secure.projecthope.org
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74.123.154.214
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Submitted URL: http://donate.projecthope.org/site/R?i=1DcxBxSGVrVAhNXJeV3NiuC7_gbcFPvB4tN9v_cYoum64Zw9sosFFA
Effective URL: https://secure.projecthope.org/site/SPageNavigator/2023_11_GT_email.html;jsessionid=00000000.app30122a?autologin=true&mfc_pref=...
Submission: On November 27 via api from US — Scanned from DE
Effective URL: https://secure.projecthope.org/site/SPageNavigator/2023_11_GT_email.html;jsessionid=00000000.app30122a?autologin=true&mfc_pref=...
Submission: On November 27 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST https://secure.projecthope.org/site/CRDonationAPI
<form action="https://secure.projecthope.org/site/CRDonationAPI" method="POST" class="luminateApi donation-form" id="donateform" data-luminateapi="{"callback": "donateCallback"}" novalidate="novalidate">
<!-- Start Error message -->
<div id="error-message">
<p style="display: none;"> </p>
</div>
<!-- start hidden inputs -->
<input name="method" type="hidden" value="donate">
<input name="form_id" type="hidden" value="10833">
<input name="other_amount" type="hidden" value="90.00">
<input name="level_id" type="hidden" value="21670">
<!-- <input name="level_autorepeat" type="hidden" value=""> -->
<input name="donor.email_opt_in" type="hidden" value="true">
<input type="hidden" name="extproc" value=""> <!-- blank or paypal -->
<input type="hidden" name="finish_error_redirect"
value="https://secure.projecthope.org/site/SPageNavigator/2023_11_GT_email.html;jsessionid=00000000.app30122a?autologin=true&mfc_pref=T&s_subsrc=e4a&utm_source=fundraising&utm_medium=email&utm_campaign=GT+2023&NONCE_TOKEN=018B7868EF74138AF8DAE7D23558A1C5">
<input type="hidden" name="finish_success_redirect" value="https://secure.projecthope.org/site/SPageNavigator/DD_API_THANK_YOU_PAGE.html">
<input name="source" type="hidden" value="">
<input name="sub_source" type="hidden" value="e4a">
<input type="hidden" name="upsell_lightbox" id="upsell_lightbox" value="" maxlength="255">
<!-- end hidden inputs -->
<!-- start sustainer frequency -->
<div id="customContainer" style="display: block;">
<div class="mainContent containOuterWidth">
<div class="mainColumns giftAndTribute stepOne" style="display: block;">
<div class="giftString">
<div class="giftString">
<div class="mainSection gift">
<!-- ================================================= GIFT STRING -->
<!-- Source: DD_API_GIFT_SELECTOR_ONE_TIME_UPDATE_FIELDS -->
<h2>Your Gift</h2>
<div id="customGiftFreq" class="giftFreq">
<div class="button giftFreq single selected">
<p>ONE-TIME</p>
</div>
<div class="button giftFreq monthly">
<p>MONTHLY</p>
</div>
</div>
<div class="giftString single-sel">
<div class="widthSizer">
<div class="giftLevel chooser button" data-dd-amount="60.00"> $60</div>
</div>
<div class="widthSizer">
<div class="giftLevel chooser button seldefault selected" data-dd-amount="90.00"> $90</div>
</div>
<div class="widthSizer">
<div class="giftLevel chooser button" data-dd-amount="120.00"> $120</div>
</div>
<div class="widthSizer">
<div class="giftLevel chooser button" data-dd-amount="300.00"> $300</div>
</div>
<div class="widthSizer">
<div class="giftLevel chooser button" data-dd-amount="600.00"> $600</div>
</div>
<div class="widthSizer">
<div class="giftLevel chooser button otherSel" data-dd-amount="others">Other</div>
</div>
<div class="otherBox" style="display: none;">
<div class="otherLabel giftLevel chooser button">
<p class="otherLabelP">Other $</p>
</div>
<div class="otherInput"><input class="giftLevel1 other validDonation" data-dd-amount="" placeholder="" title="Enter an amount $5 or greater" value="" id="other1" aria-invalid="false"></div>
</div>
</div>
<div class="giftString monthly-sel" style="display: none;">
<div class="widthSizer">
<div class="giftLevel chooser button" data-dd-amount="20.00"> $20</div>
</div>
<div class="widthSizer">
<div class="giftLevel chooser button seldefault" data-dd-amount="35.00"> $35</div>
</div>
<div class="widthSizer">
