
                              <option value="Lt. Governor">Lt. Governor</option>
                              <option value="Cmdr.">Cmdr.</option>
                              <option value="Mayor">Mayor</option>
                              <option value="The Reverend">The Reverend</option>
                              <option value="Judge">Judge</option>
                              <option value="Rabbi">Rabbi</option>
                              <option value="Deacon">Deacon</option>
                              <option value="Lt. Col.">Lt. Col.</option>
                              <option value="The Honorable">The Honorable</option>
                              <option value="Chaplain Col.">Chaplain Col.</option>
                              <option value="Captain">Captain</option>
                              <option value="Governor">Governor</option>
                              <option value="Senator">Senator</option>
                              <option value="Sergeant">Sergeant</option>
                            </select>
                          </td>
                        </tr>
                        <tr>
                          <td class="BBFieldCaption DonationCaptureFieldCaption">
                            <label for="PC5520_DonationCapture1_txtFirstName" id="PC5520_DonationCapture1_lblFirstName" class="required">First name:</label>
                          </td>
                          <td class="BBFieldControlCell DonationCaptureFieldControlCell">
                            <input name="PC5520$DonationCapture1$txtFirstName" type="text" maxlength="30" id="PC5520_DonationCapture1_txtFirstName" class="BBFormTextbox DonationCaptureTextboxWide">
                          </td>
                          <td id="PC5520_DonationCapture1_tdReqFirst" class="BBFormRequiredFieldMarker DonationCaptureRequiredFieldMarker hiddenRequiredField"> *</td>
                        </tr>
                        <tr>
                          <td class="BBFieldCaption DonationCaptureFieldCaption" id="td_LastName">
                            <label for="PC5520_DonationCapture1_txtLastName" id="PC5520_DonationCapture1_lblLastName" class="required">Last name:</label>
                          </td>
                          <td class="BBFieldControlCell DonationCaptureFieldControlCell">
                            <input name="PC5520$DonationCapture1$txtLastName" type="text" maxlength="60" id="PC5520_DonationCapture1_txtLastName" class="BBFormTextbox DonationCaptureTextboxWide">
                          </td>
                          <td class="BBFormRequiredFieldMarker DonationCaptureRequiredFieldMarker hiddenRequiredField"> *</td>
                        </tr>
                        <tr>
                          <td id="PC5520_DonationCapture1_AddressCtl_lbl_country" class="BBFieldCaption DonationCaptureFieldCaption">
                            <label for="PC5520_DonationCapture1_AddressCtl_dd_Country" id="PC5520_DonationCapture1_AddressCtl_lblCountry" class="required">Country:</label>
                          </td>
                          <td id="PC5520_DonationCapture1_AddressCtl_ctl_Country" class="taLeft BBFieldControlCell DonationCaptureFieldControlCell">
                            <select name="PC5520$DonationCapture1$AddressCtl$dd_Country" onchange="javascript:setTimeout('__doPostBack(\'PC5520$DonationCapture1$AddressCtl$dd_Country\',\'\')', 0)" id="PC5520_DonationCapture1_AddressCtl_dd_Country"
                              class="BBFormSelectList DonationCaptureSelectList" onclick="javaScript:Page_BlockSubmit = false;">
                              <option value="Afghanistan">Afghanistan</option>
                              <option value="American Samoa">American Samoa</option>
                              <option value="Angola">Angola</option>
                              <option value="Argentina">Argentina</option>
                              <option value="Australia">Australia</option>
                              <option value="Austria">Austria</option>
                              <option value="Bahamas">Bahamas</option>
                              <option value="Belgium">Belgium</option>
                              <option value="Belize">Belize</option>
                              <option value="Bermuda">Bermuda</option>
                              <option value="Bolivia">Bolivia</option>
                              <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
                              <option value="Brazil">Brazil</option>
                              <option value="Bulgaria">Bulgaria</option>
                              <option value="Canada">Canada</option>
                              <option value="China">China</option>
                              <option value="China (PRC)">China (PRC)</option>
                              <option value="Colombia">Colombia</option>
                              <option value="Costa Rica">Costa Rica</option>
                              <option value="Cyprus">Cyprus</option>
                              <option value="Czech Republic">Czech Republic</option>
                              <option value="Denmark">Denmark</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="England">England</option>
                              <option value="Finland">Finland</option>
                              <option value="France">France</option>
                              <option value="Germany">Germany</option>
                              <option value="Ghana">Ghana</option>
                              <option value="Greece">Greece</option>
                              <option value="Guam">Guam</option>
                              <option value="Guatemala">Guatemala</option>
                              <option value="Guyana">Guyana</option>
                              <option value="Honduras">Honduras</option>
