donate.childrensmiraclenetworkhospitals.org
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Submitted URL: https://click.mail.cmnhospitals.org/?qs=01f9598e02913573d4b65333ab43bfa21422d46294d08f8d4ff6185ba2b326f0e85a2c98238adbc7480f82a94176...
Effective URL: https://donate.childrensmiraclenetworkhospitals.org/?utm_source=sfmc&utm_medium=email&utm_campaign=eoy23&utm_content=email3copy&j=68866&sfmc_sub=125...
Submission: On December 27 via manual from CA — Scanned from CA
Effective URL: https://donate.childrensmiraclenetworkhospitals.org/?utm_source=sfmc&utm_medium=email&utm_campaign=eoy23&utm_content=email3copy&j=68866&sfmc_sub=125...
Submission: On December 27 via manual from CA — Scanned from CA
Form analysis 1 forms found in the DOM
POST /
<form id="donationform" class="donate-form" data-cappy-site-key="6LeHLa0fAAAAAP9bVzg_aVGis_xKL6amgjgkQAMI" data-ip-hospital-id="" action="/" method="post" novalidate="novalidate">
<section>
<fieldset>
<label class="label-hospital">Select Your Hospital</label>
<select id="hospital" name="SelectedHospital">
<option value="-1">Children’s Miracle Network Hospitals</option>
<option value="5007">Akron Children's Hospital</option>
<option value="5046">Ann & Robert H. Lurie Children's Hospital of Chicago</option>
<option value="5010">Arkansas Children's</option>
<option value="5012">Arnot Ogden Medical Center</option>
<option value="5005">Asante Ashland Community Hospital</option>
<option value="5113">Asante Rogue Regional Medical Center</option>
<option value="5187">Asante Three Rivers Medical Center</option>
<option value="5168">Ascension Via Christi</option>
<option value="5151">Atrium Health Navicent Beverly Knight Olson Children's Hospital</option>
<option value="5019">Batson Children`s Hospital at the University of Mississippi Medical Center</option>
<option value="5150">Baylor Scott & White McLane Children's Medical Center</option>
<option value="5016">Baystate Children's Hospital</option>
<option value="5018">Beaumont Children's</option>
<option value="5033">Bernard & Millie Duker Children's Hospital at Albany Medical Center</option>
<option value="5155">Bill and Olivia Amos Children's Hospital at Piedmont Columbus</option>
<option value="5034">Boston Children's Hospital</option>
<option value="5024">Carilion Children's</option>
<option value="5044">Children's Health</option>
<option value="5045">Children's Health Foundation</option>
<option value="5029">Children's Healthcare of Atlanta</option>
<option value="5031">Children's Hospital - New Orleans</option>
<option value="5141">Children's Hospital at Erlanger</option>
<option value="5147">Children's Hospital Colorado</option>
<option value="5037">Children's Hospital Los Angeles</option>
<option value="5089">Children's Hospital of Georgia</option>
<option value="5152">Children's Hospital of Philadelphia</option>
<option value="5030">Children's Hospital of Richmond at VCU</option>
<option value="5042">Children's Hospital of The King's Daughters</option>
<option value="5047">Children's National Hospital</option>
<option value="5025">Children's Nebraska</option>
<option value="5038">Children's of Alabama</option>
<option value="5048">Children's Specialized Hospital</option>
<option value="5043">Children's Wisconsin</option>
<option value="5049">CHOC Hospital</option>
<option value="5053">CHRISTUS Children’s</option>
<option value="5055">CHRISTUS Ochsner Southwest Louisiana</option>
<option value="5021">CHRISTUS Shreveport-Bossier Health System</option>
<option value="5052">CHRISTUS Southeast Texas Jasper Memorial</option>
<option value="5050">CHRISTUS Southeast Texas St. Elizabeth</option>
<option value="5054">CHRISTUS St. Frances Cabrini Hospital</option>
<option value="5094">CHRISTUS Trinity Mother Frances Health System</option>
<option value="5056">Cincinnati Children's</option>
<option value="5123">Cohen Children's Medical Center</option>
<option value="5057">Connecticut Children's</option>
<option value="5058">Cook Children's Medical Center</option>
<option value="5122">Cottage Children's Medical Center</option>
<option value="5059">CoxHealth</option>
<option value="5153">Dayton Children's Hospital</option>
<option value="5060">Dell Children's Medical Center</option>
<option value="5062">Driscoll Children's Hospital</option>
<option value="5063">Duke Children's</option>
<option value="5064">East Tennessee Children's Hospital</option>
<option value="5162">El Paso Children's Hospital Foundation</option>
<option value="5067">Freeman Health System</option>
<option value="5154">Geisinger Janet Weis Children's Hospital</option>
<option value="5068">Gillette Children's Specialty Healthcare</option>
<option value="5069">Golisano Children's Hospital at the University of Rochester Medical Center</option>
<option value="5336">Golisano Children's Hospital of Southwest Florida</option>
<option value="5071">Gundersen Health System</option>