<div class="giftLevel chooser button" data-dd-amount="50.00"> $50</div>
</div>
<div class="widthSizer">
<div class="giftLevel chooser button" data-dd-amount="100.00"> $100</div>
</div>
<div class="widthSizer">
<div class="giftLevel chooser button" data-dd-amount="250.00"> $250</div>
</div>
<div class="widthSizer">
<div class="giftLevel chooser button otherSel" data-dd-amount="otherm">Other</div>
</div>
<div class="otherBox" style="display: none;">
<div class="otherLabel giftLevel chooser button">
<p class="otherLabelP">Other $</p>
</div>
<div class="otherInput"><input class="giftLevel1 other validDonation" data-dd-amount="" placeholder="" title="Enter an amount $5 or greater" value="" id="other2" aria-invalid="false"></div>
</div>
</div>
</div>
<script>
function formatNumber(num) {
return num.toString().replace(/(\d)(?=(\d{3})+(?!\d))/g, "$1,")
}
//Select One-time
$(document).ready(function() {
$('div.giftFreq.single').click();
});
if (typeof minGift !== 'undefined') {
var errorTitle = "Enter an amount $" + minGift + " or greater";
$('input.giftLevel1.other').attr("title", errorTitle);
} else {
var minGift = 5;
}
var dynamic_ask = "$0.00";
var external_ask = "$0.00";
dynamic_ask = parseInt(dynamic_ask.replace("$", "").replace(",", ""));
external_ask = parseInt(external_ask.replace("$", "").replace(",", ""));
var dynamicFormula = dynamicFormula || [1, 1.5, 2, 5, 10, 20];
if (dynamic_ask > 5 || external_ask > 5) {
if (dynamic_ask >= external_ask) {
$('.single-sel .giftLevel:eq(0)').attr("data-dd-amount", Math.round(dynamic_ask * dynamicFormula[0])).html("$" + formatNumber(Math.round(dynamic_ask * dynamicFormula[0])));
$('.single-sel .giftLevel:eq(1)').attr("data-dd-amount", Math.round(dynamic_ask * dynamicFormula[1])).html("$" + formatNumber(Math.round(dynamic_ask * dynamicFormula[1])));
$('.single-sel .giftLevel:eq(2)').attr("data-dd-amount", Math.round(dynamic_ask * dynamicFormula[2])).html("$" + formatNumber(Math.round(dynamic_ask * dynamicFormula[2])));
$('.single-sel .giftLevel:eq(3)').attr("data-dd-amount", Math.round(dynamic_ask * dynamicFormula[3])).html("$" + formatNumber(Math.round(dynamic_ask * dynamicFormula[3])));
$('.single-sel .giftLevel:eq(4)').attr("data-dd-amount", Math.round(dynamic_ask * dynamicFormula[4])).html("$" + formatNumber(Math.round(dynamic_ask * dynamicFormula[4])));
} else {
$('.single-sel .giftLevel:eq(0)').attr("data-dd-amount", external_ask * dynamicFormula[0]).html("$" + formatNumber(external_ask * dynamicFormula[0]));
$('.single-sel .giftLevel:eq(1)').attr("data-dd-amount", Math.round(external_ask * dynamicFormula[1])).html("$" + formatNumber(Math.round(external_ask * dynamicFormula[1])));
$('.single-sel .giftLevel:eq(2)').attr("data-dd-amount", Math.round(external_ask * dynamicFormula[2])).html("$" + formatNumber(Math.round(external_ask * dynamicFormula[2])));
$('.single-sel .giftLevel:eq(3)').attr("data-dd-amount", Math.round(external_ask * dynamicFormula[3])).html("$" + formatNumber(Math.round(external_ask * dynamicFormula[3])));
$('.single-sel .giftLevel:eq(4)').attr("data-dd-amount", Math.round(external_ask * dynamicFormula[4])).html("$" + formatNumber(Math.round(external_ask * dynamicFormula[4])));
}
if (dynamic_ask >= 120 || external_ask >= 120) {
if (dynamic_ask >= external_ask) {
$('.monthly-sel .giftLevel:eq(0)').attr("data-dd-amount", Math.round(dynamic_ask * dynamicFormula[0] / 12)).html("$" + formatNumber(Math.round(dynamic_ask * dynamicFormula[0] / 12)));
$('.monthly-sel .giftLevel:eq(1)').attr("data-dd-amount", Math.round((dynamic_ask * dynamicFormula[1]) / 12)).html("$" + formatNumber(Math.round((dynamic_ask * dynamicFormula[1]) / 12)));
$('.monthly-sel .giftLevel:eq(2)').attr("data-dd-amount", Math.round((dynamic_ask * dynamicFormula[2]) / 12)).html("$" + formatNumber(Math.round((dynamic_ask * dynamicFormula[2]) / 12)));
$('.monthly-sel .giftLevel:eq(3)').attr("data-dd-amount", Math.round((dynamic_ask * dynamicFormula[3]) / 12)).html("$" + formatNumber(Math.round((dynamic_ask * dynamicFormula[3]) / 12)));