                              <option value="Hong Kong">Hong Kong</option>
                              <option value="Hungary">Hungary</option>
                              <option value="India">India</option>
                              <option value="Indonesia">Indonesia</option>
                              <option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option>
                              <option value="Ireland">Ireland</option>
                              <option value="Israel">Israel</option>
                              <option value="Italy">Italy</option>
                              <option value="Jamaica">Jamaica</option>
                              <option value="Japan">Japan</option>
                              <option value="Japan 141">Japan 141</option>
                              <option value="Jordan">Jordan</option>
                              <option value="Kenya">Kenya</option>
                              <option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
                              <option value="Korea, Republic of">Korea, Republic of</option>
                              <option value="Kuwait">Kuwait</option>
                              <option value="Lebanon">Lebanon</option>
                              <option value="Liechtenstein">Liechtenstein</option>
                              <option value="Macedonia,The former Yugoslav Republic">Macedonia,The former Yugoslav Republic</option>
                              <option value="Malaysia">Malaysia</option>
                              <option value="Malta">Malta</option>
                              <option value="Mexico">Mexico</option>
                              <option value="Monaco">Monaco</option>
                              <option value="Mongolia">Mongolia</option>
                              <option value="Monte Carlo">Monte Carlo</option>
                              <option value="Myanmar">Myanmar</option>
                              <option value="N. Ireland">N. Ireland</option>
                              <option value="Nepal">Nepal</option>
                              <option value="Netherlands">Netherlands</option>
                              <option value="Netherlands Antilles">Netherlands Antilles</option>
                              <option value="New Zealand">New Zealand</option>
                              <option value="Nicaragua">Nicaragua</option>
                              <option value="Nigeria">Nigeria</option>
                              <option value="North Ireland">North Ireland</option>
                              <option value="Norway">Norway</option>
                              <option value="NP Bahamas">NP Bahamas</option>
                              <option value="Pakistan">Pakistan</option>
                              <option value="Panama">Panama</option>
                              <option value="Papua New Guinea">Papua New Guinea</option>
                              <option value="Peru">Peru</option>
                              <option value="Philippines">Philippines</option>
                              <option value="Poland">Poland</option>
                              <option value="Portugal">Portugal</option>
                              <option value="Puerto Rico">Puerto Rico</option>
                              <option value="Romania">Romania</option>
                              <option value="Russian Federation">Russian Federation</option>
                              <option value="Rwanda">Rwanda</option>
                              <option value="Santo Domingo">Santo Domingo</option>
                              <option value="Saudi Arabia">Saudi Arabia</option>
                              <option value="Scotland">Scotland</option>
                              <option value="Singapore">Singapore</option>
                              <option value="Slovenia">Slovenia</option>
                              <option value="South Africa">South Africa</option>
                              <option value="Spain">Spain</option>
                              <option value="Swaziland">Swaziland</option>
                              <option value="Sweden">Sweden</option>
                              <option value="Switzerland">Switzerland</option>
                              <option value="Taiwan, Republic of China">Taiwan, Republic of China</option>
                              <option value="Tanzania, United Republic of">Tanzania, United Republic of</option>
                              <option value="Thailand">Thailand</option>
                              <option value="Trinidad and Tobago">Trinidad and Tobago</option>
                              <option value="Turkey">Turkey</option>
                              <option value="Ukraine">Ukraine</option>
                              <option value="United Arab Emirates">United Arab Emirates</option>
                              <option value="United Kingdom">United Kingdom</option>
                              <option value="Uruguay">Uruguay</option>
                              <option selected="selected" value="USA" af="afUNITED_STATES" rf="US">USA</option>
                              <option value="Viet Nam">Viet Nam</option>
                              <option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
                              <option value="West Africa">West Africa</option>
                            </select>
                            <span id="PC5520_DonationCapture1_AddressCtl_ctl09" style="display:none;" class="required"></span>
                          </td>
                          <td id="PC5520_DonationCapture1_AddressCtl_lblreq_country" class="BBFormRequiredFieldMarker DonationCaptureRequiredFieldMarker hiddenRequiredField"> * </td>
                        </tr>