<option value="5015">Harrington Cancer and Health Foundation</option>
<option value="5072">Hasbro Children's Hospital</option>
<option value="5073">Helen DeVos Children's Hospital</option>
<option value="5074">Hendrick Children's Hospital</option>
<option value="5133">HSHS St. John's Children's Hospital</option>
<option value="5075">Hurley Children's Hospital</option>
<option value="5161">James and Connie Maynard Children's Hospital at ECU Health Medical Center</option>
<option value="5172">John R. Oishei Children's Hospital</option>
<option value="5009">Johns Hopkins All Children's Hospital</option>
<option value="5078">Johns Hopkins Children's Center</option>
<option value="5079">Kapi'olani Medical Center for Women & Children</option>
<option value="5080">Kentucky Children's Hospital</option>
<option value="5083">KU Medical Center</option>
<option value="5014">Lauren Small Children's Center</option>
<option value="5084">Le Bonheur Children's Hospital</option>
<option value="5174">Levine Children's Hospital</option>
<option value="5085">Maria Fareri Children's Hospital</option>
<option value="5116">Marshfield Children's Hospital</option>
<option value="5086">McLeod Children's Hospital</option>
<option value="5088">Medical Center Health System Foundation</option>
<option value="5090">Medical University of South Carolina Shawn Jenkins Children's Hospital</option>
<option value="5066">Mohawk Valley Health System</option>
<option value="5093">Monroe Carell Jr. Children's Hospital at Vanderbilt</option>
<option value="5110">Monument Health</option>
<option value="5095">MU Health Care Children's Hospital</option>
<option value="5173">MultiCare Yakima Memorial Hospital</option>
<option value="5096">Nationwide Children's Hospital</option>
<option value="5139">Nationwide Children's Hospital Toledo</option>
<option value="5092">Nicklaus Children's Hospital</option>
<option value="5170">Niswonger Children's Network</option>
<option value="5065">Northern Light Eastern Maine Medical Center</option>
<option value="5082">Norton Children's Hospital</option>
<option value="5061">OHSU Doernbecher Children's Hospital</option>
<option value="5011">Orlando Health Arnold Palmer Hospital for Children</option>
<option value="5040">OSF HealthCare Children’s Hospital of Illinois</option>
<option value="5098">Our Lady of the Lake Children's Hospital</option>
<option value="5115">PeaceHealth Sacred Heart Medical Center</option>
<option value="5100">Penn State Health Children's Hospital</option>
<option value="5101">Phoebe Putney Memorial Hospital</option>
<option value="5102">Phoenix Children's Hospital</option>
<option value="5103">Primary Children's Hospital</option>
<option value="5099">Prisma Health Children's Hospital - Midlands</option>
<option value="5026">Prisma Health Children's Hospital - Upstate</option>
<option value="5108">Rady Children's Hospital</option>
<option value="5111">Renown Children's Hospital</option>
<option value="5112">Riley Hospital for Children</option>
<option value="5106">Sacred Heart Children's Hospital</option>
<option value="5117">Saint Vincent Hospital</option>
<option value="5118">Salinas Valley Health Medical Center</option>
<option value="5119">Samaritan Medical Center</option>
<option value="5120">San Jorge Children's Foundation</option>
<option value="5091">Sanford Children's Hospital - Fargo</option>
<option value="5121">Sanford Children's Hospital - Sioux Falls</option>
<option value="5124">Seattle Children's Hospital</option>
<option value="5128">Shannon Medical Center</option>
<option value="5129">Shodair Children's Hospital</option>
<option value="5023">SSM Health Cardinal Glennon Children's Hospital</option>
<option value="5134">St. Louis Children's Hospital</option>
<option value="5135">St. Luke's Children's</option>
<option value="5138">St. Rose Dominican Hospitals</option>
<option value="5188">Stormont Vail Health</option>
<option value="5142">Texas Children's Hospital</option>
<option value="5145">The Barbara Bush Children's Hospital at Maine Medical Center</option>
<option value="5148">The Children's Hospital at Providence</option>
<option value="5149">The Children's Hospital at Saint Francis</option>
<option value="5114">The Studer Family Children's Hospital at Sacred Heart</option>
<option value="5167">The University of Vermont Children's Hospital</option>
<option value="5156">Tucson Medical Center</option>
<option value="5157">UC Davis Children's Hospital</option>
<option value="5032">UCSF Benioff Children's Hospitals</option>
<option value="5158">UF Health Jacksonville</option>
<option value="5126">UF Health Shands Children's Hospital</option>
<option value="5159">UMC Children's Hospital</option>
<option value="5160">United Regional Health Care System</option>
<option value="5136">UnityPoint Health - St. Luke's</option>