$('.monthly-sel .giftLevel:eq(4)').attr("data-dd-amount", Math.round((dynamic_ask * dynamicFormula[4]) / 12)).html("$" + formatNumber(Math.round((dynamic_ask * dynamicFormula[4]) / 12)));
} else {
$('.monthly-sel .giftLevel:eq(0)').attr("data-dd-amount", Math.round(external_ask * dynamicFormula[0] / 12)).html("$" + formatNumber(Math.round(external_ask * dynamicFormula[0] / 12)));
$('.monthly-sel .giftLevel:eq(1)').attr("data-dd-amount", Math.round((external_ask * dynamicFormula[1]) / 12)).html("$" + formatNumber(Math.round((external_ask * dynamicFormula[1]) / 12)));
$('.monthly-sel .giftLevel:eq(2)').attr("data-dd-amount", Math.round((external_ask * dynamicFormula[2]) / 12)).html("$" + formatNumber(Math.round((external_ask * dynamicFormula[2]) / 12)));
$('.monthly-sel .giftLevel:eq(3)').attr("data-dd-amount", Math.round((external_ask * dynamicFormula[3]) / 12)).html("$" + formatNumber(Math.round((external_ask * dynamicFormula[3]) / 12)));
$('.monthly-sel .giftLevel:eq(4)').attr("data-dd-amount", Math.round((external_ask * dynamicFormula[4]) / 12)).html("$" + formatNumber(Math.round((external_ask * dynamicFormula[4]) / 12)));
}
}
}
</script>
</div>
</div>
</div>
<div class="mainColumns">
<div class="userInfo billingInfo stepTwo hidden" style="display: none;">
<div class="mainSection userInfo">
<!-- ================================================= BILLING INFO -->
<h2>Your Information</h2>
<div class="inputGroup">
<!--start FIRST NAME INPUT GROUP-->
<div class="firstName col-md-6 nopadding" id="firstName">
<div class="inputBox firstName">
<input name="billing.name.first" id="customFirstName" class="firstName required" placeholder="First Name" title="required" type="text" value="" aria-required="true">
</div>
</div>
<!--end FIRST NAME INPUT GROUP-->
<!--start LAST NAME INPUT GROUP-->
<div class="col-md-6 nopadding" id="lastName">
<div class="inputBox lastName">
<input name="billing.name.last" id="customLastName" class="lastName required" placeholder="Last Name" title="required" type="text" value="" aria-required="true">
</div>
</div>
<!--end LAST NAME INPUT GROUP-->
</div>
<!--start EMAIL INPUT GROUP-->
<div class="inputGroup">
<div class="firstName col-md-6 nopadding" id="email">
<div class="inputBox email">
<input name="donor.email" id="customEmail" class="email required emailfull" placeholder="Email Address" title="required" type="text" data-rule-email="true" value="" aria-required="true">
</div>
</div>
<div class="col-md-6 nopadding" id="phone">
<div class="inputBox phone">
<input name="donor.phone" id="customPhone" class="phone" placeholder="Mobile Phone (Optional)" title="Mobile Phone" type="text" pattern="[0-9]*" value="">
</div>
</div>
</div>
<!--start COUNTRY 1 INPUT GROUP-->
<div class="inputGroup">
<div class="inputBox street">
<select name="billing.address.country" id="customCountry" size="1" placeholder="Country">
<option></option>
<option selected="selected" value="United States">United States</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Aland Islands">Aland Islands</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivarian Republic of Venezuela">Bolivarian Republic of Venezuela</option>
<option value="Bonaire, Sint Eustatios and Saba">Bonaire, Sint Eustatios and Saba</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic </option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote D'Ivoire">Cote D'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curacao">Curacao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Democratic People's Republic of Korea">Democratic People's Republic of Korea</option>
<option value="The Democratic Republic of the Congo">The Democratic Republic of the Congo</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas) </option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Federated States of Micronesia">Federated States of Micronesia</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="The Former Yugoslav Republic of Macedonia">The Former Yugoslav Republic of Macedonia</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories </option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Islamic Republic of Iran">Islamic Republic of Iran </option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">Northern Mariana Islands </option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Plurinational State of Bolivia">Plurinational State of Bolivia</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Republic of Korea">Republic of Korea</option>