                        <tr>
                          <td id="PC5520_DonationCapture1_AddressCtl_lbl_addrline" class="BBFieldCaption DonationCaptureFieldCaption">
                            <label for="PC5520_DonationCapture1_AddressCtl_tb_AddressLine" id="PC5520_DonationCapture1_AddressCtl_lblAddressLine" class="required">Address:</label>
                          </td>
                          <td id="PC5520_DonationCapture1_AddressCtl_ctl_addrline" class="taLeft BBFieldControlCell DonationCaptureFieldControlCell">
                            <textarea name="PC5520$DonationCapture1$AddressCtl$tb_AddressLine" rows="2" cols="20" id="PC5520_DonationCapture1_AddressCtl_tb_AddressLine" class="BBFormTextArea DonationCaptureTextArea"></textarea>
                            <span id="PC5520_DonationCapture1_AddressCtl_ctl04" style="display:none;" class="required"></span><span id="PC5520_DonationCapture1_AddressCtl_ctl05" style="display:none;" class="required"></span>
                          </td>
                          <td id="PC5520_DonationCapture1_AddressCtl_lblreq_addrline" valign="top" class="BBFormRequiredFieldMarker DonationCaptureRequiredFieldMarker hiddenRequiredField"> * </td>
                        </tr>
                        <tr>
                          <td id="PC5520_DonationCapture1_AddressCtl_lbl_cityUS" class="BBFieldCaption DonationCaptureFieldCaption">
                            <label for="PC5520_DonationCapture1_AddressCtl_tb_CityUS" id="PC5520_DonationCapture1_AddressCtl_lblCityUS" class="required">City:</label>
                          </td>
                          <td id="PC5520_DonationCapture1_AddressCtl_ctl_cityUS" class="taLeft BBFieldControlCell DonationCaptureFieldControlCell">
                            <input name="PC5520$DonationCapture1$AddressCtl$tb_CityUS" type="text" maxlength="50" id="PC5520_DonationCapture1_AddressCtl_tb_CityUS" class="BBFormTextbox DonationCaptureTextbox">
                            <span id="PC5520_DonationCapture1_AddressCtl_ctl06" style="display:none;" class="required"></span>
                          </td>
                          <td id="PC5520_DonationCapture1_AddressCtl_lblreq_cityUS" class="BBFormRequiredFieldMarker DonationCaptureRequiredFieldMarker hiddenRequiredField"> * </td>
                        </tr>
                        <tr id="PC5520_DonationCapture1_AddressCtl_tr_stateUS">
                          <td id="PC5520_DonationCapture1_AddressCtl_lbl_stateUS" class="BBFieldCaption DonationCaptureFieldCaption">
                            <label for="PC5520_DonationCapture1_AddressCtl_dd_StateUS" id="PC5520_DonationCapture1_AddressCtl_lblStateUS" class="required">State:</label>
                          </td>
                          <td id="PC5520_DonationCapture1_AddressCtl_ctl_stateUS" class="taLeft BBFieldControlCell DonationCaptureFieldControlCell">
                            <select name="PC5520$DonationCapture1$AddressCtl$dd_StateUS" id="PC5520_DonationCapture1_AddressCtl_dd_StateUS" class="BBFormSelectList DonationCaptureSelectList">
                              <option selected="selected" value="-1">&lt;Please Select&gt;</option>
                              <option value="AA">Armed Forces Americas</option>
                              <option value="AE">Armed Forces Europe/Canada/Middle East/Africa</option>
                              <option value="AK">Alaska</option>
                              <option value="AL">Alabama</option>
                              <option value="AP">Armed Forces Pacific</option>
                              <option value="AR">Arkansas</option>
                              <option value="AS">American Samoa</option>
                              <option value="AZ">Arizona</option>
                              <option value="CA">California</option>
                              <option value="CO">Colorado</option>
                              <option value="CT">Connecticut</option>
                              <option value="CZ">Canal Zone</option>
                              <option value="DC">District of Columbia</option>
                              <option value="DE">Delaware</option>
                              <option value="FL">Florida</option>
                              <option value="FM">Federated States of Micronesia</option>
                              <option value="GA">Georgia</option>
                              <option value="GM">GM</option>
                              <option value="GU">Guam</option>
                              <option value="HI">Hawaii</option>
                              <option value="IA">Iowa</option>
                              <option value="ID">Idaho</option>
                              <option value="IL">Illinois</option>
                              <option value="IN">Indiana</option>
                              <option value="KS">Kansas</option>
                              <option value="KY">Kentucky</option>
                              <option value="LA">Louisiana</option>
                              <option value="MA">Massachusetts</option>
                              <option value="MD">Maryland</option>
                              <option value="ME">Maine</option>
                              <option value="MH">Marshall Islands</option>
                              <option value="MI">Michigan</option>
                              <option value="MN">Minnesota</option>
                              <option value="MO">Missouri</option>
                              <option value="MP">Northern Mariana Islands</option>
                              <option value="MS">Mississippi</option>
                              <option value="MT">Montana</option>
                              <option value="NC">North Carolina</option>
                              <option value="ND">North Dakota</option>