<option value="5109">University Hospitals Rainbow Babies & Children’s</option>
<option value="5163">University of Iowa Stead Family Children's Hospital</option>
<option value="5131">University of Michigan Health at Sparrow Children’s Center</option>
<option value="5166">UNM Children's Hospital</option>
<option value="5041">UPMC Children's Hospital of Pittsburgh</option>
<option value="5070">Upstate Golisano Children's Hospital</option>
<option value="5164">USA Health Children's & Women's Hospital</option>
<option value="5165">UVA Health Children's</option>
<option value="5035">Valley Children's Hospital</option>
<option value="5185">Wolfson Children's Hospital</option>
<option value="5171">WVU Medicine Children's</option>
</select>
<span class="field-validation-valid" data-valmsg-for="SelectedHospital" data-valmsg-replace="true"></span>
<input type="hidden" name="CampaignType" value="None">
<input type="hidden" name="CampaignValue" value="sfmc,sfmc">
<input type="hidden" name="IpHospitalId">
<input type="hidden" name="IsUserLoggedIn" value="False">
</fieldset>
</section>
<section>
<fieldset class="donation-amounts-fieldset">
<legend>Select Your Donation Amount</legend>
<div class="amount-stage" data-val=""></div>
<div class="btn-radios donation-amounts">
<input type="radio" id="amount-25" value="25" data-val="true" data-val-number="The field SelectedAmount must be a number." name="SelectedAmount">
<label for="amount-25">$25</label>
<input type="radio" id="amount-50" value="50" name="SelectedAmount">
<label for="amount-50">$50</label>
<input type="radio" id="amount-100" value="100" name="SelectedAmount">
<label for="amount-100">$100</label>
<div class="donation-amounts-other">
<input inputmode="decimal" placeholder="Other" maxlength="14" autocomplete="off" value="" type="text" data-val="true" data-val-number="The field SelectedOtherAmount must be a number." id="SelectedOtherAmount" name="SelectedOtherAmount">
<label class="visually-hidden" for="SelectedOtherAmount">Other Donation Amount</label>
</div>
<span class="field-validation-valid" data-valmsg-for="SelectedAmount" data-valmsg-replace="true"></span>
</div>
</fieldset>
</section>
<section>
<fieldset>
<legend>Select Your Frequency</legend>
<div class="btn-radios donation-frequency">
<input type="radio" id="one-time" value="one-time" checked="" data-val="true" data-val-required="The Frequency field is required." name="Frequency">
<label for="one-time">One Time</label>
<input type="radio" id="recurring" value="recurring" name="Frequency">
<label for="recurring" class="donation-frequency-recurring">Recurring</label>
<div class="donation-recurring-msg">
<p>Your donation will be automatically processed monthly.</p>
<p>Log in or sign up below to create and manage your monthly recurring gift.</p>
</div>
</div>
</fieldset>
<div class="inline-fend hidden">
<fieldset>
<div class="inline-fend-grid">
<input type="radio" class="inline-fend-radio inline-fend-radio-create" id="create-account" value="create" checked="" data-val="true" data-val-required="The Account field is required." name="Account">
<label class="inline-fend-radio-label" for="create-account">Create an Account</label>
<input type="radio" class="inline-fend-radio inline-fend-radio-existing" id="existing-account" value="existing" name="Account">
<label class="inline-fend-radio-label" for="existing-account">Use Existing Account</label>
<section class="inline-fend-lower inline-fend-create">
<div class="inline-fend-inputs">
<div class="inline-fend-inputs-group">
<label class="inline-fend-label" for="RegistrationName">Your Name</label>
<input autocomplete="name" type="text" id="RegistrationName" name="RegistrationName" value="">
<span class="field-validation-valid" data-valmsg-for="RegistrationName" data-valmsg-replace="true"></span>
</div>
<div class="inline-fend-inputs-group">
<label class="inline-fend-label" for="RegistrationEmail">Email Address</label>
<input autocomplete="email" type="email" data-val="true" data-val-email="The RegistrationEmail field is not a valid e-mail address." id="RegistrationEmail" name="RegistrationEmail" value="">
<span class="field-validation-valid" data-valmsg-for="RegistrationEmail" data-valmsg-replace="true"></span>
</div>
</div>
<div class="inline-fend-inputs">
<div class="inline-fend-inputs-group half">
<label class="inline-fend-label" for="RegistrationPassword">Password</label>
<input minlength="8" autocomplete="new-password" type="password" id="RegistrationPassword" name="RegistrationPassword">
<span class="field-validation-valid" data-valmsg-for="RegistrationPassword" data-valmsg-replace="true"></span>
<div class="password-requirements">
<h2>Password Requirements:</h2>
<ul>
<li>The password must be at least 8 characters.</li>
<li>The password must not contain 3 or more repeated characters (ex. "aaa").</li>
</ul>
</div>
</div>
</div>
</section>
<section class="inline-fend-lower inline-fend-existing">