<option value="Republic of Moldova">Republic of Moldova</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Barthelemy">Saint Barthelemy</option>
<option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin (French)">Saint Martin (French)</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon </option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="S. Georgia & S. Sandwich Isls.">S. Georgia & S. Sandwich Isls.</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten (Dutch)">Sint Maarten (Dutch)</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syrian Arab Republic">Syrian Arab Republic</option>
<option value="Taiwan, Province of China">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands </option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United Republic of Tanzania">United Republic of Tanzania </option>
<option value="Uruguay">Uruguay</option>
<option value="USA Minor Outlying Islands">USA Minor Outlying Islands </option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands (British)">Virgin Islands (British) </option>
<option value="Virgin Islands (USA)">Virgin Islands (USA)</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
</div>
</div>
<!--end ADDRESS 1 INPUT GROUP-->
<!--start ADDRESS 1 INPUT GROUP-->
<div class="inputGroup">
<div class="inputBox street">
<input name="billing.address.street1" id="customStreet" class="street required ContainsAtLeastOneDigit" placeholder="Address 1" title="required" type="text" value="" aria-required="true">
</div>
</div>
<!--end ADDRESS 1 INPUT GROUP-->
<!--start ADDRESS INPUT GROUP-->
<div class="inputGroup">
<div class="inputBox street">
<input name="billing.address.street2" id="customStreet" class="street" placeholder="Address 2 (optional)" title="" type="text" value="">
</div>
</div>
<!--end STREET INPUT GROUP-->
<!--start CITY/STATE/ZIP INPUT GROUP-->
<div class="inputGroup">
<div class="midBlock">
<div class="narrowBlock">
<!--start ZIP INPUT GROUP-->
<div class="cityStateZip col-md-4 nopadding" id="zip">
<div class="inputBox zip">
<input name="billing.address.zip" id="customZip" class="zip required" placeholder="Zip Code" title="required" type="text" value="" aria-required="true">
</div>
</div>
<!--end ZIP INPUT GROUP-->
<!--start CITY INPUT GROUP-->
<div class="cityStateZip col-md-3 nopadding" id="city">
<div class="inputBox city">
<input name="billing.address.city" id="customCity" class="city required" placeholder="City" title="required" type="text" value="" aria-required="true">
</div>
</div>
<!--end CITY INPUT GROUP-->
<!--start INTL STATE/PROVINCE INPUT GROUP-->
<div class="cityStateZip col-md-3 hidden nopadding" id="state_province">
<div class="inputBox state">
<!-- <input name="intl_billing_state_province"
id="customStateProvince" class="state_province required"
placeholder="State/Province" title="required" type="text"
value=""> -->
<input name="intl_billing_state_province" id="customStateProvince" class="state_province" placeholder="State/Province" type="text" value="">
</div>
</div>
<!--end CITY INPUT GROUP-->
<!--start STATE INPUT GROUP-->
<div class="col-md-5 nopadding stateContainer cityStateZip">
<div class="inputBox state">
<div class="inputBoxFader" id="state">
<select name="billing.address.state" id="customState" class="state required" title="required" aria-required="true">
<option value="" selected="">State</option>
<optgroup label="United States">
<option value="AK">AK - Alaska</option>
<option value="AL">AL - Alabama</option>
<option value="AR">AR - Arkansas</option>
<option value="AZ">AZ - Arizona</option>
<option value="CA">CA - California</option>
<option value="CO">CO - Colorado</option>
<option value="CT">CT - Connecticut</option>