                              <option value="NE">Nebraska</option>
                              <option value="NH">New Hampshire</option>
                              <option value="NJ">New Jersey</option>
                              <option value="NM">New Mexico</option>
                              <option value="NV">Nevada</option>
                              <option value="NY">New York</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="PW">Palau</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="VA">Virginia</option>
                              <option value="VI">Virgin Islands</option>
                              <option value="VT">Vermont</option>
                              <option value="WA">Washington</option>
                              <option value="WI">Wisconsin</option>
                              <option value="WV">West Virginia</option>
                              <option value="WY">Wyoming</option>
                            </select>
                            <span id="PC5520_DonationCapture1_AddressCtl_ctl07" style="display:none;" class="required"></span>
                          </td>
                          <td id="PC5520_DonationCapture1_AddressCtl_tdreq_stateUS">
                            <span id="PC5520_DonationCapture1_AddressCtl_lblreq_stateUS" class="BBFormRequiredFieldMarker DonationCaptureRequiredFieldMarker hiddenRequiredField required">*</span>
                          </td>
                        </tr>
                        <tr>
                        </tr>
                        <tr>
                          <td id="PC5520_DonationCapture1_AddressCtl_lbl_zipUS" class="BBFieldCaption DonationCaptureFieldCaption"><label for="PC5520_DonationCapture1_AddressCtl_tb_ZipUS" id="PC5520_DonationCapture1_AddressCtl_lblZipUS"
                              class="required">ZIP:</label></td>
                          <td id="PC5520_DonationCapture1_AddressCtl_ctl_zipUS" class="taLeft BBFieldControlCell DonationCaptureFieldControlCell"><input name="PC5520$DonationCapture1$AddressCtl$tb_ZipUS" type="text" maxlength="10"
                              id="PC5520_DonationCapture1_AddressCtl_tb_ZipUS" class="BBFormTextbox DonationCaptureTextbox"></td>
                          <td id="PC5520_DonationCapture1_AddressCtl_lblreq_zipUS" class="BBFormRequiredFieldMarker DonationCaptureRequiredFieldMarker hiddenRequiredField"> * </td>
                        </tr>
                        <tr>
                          <td class="BBFieldCaption DonationCaptureFieldCaption">
                            <label for="PC5520_DonationCapture1_txtPhone" id="PC5520_DonationCapture1_lblPhone" class="required">Phone:</label>
                          </td>
                          <td class="BBFieldControlCell DonationCaptureFieldControlCell">
                            <input name="PC5520$DonationCapture1$txtPhone" type="text" maxlength="20" id="PC5520_DonationCapture1_txtPhone" class="BBFormTextbox DonationCaptureTextbox">
                          </td>
                          <td id="PC5520_DonationCapture1_tdReqPhone" class="BBFormRequiredFieldMarker DonationCaptureRequiredFieldMarker hiddenRequiredField"> *</td>
                        </tr>
                        <tr id="PC5520_DonationCapture1_trSingleEmailContainer">
                          <td class="BBFieldCaption DonationCaptureFieldCaption">
                            <label for="PC5520_DonationCapture1_txtEmail" id="PC5520_DonationCapture1_lblEmail" class="required">Email:</label>
                          </td>
                          <td class="BBFieldControlCell DonationCaptureFieldControlCell">
                            <input name="PC5520$DonationCapture1$txtEmail" type="text" maxlength="100" id="PC5520_DonationCapture1_txtEmail" class="BBFormTextbox DonationCaptureTextboxWide"><span id="PC5520_DonationCapture1_ctl58"
                              style="display:none;" class="required"></span><span id="PC5520_DonationCapture1_ctl68" style="display:none;" class="required"></span>
                          </td>
                          <td id="PC5520_DonationCapture1_tdEmailReq" class="BBFormRequiredFieldMarker DonationCaptureRequiredFieldMarker hiddenRequiredField">*</td>
                        </tr>
                      </tbody>
                      <tbody id="PC5520_DonationCapture1_tbdyMatchingGifts" class="BBFormTable DonationCaptureFormTable">
                        <tr>
                          <td class="BBListingHeading DonationCaptureListingHeading" colspan="3">
                            <span id="PC5520_DonationCapture1_lblMatchingGifts">Matching Gifts</span>
                          </td>
                        </tr>
                        <tr>
                          <td class="BBFieldCaption DonationCaptureFieldCaption">
                          </td>
                          <td class="wsNowrap BBFieldControlCell DonationCaptureFieldControlCell">
                            <table style="margin-left: -3px">
                              <tbody>
                                <tr>
                                  <td>
                                    <span class="BBFieldCheckboxCaption DonationFieldCheckboxCaption clearfix"><input id="PC5520_DonationCapture1_chkMGCompany" type="checkbox" name="PC5520$DonationCapture1$chkMGCompany"
                                        onclick="ShowMGCompany();"><label for="PC5520_DonationCapture1_chkMGCompany" class="checkboxLabel">My company will match my gift</label></span>
                                  </td>
                                  <td class="wsNowrap">
                                  </td>
                                </tr>
                              </tbody>
                            </table>
                          </td>
                        </tr>