<div class="inline-fend-inputs">
<div class="inline-fend-inputs-group">
<label class="inline-fend-label" for="LoginEmail">Email Address</label>
<input autocomplete="email" type="email" data-val="true" data-val-email="The LoginEmail field is not a valid e-mail address." id="LoginEmail" name="LoginEmail" value="">
<span class="field-validation-valid" data-valmsg-for="LoginEmail" data-valmsg-replace="true"></span>
</div>
<div class="inline-fend-inputs-group">
<label class="inline-fend-label" for="LoginPassword">Password</label>
<input type="password" minlength="8" autocomplete="new-password" id="LoginPassword" name="LoginPassword">
<span class="field-validation-valid" data-valmsg-for="LoginPassword" data-valmsg-replace="true"></span>
</div>
</div>
</section>
</div>
</fieldset>
</div>
</section>
<div class="donate-form-lower">
<section>
<fieldset>
<legend>Billing Information</legend>
<div class="donate-billing-info">
<div class="donate-billing-info-input donate-full-name">
<label for="FullName">Full Name</label>
<input autocomplete="name" type="text" id="FullName" name="FullName" value="" required="">
<span class="field-validation-valid" data-valmsg-for="FullName" data-valmsg-replace="true"></span>
</div>
<div class="donate-billing-info-input">
<label for="Address">Address</label>
<input type="text" data-val="true" data-val-required="Please enter your address" id="Address" name="Address" value="">
<span class="field-validation-valid" data-valmsg-for="Address" data-valmsg-replace="true"></span>
</div>
<div class="donate-billing-info-input">
<label for="City">City</label>
<input type="text" data-val="true" data-val-required="Please enter your city" id="City" name="City" value="">
<span class="field-validation-valid" data-valmsg-for="City" data-valmsg-replace="true"></span>
</div>
<div class="donate-billing-info-input donate-sub-inputs">
<div class="text-left">
<label for="State">State</label>
<select data-val="true" data-val-required="The State field is required." id="State" name="State">
<option value="AE">AE</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AP">AP</option>
<option value="APO">APO</option>
<option value="AR">AR</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="GU">GU</option>
<option value="HI">HI</option>
<option value="IA">IA</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="MA">MA</option>
<option value="MD">MD</option>
<option value="ME">ME</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MO">MO</option>
<option value="MS">MS</option>
<option value="MT">MT</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="NE">NE</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NV">NV</option>
<option value="NY">NY</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VA">VA</option>
<option value="VT">VT</option>
<option value="WA">WA</option>
<option value="WI">WI</option>
<option value="WV">WV</option>
<option value="WY">WY</option>
</select>
</div>
<div>
<label for="Zipcode">Zip Code</label>
<input type="text" data-val="true" data-val-required="Please enter your zip code" id="Zipcode" name="Zipcode" value="">
<span class="field-validation-valid" data-valmsg-for="Zipcode" data-valmsg-replace="true"></span>
</div>
</div>
<div class="donate-billing-info-input donate-email">
<label for="Email">Email</label>
<input type="email" data-val="true" data-val-email="The Email field is not a valid e-mail address." id="Email" name="Email" value="" required="">
<span class="field-validation-valid" data-valmsg-for="Email" data-valmsg-replace="true"></span>
</div>
<div class="donate-billing-info-input">
<label for="Company">Company</label>
<input type="text" id="Company" name="Company" value="">
</div>
<div class="donate-billing-info-input">
<label for="HowDidYouHearAboutUs">How Did You Hear About Us?</label>
<select id="HowDidYouHearAboutUs" name="HowDidYouHearAboutUs">
<option value=""></option>
<option value="Email">Email</option>
<option value="Event">Event</option>
<option value="Hospital">Hospital</option>
<option value="Radio">Radio</option>
<option value="Retailer">Retailer</option>
<option value="SearchEngine">Search Engine (Google, Bing, etc.)</option>
<option value="SocialMedia">Social Media</option>
<option value="TV">Television</option>
<option value="Website">Website Advertisement</option>
<option value="WordOfMouth">Word of Mouth</option>
<option value="Other">Other</option>
</select>
<span class="field-validation-valid" data-valmsg-for="HowDidYouHearAboutUs" data-valmsg-replace="true"></span>
</div>
<div class="donate-billing-info-input donate-billing-info-newsletter">
<input type="checkbox" data-val="true" data-val-required="The SendEmail field is required." id="SendEmail" name="SendEmail" value="true">
<label for="SendEmail">Allow us and your local CMN Hospital to send you an email every so often?</label>
</div>
</div>
</fieldset>
</section>
</div>
<section>