<option value="DC">DC - District of Columbia </option>
<option value="DE">DE - Delaware</option>
<option value="FL">FL - Florida</option>
<option value="GA">GA - Georgia</option>
<option value="HI">HI - Hawaii</option>
<option value="IA">IA - Iowa</option>
<option value="ID">ID - Idaho</option>
<option value="IL">IL - Illinois</option>
<option value="IN">IN - Indiana</option>
<option value="KS">KS - Kansas</option>
<option value="KY">KY - Kentucky</option>
<option value="LA">LA - Louisiana</option>
<option value="MA">MA - Massachusetts </option>
<option value="MD">MD - Maryland</option>
<option value="ME">ME - Maine</option>
<option value="MI">MI - Michigan</option>
<option value="MN">MN - Minnesota</option>
<option value="MO">MO - Missouri</option>
<option value="MS">MS - Mississippi</option>
<option value="MT">MT - Montana</option>
<option value="NC">NC - North Carolina </option>
<option value="ND">ND - North Dakota </option>
<option value="NE">NE - Nebraska</option>
<option value="NH">NH - New Hampshire </option>
<option value="NJ">NJ - New Jersey</option>
<option value="NM">NM - New Mexico</option>
<option value="NV">NV - Nevada</option>
<option value="NY">NY - New York</option>
<option value="OH">OH - Ohio</option>
<option value="OK">OK - Oklahoma</option>
<option value="OR">OR - Oregon</option>
<option value="PA">PA - Pennsylvania </option>
<option value="RI">RI - Rhode Island </option>
<option value="SC">SC - South Carolina </option>
<option value="SD">SD - South Dakota </option>
<option value="TN">TN - Tennessee</option>
<option value="TX">TX - Texas</option>
<option value="UT">UT - Utah</option>
<option value="VA">VA - Virginia</option>
<option value="VT">VT - Vermont</option>
<option value="WA">WA - Washington</option>
<option value="WI">WI - Wisconsin</option>
<option value="WV">WV - West Virginia </option>
<option value="WY">WY - Wyoming</option>
</optgroup>
<optgroup label="US Territories">
<option value="AS">AS - American Samoa </option>
<option value="FM">FM - Federated States of Micronesia</option>
<option value="GU">GU - Guam</option>
<option value="MH">MH - Marshall Islands </option>
<option value="MP">MP - Northern Mariana Islands</option>
<option value="PR">PR - Puerto Rico</option>
<option value="PW">PW - Palau</option>
<option value="VI">VI - Virgin Islands </option>
</optgroup>
<optgroup label="US Military">
<option value="AA">AA - Armed Forces Americas</option>
<option value="AE">AE - Armed Forces </option>
<option value="AP">AP - Armed Forces Pacific </option>
</optgroup>
<optgroup label="Canada">
<option value="AB">AB - Alberta</option>
<option value="BC">BC - British Columbia </option>
<option value="MB">MB - Manitoba</option>
<option value="NB">NB - New Brunswick </option>
<option value="NL">NL - Newfoundland and Labrador</option>
<option value="NS">NS - Nova Scotia</option>
<option value="NT">NT - Northwest Territories</option>
<option value="NU">NU - Nunavut</option>
<option value="ON">ON - Ontario</option>
<option value="PE">PE - Prince Edward Island </option>
<option value="QC">QC - Quebec</option>
<option value="SK">SK - Saskatchewan </option>
<option value="YT">YT - Yukon</option>
</optgroup>
<optgroup label="Other Countries">
<option value="None">None</option>
</optgroup>
</select>
<script>
$('select#customState').val("");
</script>
</div>
</div>
</div>
<!--end STATE INPUT GROUP-->
</div>
</div>
</div>
<!--end CITY/STATE/ZIP INPUT GROUP-->
</div>
</div>
<!--end ADDRESS INPUT GROUP-->
<!-- Start Org Field -->
<!-- Source: DD_API_DONATE_FORM_ORG_FIELD -->
<div class="inputGroup orgFields billingInfo hidden stepTwo" style="display: none;">
<div class="orgField">
<div class="orgField">
<input type="checkbox" name="organizational_gift_dropdown" class="clear" id="organizational_gift_dropdown" value=""> <label for="organizational_gift_dropdown" class="orgLabel">Is this gift from an organization or company?</label>
<input type="hidden" name="organizational_giftsubmit" id="organizational_giftsubmit" value="true">
</div>
</div>
<div class="inputBox organization hidden" style="display: none">