                        <tr id="PC5520_DonationCapture1_tr_MGCompany" style="display:none;">
                          <td class="BBFieldCaption DonationCaptureFieldCaption">
                            <label for="PC5520_DonationCapture1_MGCompany" id="PC5520_DonationCapture1_lblMGCompany" class="required">Company:</label>
                          </td>
                          <td class="BBFieldControlCell DonationCaptureFieldControlCell">
                            <input name="PC5520$DonationCapture1$MGCompany" type="text" maxlength="60" id="PC5520_DonationCapture1_MGCompany" class="BBFormTextbox DonationCaptureTextboxWide">
                          </td>
                          <td class="BBFormRequiredFieldMarker DonationCaptureRequiredFieldMarker hiddenRequiredField"> *</td>
                        </tr>
                      </tbody>
                      <input type="hidden" name="PC5520$DonationCapture1$hidCountryMapping" id="PC5520_DonationCapture1_hidCountryMapping"
                        value="[{&quot;Key&quot;:&quot;d81cef85-7569-4b2e-8f2e-f7cf998a3342&quot;,&quot;Value&quot;:&quot;United States&quot;},{&quot;Key&quot;:&quot;f189f24c-2538-46a1-8458-1e3f3967b843&quot;,&quot;Value&quot;:&quot;Australia&quot;},{&quot;Key&quot;:&quot;a2ecc209-3d20-4dda-bc4c-7585c8e2e701&quot;,&quot;Value&quot;:&quot;United Kingdom&quot;},{&quot;Key&quot;:&quot;da42443e-ab81-40ee-a239-91ed699c0801&quot;,&quot;Value&quot;:&quot;New Zealand&quot;},{&quot;Key&quot;:&quot;d9ee54cd-2183-490c-a3ad-11152b271335&quot;,&quot;Value&quot;:&quot;Canada&quot;}]">
                      <tbody>
                        <tr>
                          <td class="BBListingHeading DonationListingHeading" colspan="3">
                            <span id="PC5520_lblTributeHeading">Tribute Information</span>
                          </td>
                        </tr>
                        <tr>
                          <td class="BBMessage DonationMessage" colspan="3">
                            <span id="PC5520_lblTributeSectionDescription"></span>
                          </td>
                        </tr>
                        <tr id="PC5520_trTributeName" style="display:none;">
                          <td id="PC5520_tdTribNameCaption" class="BBFieldCaption DonationFieldCaption">
                            <label for="PC5520_txtTributeFullName" id="PC5520_lblName">Name:</label>
                          </td>
                          <td id="PC5520_tdTribNameControls" class="BBFieldControlCell DonationFieldControlCell">
                            <input name="PC5520$txtTributeFullName" type="text" maxlength="50" id="PC5520_txtTributeFullName" class="BBFormTextbox DonationTextboxWide">
                          </td>
                          <td id="PC5520_tdTributeRequiredMarker" class="BBFormRequiredFieldMarker DonationRequiredFieldMarker" style="visibility:hidden;">* </td>
                        </tr>
                        <tr id="PC5520_trTributeFirstName" style="display:;">
                          <td id="PC5520_tdTributeFirstName" class="BBFieldCaption DonationFieldCaption">
                            <label for="PC5520_txtTributeFirstName" id="PC5520_lblTributeFirstName">Tribute First name:</label>
                          </td>
                          <td id="PC5520_tdTributeFirstNameControls" class="BBFieldControlCell DonationFieldControlCell">
                            <input name="PC5520$txtTributeFirstName" type="text" maxlength="50" id="PC5520_txtTributeFirstName" class="BBFormTextbox DonationTextboxWide">
                          </td>
                        </tr>
                        <tr id="PC5520_trTributeLastName" style="display:;">
                          <td id="PC5520_tdTributeLastName" class="BBFieldCaption DonationFieldCaption">
                            <label for="PC5520_txtTributeLastName" id="PC5520_lblTributeLastName">Tribute Last name:</label>
                          </td>
                          <td id="PC5520_tdTributeLastNameControls" class="BBFieldControlCell DonationFieldControlCell">
                            <input name="PC5520$txtTributeLastName" type="text" maxlength="50" id="PC5520_txtTributeLastName" class="BBFormTextbox DonationTextboxWide" onkeyup="txtTributeName_KeyUp(this, 'PC5520_tdTributeTypeRequiredMarker');">
                            <span id="PC5520_ReqFldValidatorTribName" style="display:none;"></span>
                          </td>
                          <td id="PC5520_tdTributeLastNameRequiredMarker" class="BBFormRequiredFieldMarker DonationRequiredFieldMarker" style="visibility:hidden;">* </td>
                        </tr>
                        <tr id="PC5520_trTributeDesc">
                          <td id="PC5520_tdTribDescCaption" class="BBFieldCaption DonationFieldCaption">
                            <label for="PC5520_ddlTribute" id="PC5520_lblType">Tribute Type:</label>
                          </td>
                          <td id="PC5520_tdTribDescControls" class="BBFieldControlCell DonationFieldControlCell" style="text-align: left;">
                            <select name="PC5520$ddlTribute" id="PC5520_ddlTribute" class="BBFormSelectList DonationSelectList" onchange="ddlTribute_OnChange(this)">
                              <option selected="selected" value="0"></option>
                              <option value="213">in honor of</option>
                              <option value="215">in memory of</option>
                            </select>
                          </td>
                          <td id="PC5520_tdTributeTypeRequiredMarker" class="BBFormRequiredFieldMarker DonationRequiredFieldMarker" style="visibility: hidden">* </td>
                        </tr>
                        <tr id="PC5520_trTributeDesc2">
                          <td id="PC5520_tdTrib2Caption" class="BBFieldCaption DonationFieldCaption">