<fieldset>
<legend>Payment Information</legend>
<span class="field-validation-valid" data-valmsg-for="TransactionId" data-valmsg-replace="true"></span>
<div id="dropin-container">
<div id="braintree--dropin__083c0f0d-d0aa-47a1-ae85-400d1c501a69" data-braintree-id="wrapper" class="braintree-show-card" style="display: none;"><svg data-braintree-id="svgs">
<defs>
<symbol id="icon-visa" viewBox="0 0 40 24">
<title>Visa</title>
<path d="M0 1.927C0 .863.892 0 1.992 0h36.016C39.108 0 40 .863 40 1.927v20.146C40 23.137 39.108 24 38.008 24H1.992C.892 24 0 23.137 0 22.073V1.927z" fill="#FFF"></path>
<path d="M0 22.033C0 23.12.892 24 1.992 24h36.016c1.1 0 1.992-.88 1.992-1.967V20.08H0v1.953z" fill="#F8B600"></path>
<path
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fill="#1A1F71"></path>
</symbol>
<symbol id="icon-master-card" viewBox="0 0 40 24">
<title>MasterCard</title>
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<symbol id="icon-unionpay" viewBox="0 0 40 24">
<title>Union Pay</title>
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</symbol>
<symbol id="icon-american-express" viewBox="0 0 40 24">
<title>American Express</title>
<path d="M38.333 24H1.667C.75 24 0 23.28 0 22.4V1.6C0 .72.75 0 1.667 0h36.666C39.25 0 40 .72 40 1.6v20.8c0 .88-.75 1.6-1.667 1.6z" fill="#FFF"></path>
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<symbol id="icon-jcb" viewBox="0 0 40 24">
<title>JCB</title>
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<symbol id="icon-discover" viewBox="0 0 40 24">
<title>Discover</title>
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<path
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</symbol>
<symbol id="icon-diners-club" viewBox="0 0 40 24">
<title>Diners Club</title>
<path d="M38.333 24H1.667C.75 24 0 23.28 0 22.4V1.6C0 .72.75 0 1.667 0h36.666C39.25 0 40 .72 40 1.6v20.8c0 .88-.75 1.6-1.667 1.6z" fill="#FFF"></path>
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<path fill="#FFF" d="M32.522 22H8.5V1.5h24.022"></path>
<path
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fill="#004A97"></path>
</symbol>
<symbol id="icon-maestro" viewBox="0 0 40 24">
<title>Maestro</title>
<path d="M38.333 24H1.667C.75 24 0 23.28 0 22.4V1.6C0 .72.75 0 1.667 0h36.666C39.25 0 40 .72 40 1.6v20.8c0 .88-.75 1.6-1.667 1.6z" fill="#FFF"></path>
<path
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</path>
</symbol>
<symbol id="icon-elo" viewBox="0 0 48 29">
<title>Elo</title>
<path d="M46.177 29H1.823C.9 29 0 28.13 0 27.187V1.813C0 .87.9 0 1.823 0h44.354C47.1 0 48 .87 48 1.813v25.375C48 28.13 47.1 29 46.177 29z" fill="#FFF"></path>
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<rect fill="#828282" x="10.8" y="22.167" width="3.6" height="2.333" rx="1.167"></rect>
<rect fill="#828282" x="4.8" y="22.167" width="3.6" height="2.333" rx="1.167"></rect>
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<ellipse fill="#828282" cx="40.2" cy="6.417" rx="3" ry="2.917"></ellipse>
</symbol>
<symbol id="icon-hiper" viewBox="0 0 48 29">
<title>Hiper</title>
<path d="M46.177 29H1.823C.9 29 0 28.13 0 27.187V1.813C0 .87.9 0 1.823 0h44.354C47.1 0 48 .87 48 1.813v25.375C48 28.13 47.1 29 46.177 29z" fill="#FFF"></path>
<path d="M4.8 9.14c0-.427.57-.973 1.067-.973h7.466c.496 0 1.067.546 1.067.972v3.888c0 .425-.57.972-1.067.972H5.867c-.496 0-1.067-.547-1.067-.972v-3.89z" fill="#828282"></path>
<rect fill="#828282" x="10.8" y="22.167" width="3.6" height="2.333" rx="1.167"></rect>
<rect fill="#828282" x="4.8" y="22.167" width="3.6" height="2.333" rx="1.167"></rect>
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<ellipse fill="#828282" cx="40.2" cy="6.417" rx="3" ry="2.917"></ellipse>
</symbol>
<symbol id="icon-hipercard" viewBox="0 0 48 29">
<title>Hipercard</title>
<path d="M46.177 29H1.823C.9 29 0 28.13 0 27.187V1.813C0 .87.9 0 1.823 0h44.354C47.1 0 48 .87 48 1.813v25.375C48 28.13 47.1 29 46.177 29z" fill="#FFF"></path>
<path d="M4.8 9.14c0-.427.57-.973 1.067-.973h7.466c.496 0 1.067.546 1.067.972v3.888c0 .425-.57.972-1.067.972H5.867c-.496 0-1.067-.547-1.067-.972v-3.89z" fill="#828282"></path>
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<ellipse fill="#828282" cx="40.2" cy="6.417" rx="3" ry="2.917"></ellipse>
</symbol>
<symbol id="logoPayPal" viewBox="0 0 48 29">
<title>PayPal Logo</title>
<path d="M46 29H2c-1.1 0-2-.87-2-1.932V1.934C0 .87.9 0 2 0h44c1.1 0 2 .87 2 1.934v25.134C48 28.13 47.1 29 46 29z" fill-opacity="0" fill="#FFF"></path>
<path
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fill="#263B80"></path>
<path
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fill="#263B80"></path>
<path
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fill="#159BD7"></path>
<path
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fill="#232C65"></path>
</symbol>
<symbol id="logoPayPalCredit" viewBox="0 0 48 29">
<title>PayPal Credit Logo</title>