<input name="organization_name_input" id="organization_name_input" class="organization" placeholder="Organization Name" type="text" value="" aria-required="true">
<input type="hidden" name="organization_namesubmit" id="organization_namesubmit" value="true">
</div>
</div>
<!-- End Org Field -->
<div class="payment paymentInfo stepThree hidden" style="display: none;">
<div class="payment">
<div class="mainSection payment">
<!-- ================================================= CARD INFO -->
<h2>Payment Information</h2>
<div id="customPaymentType" class="paymentType">
<div class="button paymentType CC selected">
<p>Credit Card</p>
</div>
<div class="button paymentType ACH">
<p>Bank Account</p>
</div>
<div class="button paymentType paypal" aria-label="Pay with PayPal">
<img class="paypal_off" src="../images/content/pagebuilder/paypal_logo.png" alt="Pay with PayPal"><img class="paypal_on" src="../images/content/pagebuilder/paypal_logo_on.png" alt="Pay with PayPal">
</div>
</div>
<div class="swapContainer payFields">
<div class="payFields">
<div>
<!--start CARD SWAP GROUP - - - - - - - - - - - - - - - - - - - - - -->
<div class="swapFieldGroup card">
<!--start CARD NUMBER INPUT GROUP-->
<div class="inputGroup">
<div id="CreditCard">
<div class="inputBox cardNbr">
<div class="cardIconBox">
<input name="card_number" id="customCardNbr" class="" placeholder="Credit Card Number" title="required" type="text" pattern="[0-9]*" required="" aria-required="true">
</div>
</div>
</div>
<div class="cardIconGroup" id="cardIconGroup">
<table>
<tbody>
<tr>
<td><img class="button cardIcon visa" src="../images/content/pagebuilder/prh_cc_icon_visa_55x34.png" alt="Visa" border="0"></td>
<td><img class="button cardIcon mc" src="../images/content/pagebuilder/prh_cc_icon_mc_55x34.png" alt="MasterCard" border="0"></td>
<td><img class="button cardIcon amex" src="../images/content/pagebuilder/prh_cc_icon_amex_55x34.png" alt="AmEx" border="0"></td>
<td><img class="button cardIcon discover" src="../images/content/pagebuilder/prh_cc_icon_discover_55x34.png" alt="Discover" border="0"></td>
</tr>
</tbody>
</table>
</div>
</div>
<!--end CARD NUMBER INPUT GROUP-->
<!--start CARD INFO INPUT GROUP-->
<div class="inputGroup cardInfo">
<div class="cardExpire relativer">
<div class="expirationDate"> Expiration date: </div>
<!-- <div class="hidden-md hidden-lg">
<a href="http://help.convio.net/site/PageServer?s_site=ph&pagename=user_donation_cvv&s_locale=en_US" class="HelpLink" title="What is this? Opens new window.">What is this?</a></div> -->
<div class="inputBox">
<select name="card_exp_date_month" id="customCardExpireMonth" class="cardExpireMonth required" title="required" aria-required="true">
<option value="">Month</option>
<option value="--">—</option>
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
</div>
<div class="inputBox">
<select name="card_exp_date_year" id="customCardExpireYear" class="cardExpireYear required" title="required" aria-required="true">
<option value="">Year </option>
<option value="--">—</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
<option value="2031">2031</option>
<option value="2032">2032</option>
</select>
</div>
<div class="inputBox cardCvv">
<input name="card_cvv" id="customCardCvv" class="cardCvv required" placeholder="CVV" title="required" type="text" pattern="[0-9]*" aria-required="true">
</div>
<div class="whatsThis">
<p class="relativee hidden-xs hidden-sm">
<a href="http://help.convio.net/site/PageServer?s_site=ph&pagename=user_donation_cvv&s_locale=en_US" class="HelpLink" title="What is this? Opens new window.">What is this?</a>
</p>
</div>
</div>
</div>
<!--end CARD INFO INPUT GROUP-->
</div>
</div>
</div>
<!--end SWAP CONTAINER-->
</div>
<div class="swapContainer achFields" style="display:none;">
<div class="achFields">
<div>
<!--start CARD SWAP GROUP - - - - - - - - - - - - - - - - - - - - - -->
<div class="swapFieldGroup achInput">
<div class="inputGroup">
<div class="inputBox achRouting">