                            <label for="PC5520_txtTributeDescription" id="PC5520_lblDescription">Comments:</label>
                          </td>
                          <td id="PC5520_tdTrib2Controls" class="BBFieldControlCell DonationFieldControlCell" style="text-align: left;">
                            <input name="PC5520$txtTributeDescription" type="text" maxlength="255" id="PC5520_txtTributeDescription" disabled="disabled" class="aspNetDisabled BBFormTextbox DonationTextboxWide">
                            <span id="PC5520_ReqFldValidatorTribDesc" style="display:none;"></span>
                          </td>
                          <td id="PC5520_tdTributeDescRequiredMarker" class="BBFormRequiredFieldMarker DonationRequiredFieldMarker" style="visibility:hidden;">* </td>
                        </tr>
                        <tr>
                          <td class="BBFieldCaption DonationFieldCaption"></td>
                          <td class="w100p BBFieldControlCell DonationCaptureFieldControlCell">
                            <span class="BBFieldCheckboxCaption DonationFieldCheckboxCaption"><input id="PC5520_chkAcknowledge" type="checkbox" name="PC5520$chkAcknowledge"
                                onclick="javascript:setTimeout('__doPostBack(\'PC5520$chkAcknowledge\',\'\')', 0)"><label for="PC5520_chkAcknowledge" class="checkboxLabel">Mail a letter on my behalf</label></span>
                          </td>
                          <td id="PC5520_tdTributeChkAcknowledgeRequiredMarker" class="BBFormRequiredFieldMarker DonationRequiredFieldMarker" style="visibility: hidden">* </td>
                        </tr>
                        <tr>
                          <td class="BBFieldControlCell DonationFieldControlCell DonationVerificationCell" colspan="3">
                          </td>
                        </tr>
                        <tr>
                          <td class="BBFormButtonCell DonationButtonCell" colspan="3">
                            <input type="submit" name="PC5520$btnNext" value="Donate Now"
                              onclick="if(BLACKBAUD.netcommunity.DonationClassicCheckout.HandleDonateNow()){  return false;};(function(btn){var bDisableMe=true;if(typeof(Page_ClientValidate)=='function'){bDisableMe=Page_ClientValidate('PC5520');}__doPostBack('PC5520$btnNext','');btn.disabled=bDisableMe;})(this);return false;WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions(&quot;PC5520$btnNext&quot;, &quot;&quot;, true, &quot;PC5520&quot;, &quot;&quot;, false, false))"
                              id="PC5520_btnNext" class="BBFormSubmitButton DonationSubmitButton">
                          </td>
                        </tr>
                        <input type="hidden" name="PC5520$hdnTId" id="hdnTId">
                      </tbody>
                    </table>
                    <script>
                      var publicKey = '2d22421a-10d9-4b7c-b65a-24fd8d6eb47c';
                      var APITokenID = 'e6e79843-2183-44ae-a980-48db15927a8e';
                      var CurrencyDecimalSeparator = '.',
                        CurrencyGroupSeparator = ',';
                      $(function() {
                        $('#' + 'PC5520_ddlDesignations').on({
                          mouseenter: function() {
                            var option = $(this).find("option:selected")[0];
                            if (option !== null) {
                              $(this).attr("title", option.text);
                            }
                          }
                        });
                      });
                      this.bbcheckout = new BBCheckoutProcessor(BLACKBAUD.netcommunity.DonationClassicCheckout, 'Payment', 'e6e79843-2183-44ae-a980-48db15927a8e', null);
                      this.bbcheckout.Configuration.Data.Key = '2d22421a-10d9-4b7c-b65a-24fd8d6eb47c';
                      this.bbcheckout.Configuration.TransactionType = 1;
                      this.bbcheckout.Configuration.Data.ClientAppName = 'BBIS';
                      this.bbcheckout.Configuration.Data.MerchantAccountId = '3dabda6d-5ddd-4788-ac57-a4dad85b8845';
                      this.bbcheckout.Configuration.Data.IsEmailRequired = 'True';
                      this.bbcheckout.Configuration.Data.IsNameVisible = 'True';
                      this.bbcheckout.Configuration.Data.PrimaryColor = '';
                      this.bbcheckout.Configuration.Data.SecondaryColor = '';
                      this.bbcheckout.Configuration.Data.FontFamily = 'roboto';
                      this.bbcheckout.Configuration.Data.UseCaptcha = 'False';
                      this.bbcheckout.Configuration.WorkflowType = '1';
                      this.bbcheckout.Configuration.HandleBrowserClosing = 'True';
                      this.bbcheckout.Configuration.APITokenID = 'e6e79843-2183-44ae-a980-48db15927a8e';
                      this.bbcheckout.Configuration.TempConfirmationHtml = 'Thank you for your contribution, please wait while we process your transaction.';
                      this.bbcheckout.Configuration.AllowSiteTracking = 'False';
                      this.bbcheckout.intializeCheckout();
                    </script>
                    <div id="mpeConsentPopup_backgroundElement" class="BBModalBackground" style="display: none; position: fixed; left: 0px; top: 0px;"></div>
                  </div>
                  <div id="bbspLoadingOverlay" class="bbspLoadingOverlay">
                    <img src="/images/FormEngine/Loading.gif" alt="" class="bbspLoadingImage">
                  </div>
                </div>
              </div>
            </div>
            <div class="row">
              <div class="g-1-3 add-bottom"></div>
              <div class="g-1-3 add-bottom">
                <style>
                  input#PC5520_txtAmount {
                    width: 225px !important;
                  }