<path d="M46 29H2c-1.1 0-2-.87-2-1.932V1.934C0 .87.9 0 2 0h44c1.1 0 2 .87 2 1.934v25.134C48 28.13 47.1 29 46 29z" fill-opacity="0" fill="#FFF" fill-rule="nonzero"></path>
<path
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<path
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<path
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</symbol>
<symbol id="iconCardFront" viewBox="0 0 48 29">
<title>Generic Card</title>
<path d="M46.177 29H1.823C.9 29 0 28.13 0 27.187V1.813C0 .87.9 0 1.823 0h44.354C47.1 0 48 .87 48 1.813v25.375C48 28.13 47.1 29 46.177 29z" fill="#FFF"></path>
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<rect fill="#828282" x="4.8" y="22.167" width="3.6" height="2.333" rx="1.167"></rect>
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<ellipse fill="#828282" cx="40.2" cy="6.417" rx="3" ry="2.917"></ellipse>
</symbol>
<symbol id="iconCVVBack" viewBox="0 0 40 24">
<title>CVV Back</title>
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<title>CVV Front</title>
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<title>Check</title>
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<symbol id="iconX" viewBox="0 0 32 32">
<title>X</title>
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<title>Lock Loader</title>
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<title>Apple Pay Logo</title>
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<title>Google Pay Mark</title>
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<symbol id="logoVenmo" viewBox="0 0 48 32">
<title>Venmo</title>
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<div class="braintree-sheet__label">PayPal Credit</div>
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<div class="braintree-sheet__content braintree-sheet__content--button">
<div data-braintree-id="paypal-credit-button" class="braintree-sheet__button--paypal"></div>
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<div data-braintree-id="applePay" class="braintree-applePay braintree-sheet">
<div data-braintree-id="apple-pay-sheet-header" class="braintree-sheet__header">
<div class="braintree-sheet__header-label">
<div class="braintree-sheet__logo--header">
<svg height="24" width="40">
<use xlink:href="#logoApplePay"></use>
</svg>
</div>
<div class="braintree-sheet__label">Apple Pay</div>
</div>
</div>
<div class="braintree-sheet__content braintree-sheet__content--button">
<div data-braintree-id="apple-pay-button" class="braintree-sheet__button--apple-pay apple-pay-button"></div>
</div>
</div>
<div data-braintree-id="googlePay" class="braintree-googlePay braintree-sheet">
<div data-braintree-id="google-pay-sheet-header" class="braintree-sheet__header">
<div class="braintree-sheet__header-label">
<div class="braintree-sheet__logo--header">
<svg height="24" width="40">
<use xlink:href="#logoGooglePay"></use>
</svg>
</div>
<div class="braintree-sheet__label">Google Pay</div>
</div>
</div>
<div class="braintree-sheet__content braintree-sheet__content--button">
<div data-braintree-id="google-pay-button"></div>
</div>
</div>
<div data-braintree-id="venmo" class="braintree-venmo braintree-sheet">
<div data-braintree-id="venmo-sheet-header" class="braintree-sheet__header">
<div class="braintree-sheet__header-label">
<div class="braintree-sheet__logo--header">
<svg height="24" width="40">
<use xlink:href="#logoVenmo"></use>
</svg>
</div>
<div class="braintree-sheet__label">Venmo</div>
</div>
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<div class="braintree-sheet__content braintree-sheet__content--button">
<svg data-braintree-id="venmo-button" class="braintree-sheet__button--venmo">
<use xlink:href="#buttonVenmo"></use>
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<div class="braintree-sheet__header-label">
<div class="braintree-sheet__logo--header">
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<div data-braintree-id="visa-card-icon" class="braintree-sheet__card-icon">
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<use xlink:href="#icon-visa"></use>
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<div data-braintree-id="master-card-card-icon" class="braintree-sheet__card-icon">
<svg width="40" height="24">
<use xlink:href="#icon-master-card"></use>
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<div data-braintree-id="unionpay-card-icon" class="braintree-sheet__card-icon">
<svg width="40" height="24">
<use xlink:href="#icon-unionpay"></use>
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<div data-braintree-id="american-express-card-icon" class="braintree-sheet__card-icon">
<svg width="40" height="24">
<use xlink:href="#icon-american-express"></use>
</svg>
</div>
<div data-braintree-id="jcb-card-icon" class="braintree-sheet__card-icon">
<svg width="40" height="24">
<use xlink:href="#icon-jcb"></use>
</svg>
</div>
<!--Elo, Hiper, and Hipercard currently use the generic icon.
The braintree-hidden class should be removed here once we get icons for these cards-->
<div data-braintree-id="elo-card-icon" class="braintree-sheet__card-icon braintree-hidden">
<svg width="40" height="24">
<use xlink:href="#icon-elo"></use>
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<div data-braintree-id="hiper-card-icon" class="braintree-sheet__card-icon braintree-hidden">
<svg width="40" height="24">
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<div data-braintree-id="hipercard-card-icon" class="braintree-sheet__card-icon braintree-hidden">
<svg width="40" height="24">
<use xlink:href="#icon-hipercard"></use>
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<!-- Remove braintree-hidden class when supportedCardType accurately indicates Diners Club support -->
<div data-braintree-id="diners-club-card-icon" class="braintree-sheet__card-icon braintree-hidden">
<svg width="40" height="24">
<use xlink:href="#icon-diners-club"></use>
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<div data-braintree-id="discover-card-icon" class="braintree-sheet__card-icon">
<svg width="40" height="24">
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<div data-braintree-id="maestro-card-icon" class="braintree-sheet__card-icon braintree-hidden">
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<div class="braintree-form__field">
<div class="braintree-form-number braintree-form__hosted-field"><iframe src="https://assets.braintreegateway.com/web/3.85.3/html/hosted-fields-frame.min.html#127d0ba2-4dd2-45fb-8c28-1f5180112d2a" frameborder="0"
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<div class="braintree-form__icon-container">
<div class="braintree-form__icon braintree-form__field-error-icon">
<svg width="24" height="24">
<use xlink:href="#iconError"></use>
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</div>
</label>
<div data-braintree-id="expiration-date-field-error" class="braintree-form__field-error"></div>
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<div data-braintree-id="cvv-field-group" class="braintree-form__field-group">
<label>
<div class="braintree-form__label">CVV <span data-braintree-id="cvv-label-descriptor" class="braintree-form__descriptor">(3 digits)</span>
</div>
<div class="braintree-form__field">
<div class="braintree-form__hosted-field braintree-form-cvv"><iframe src="https://assets.braintreegateway.com/web/3.85.3/html/hosted-fields-frame.min.html#127d0ba2-4dd2-45fb-8c28-1f5180112d2a" frameborder="0"
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<div style="clear: both;"></div>
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<div class="braintree-form__icon-container">
<div data-braintree-id="cvv-icon" class="braintree-form__icon braintree-form__field-secondary-icon">
<svg width="40" height="24" class="braintree-icon--bordered">
<use data-braintree-id="cvv-icon-svg" xlink:href="#iconCVVBack"></use>
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<div class="braintree-form__icon braintree-form__field-error-icon">
<svg width="24" height="24">
<use xlink:href="#iconError"></use>
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<div data-braintree-id="cvv-field-error" class="braintree-form__field-error"></div>
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<div data-braintree-id="postal-code-field-group" class="braintree-form__field-group">
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<div data-braintree-id="save-card-field-group" class="braintree-form__field-group braintree-hidden">
<label>
<div class="braintree-form__field braintree-form__checkbox">
<input type="checkbox" data-braintree-id="save-card-input" checked="">
</div>
<div class="braintree-form__label">Save card</div>
</label>
</div>
</div>
</div>
<div data-braintree-id="sheet-error" class="braintree-sheet__error">
<div class="braintree-form__icon braintree-sheet__error-icon">
<svg width="24" height="24">
<use xlink:href="#iconError"></use>
</svg>
</div>
<div data-braintree-id="sheet-error-text" class="braintree-sheet__error-text"></div>
</div>
</div>
</div>
<div data-braintree-id="lower-container" class="braintree-test-class braintree-options">
<div data-braintree-id="other-ways-to-pay" class="braintree-heading">Other ways to pay</div>
</div>
<div data-braintree-id="toggle" class="braintree-large-button braintree-toggle braintree-hidden" tabindex="0" role="button">
<span>Choose another way to pay</span>
</div>
</div>
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</div>
</div>
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<div class="submit">
<button id="submit-button" class="donate-submit" type="submit">Donate</button>
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</form>Text Content
* The Children * Our Partners * How To Help * About Us * Blog * * Donate DONATE TODAY Select Your Hospital Children’s Miracle Network Hospitals Akron Children's Hospital Ann & Robert H. Lurie Children's Hospital of Chicago Arkansas Children's Arnot Ogden Medical Center Asante Ashland Community Hospital Asante Rogue Regional Medical Center Asante Three Rivers Medical Center Ascension Via Christi Atrium Health Navicent Beverly Knight Olson Children's Hospital Batson Children`s Hospital at the University of Mississippi Medical Center Baylor Scott & White McLane Children's Medical Center Baystate Children's Hospital Beaumont Children's Bernard & Millie Duker Children's Hospital at Albany Medical Center Bill and Olivia Amos Children's Hospital at Piedmont Columbus Boston Children's Hospital Carilion Children's Children's Health Children's Health Foundation