                  span#PC5520_lblSymbol {
                    font-size: 120% !important;
                  }

                  input#PC6388_txtAmount {
                    width: 225px !important;
                  }

                  span#PC6388_lblSymbol {
                    font-size: 120% !important;
                  }

                  input#PC6387_txtAmount {
                    width: 225px !important;
                  }

                  span#PC6387_lblSymbol {
                    font-size: 120% !important;
                  }

                  input#PC6398_txtAmount {
                    width: 225px !important;
                  }

                  span#PC6398_lblSymbol {
                    font-size: 120% !important;
                  }

                  input#PC4368_txtAmount {
                    width: 225px !important;
                  }

                  span#PC4368_lblSymbol {
                    font-size: 120% !important;
                  }

                  input#PC6900_txtAmount {
                    width: 225px !important;
                  }

                  span#PC6900_lblSymbol {
                    font-size: 120% !important;
                  }

                  input#PC6225_txtAmount {
                    width: 225px !important;
                  }

                  span#PC6225_lblSymbol {
                    font-size: 120% !important;
                  }

                  span#PC6398_DonationCapture1_lblPayment {
                    display: none !important;
                  }

                  span#PC6387_DonationCapture1_lblPayment {
                    display: none !important;
                  }

                  span#PC5520_DonationCapture1_lblPayment {
                    display: none !important;
                  }

                  span#PC6388_DonationCapture1_lblPayment {
                    display: none !important;
                  }

                  span#PC4368_DonationCapture1_lblPayment {
                    display: none !important;
                  }

                  span#PC6900_DonationCapture1_lblPayment {
                    display: none !important;
                  }

                  span#PC6225_DonationCapture1_lblPayment {
                    display: none !important;
                  }
                </style>
              </div>
              <div class="g-1-3 add-bottom"></div>
            </div>
            <div class="row">
              <div class="g-12 add-bottom"></div>
            </div>
            <div class="row">
              <div class="g-1-2 t-g-2 add-bottom"></div>
              <div class="g-1-2 t-g-2 add-bottom"></div>
            </div>
            <div class="row">
              <div class="g-3 t-g-2 add-bottom"></div>
              <div class="g-9 t-g-2 add-bottom"></div>
            </div>
            <div class="row">
              <div class="g-12 add-bottom"></div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <!--end content--> <!--begin footer-->
    <div id="footer">
      <div class="container">
        <div class="row">
          <div class="g-3 t-g-2 remove-bottom">
            <style>
              <!--
              input#btnPopupCheckoutComplete {
                display: none;
              }
              -->
            </style>
            <style>
              <!--
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              /*Donation Form - Transplant Candlelight Ceremony*/
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            <h4 class="block-title">About Us</h4>
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              <li><a href="http://www.stritch.luc.edu/">Loyola University Chicago Stritch School of Medicine</a></li>
              <li><a href="https://macnealhospital.org/">MacNeal Hospital</a></li>
              <li><a href="https://www.luc.edu/nursing/">Marcella Niehoff School of Nursing</a></li>
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            <h4 class="block-title">Legal Info</h4>
            <p class="copyright">Copyright © 2019 Loyola Medicine. All rights reserved.</p>
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            <p class="call-us">Call <a href="tel:8885847888">888-584-7888</a> to speak with a representative.</p>
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Home»Giving to Loyola»Make a gift to support Loyola Medicine


MAKE A GIFT TO SUPPORT LOYOLA MEDICINE




DONATION FORM



Donation Information Amount:

$     *

Designation: Loyola Medicine Colleague Assistance Fund COVID-19 Response Fund
Anesthesiology Resident Wellness Bone Marrow Transplant Program Burn Center Fund
Greatest Needs of the Cardinal Bernardin Cancer Center Greatest Needs of the
Division of Cardiology Child Life Program & Hospital Playroom COVID-19 Response
Fund Department of Emergency Medicine Resident Wellness Fund Excellence in Care
Excellence in Graduate Medical Education Fund Greatest Needs of Musculoskeletal
Care Greatest Needs of the Department of Pathology Greatest Needs of Pediatrics
(CLUC) Greatest Needs of the Department of Ophthalmology Greatest Needs of the
Department of Otolaryngology Greatest Needs of the Department of Surgery Heart
Transplant Fund Hospice and Home Health John and Dorothy Gormley Fund for
Oncology Patient Support Kidney Transplant Greatest Needs Loyola Children's
Committee Gift Fund Loyola Medicine Colleague Assistance Fund Liver Transplant
Support Fund Lung Transplant Department Greatest Needs Fund Neonatal Intensive
Care Fund Paul V. Galvin Memorial Chapel/Pastoral Care Dept Gift Fund Paula
Hindle Center for Nursing Excellence Pediatric Oncology Fund Pediatric
Neurosciences Fund Radiation Oncology Department Gift Fund Tarik Ibrahim
Graduate Education and Research for Neurosurgery Residents Thomas J. Gohr
Pancreatic Research Fund Walter S. Jellish, MD, PhD, Anesthesiology Fund
Additional Information Frequency:

Weekly Monthly Quarterly Annually Every 4 weeks

On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:   
Ending:   Ending:  

Corporate: Give on behalf of a company Anonymous: Give anonymously Comments:
Billing Information Title: Mr. Mrs. Miss Ms. Dr. Drs. Professor Hon. Pastor
Sister Brother Ambassador The Reverend Dr. Chief Chaplain Bishop Congresswoman
Reverend Congressman Colonel Major General Father Major Lt. Governor Cmdr. Mayor
The Reverend Judge Rabbi Deacon Lt. Col. The Honorable Chaplain Col. Captain
Governor Senator Sergeant First name: * Last name: * Country: Afghanistan
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Republic of Korea, Republic of Kuwait Lebanon Liechtenstein Macedonia,The former
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Ireland Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Nigeria
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Washington Wisconsin West Virginia Wyoming * ZIP: * Phone: * Email: * Matching
Gifts

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Company: * Tribute Information Name: * Tribute First name: Tribute Last name: *
Tribute Type: in honor of in memory of * Comments: * Mail a letter on my behalf
*









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