Children's Healthcare of Atlanta Children's Hospital - New Orleans Children's Hospital at Erlanger Children's Hospital Colorado Children's Hospital Los Angeles Children's Hospital of Georgia Children's Hospital of Philadelphia Children's Hospital of Richmond at VCU Children's Hospital of The King's Daughters Children's National Hospital Children's Nebraska Children's of Alabama Children's Specialized Hospital Children's Wisconsin CHOC Hospital CHRISTUS Children’s CHRISTUS Ochsner Southwest Louisiana CHRISTUS Shreveport-Bossier Health System CHRISTUS Southeast Texas Jasper Memorial CHRISTUS Southeast Texas St. Elizabeth CHRISTUS St. Frances Cabrini Hospital CHRISTUS Trinity Mother Frances Health System Cincinnati Children's Cohen Children's Medical Center Connecticut Children's Cook Children's Medical Center Cottage Children's Medical Center CoxHealth Dayton Children's Hospital Dell Children's Medical Center Driscoll Children's Hospital Duke Children's East Tennessee Children's Hospital El Paso Children's Hospital Foundation Freeman Health System Geisinger Janet Weis Children's Hospital Gillette Children's Specialty Healthcare Golisano Children's Hospital at the University of Rochester Medical Center Golisano Children's Hospital of Southwest Florida Gundersen Health System Harrington Cancer and Health Foundation Hasbro Children's Hospital Helen DeVos Children's Hospital Hendrick Children's Hospital HSHS St. John's Children's Hospital Hurley Children's Hospital James and Connie Maynard Children's Hospital at ECU Health Medical Center John R. Oishei Children's Hospital Johns Hopkins All Children's Hospital Johns Hopkins Children's Center Kapi'olani Medical Center for Women & Children Kentucky Children's Hospital KU Medical Center Lauren Small Children's Center Le Bonheur Children's Hospital Levine Children's Hospital Maria Fareri Children's Hospital Marshfield Children's Hospital McLeod Children's Hospital Medical Center Health System Foundation Medical University of South Carolina Shawn Jenkins Children's Hospital Mohawk Valley Health System Monroe Carell Jr. Children's Hospital at Vanderbilt Monument Health MU Health Care Children's Hospital MultiCare Yakima Memorial Hospital Nationwide Children's Hospital Nationwide Children's Hospital Toledo Nicklaus Children's Hospital Niswonger Children's Network Northern Light Eastern Maine Medical Center Norton Children's Hospital OHSU Doernbecher Children's Hospital Orlando Health Arnold Palmer Hospital for Children OSF HealthCare Children’s Hospital of Illinois Our Lady of the Lake Children's Hospital PeaceHealth Sacred Heart Medical Center Penn State Health Children's Hospital Phoebe Putney Memorial Hospital Phoenix Children's Hospital Primary Children's Hospital Prisma Health Children's Hospital - Midlands Prisma Health Children's Hospital - Upstate Rady Children's Hospital Renown Children's Hospital Riley Hospital for Children Sacred Heart Children's Hospital Saint Vincent Hospital Salinas Valley Health Medical Center Samaritan Medical Center San Jorge Children's Foundation Sanford Children's Hospital - Fargo Sanford Children's Hospital - Sioux Falls Seattle Children's Hospital Shannon Medical Center Shodair Children's Hospital SSM Health Cardinal Glennon Children's Hospital St. Louis Children's Hospital St. Luke's Children's St. Rose Dominican Hospitals Stormont Vail Health Texas Children's Hospital The Barbara Bush Children's Hospital at Maine Medical Center The Children's Hospital at Providence The Children's Hospital at Saint Francis The Studer Family Children's Hospital at Sacred Heart The University of Vermont Children's Hospital Tucson Medical Center UC Davis Children's Hospital UCSF Benioff Children's Hospitals UF Health Jacksonville UF Health Shands Children's Hospital UMC Children's Hospital United Regional Health Care System UnityPoint Health - St. Luke's University Hospitals Rainbow Babies & Children’s University of Iowa Stead Family Children's Hospital University of Michigan Health at Sparrow Children’s Center UNM Children's Hospital UPMC Children's Hospital of Pittsburgh Upstate Golisano Children's Hospital USA Health Children's & Women's Hospital UVA Health Children's Valley Children's Hospital Wolfson Children's Hospital WVU Medicine Children's Select Your Donation Amount $25 $50 $100 Other Donation Amount Select Your Frequency One Time Recurring Your donation will be automatically processed monthly. Log in or sign up below to create and manage your monthly recurring gift. Create an Account Use Existing Account Your Name Email Address Password PASSWORD REQUIREMENTS: * The password must be at least 8 characters. * The password must not contain 3 or more repeated characters (ex. "aaa"). Email Address Password Billing Information Full Name Address City State AE AK AL AP APO AR AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip Code Email Company How Did You Hear About Us? Email Event Hospital Radio Retailer Search Engine (Google, Bing, etc.) Social Media Television Website Advertisement Word of Mouth Other Allow us and your local CMN Hospital to send you an email every so often? Payment Information Visa MasterCard Union Pay American Express JCB Discover Diners Club Maestro Elo Hiper Hipercard PayPal Logo PayPal Credit Logo Generic Card CVV Back CVV Front Check X Lock Loader Apple Pay Logo Google Pay Mark Venmo Edit Choose a way to pay Cancel Delete PayPal PayPal Credit Apple Pay Google Pay Venmo Pay with card Card Number Expiration Date (MM/YY) CVV (3 digits) Postal Code Save card Other ways to pay Choose another way to pay Donate Submitting Donation