<input name="ach_routing" id="customRoutingNbr" class="required" placeholder="Bank Routing Number" title="required" type="text" pattern="[0-9]*" required="" aria-required="true">
</div>
<div class="inputBox achType">
<select name="ach_account_type" id="customAcctType" class="required" title="required" aria-required="true">
<option value="">Account Type</option>
<option value="CHECKING">CHECKING</option>
<option value="SAVINGS">SAVINGS</option>
</select>
</div>
<div class="whatsThis">
<p>
<a href="http://help.convio.net/site/PageServer?s_site=ph&pagename=User_Donation_ACH" class="HelpLink" title="What is this? Opens new window.">What is this?</a>
</p>
</div>
<div class="inputBox achAccount">
<input name="ach_account" id="customAcctNbr" class="required" placeholder="Bank Account Number" title="required" type="text" required="" aria-required="true">
</div>
<div class="inputBox achAccount">
<input name="ach_account_verify" id="customAcctNbr2" class="required" placeholder="Verify Bank Account Number" title="match account number above" type="text" data-rule-equalto="#customAcctNbr" required=""
aria-required="true">
</div>
</div>
<div class="inputGroup achCheckbox">
<input type="checkbox" name="responsive_payment_typeach_confirmname" id="responsive_payment_typeach_confirmname" class="required" title="ACH Confirm" aria-required="true">
<label for="responsive_payment_typeach_confirmname">By checking this option, I agree to use my bank account as a payment method and authorize this organization to debit my bank account to fulfill my donation
commitment.</label>
</div>
</div>
</div>
</div>
</div>
<!--end SWAP CONTAINER-->
</div>
</div>
</div>
</div>
<!-- <p class="fieldsNotFilled">Form not complete</p> -->
<!-- Tribute START -->
<div class="checkTribute stepThree" style="display: none;">
<div class="checkTribute">
<input type="checkbox" name="ecard_show_fields" class="clear" id="tribute_show_fields" onclick="toggleTribute('.honorSection', this)" value=""><label for="tribute_show_fields" class="tributeLabel">This gift is in honor or memory of
someone</label>
</div>
</div>
<div class="honorSection" style="display: none;">
<div class="mainSection tributeInfo">
<!--start Honor Gift info-->
<div class="inputGroup">
<div class="midBlock">
<div class="firstName col-md-6 nopadding">
<div class="inputBox">
<div class="inputBoxFader">
<input name="tribute.honoree.name.first" class="honoree honoreeFirst clear required" aria-required="true" id="honoreeFirst" placeholder="Honoree First Name" type="text">
</div>
</div>
</div>
<div class="col-md-6 nopadding">
<div class="inputBox">
<input name="tribute.honoree.name.last" id="honoreeLast" class="honoree honoreeLast clear required" aria-required="true" placeholder="Honoree Last Name" type="text">
</div>
</div>
<div class="narrowBlock">
<div class="honorContainer">
<div class="inputBox">
<div class="inputBoxFader">
<select name="tribute.type" class="honoree tributeType clear required" aria-required="true" id="tributeType" title="This field is required">
<option value="">Honor Gift type</option>
<option value="--">—</option>
<option value="memorial">In Memory Of</option>
<option value="tribute">In Honor Of</option>
</select>
</div>
</div>
</div>
</div>
<div class="firstName col-md-6 nopadding">
<div class="inputBox">
<div class="inputBoxFader">
<select name="tribute.notify.name.title" id="tribute_notify_recip_title" aria-required="true" title="Notification Recipient Title">
<option>Notification Title</option>
<option value="Mr.">Mr.</option>
<option value="Ms.">Ms.</option>
<option value="Mrs.">Mrs.</option>
<option value="Miss">Miss</option>
<option value="Dr.">Dr.</option>
</select>
</div>
</div>
</div>
<div class="col-md-6 nopadding">
<div class="inputBox">
<div class="inputBoxFader">
<input name="tribute.notify.name.full" class="honoree honoreeFirst clear" aria-required="true" id="honoreeFirstN" placeholder="Notification Name" type="text">
</div>
</div>
</div>
</div>
<!--start COUNTRY 1 INPUT GROUP-->
<div class="inputGroup">
<div class="inputBox street">
<select name="tribute.notify.address.country" id="customCountryN" size="1" placeholder="Country">
<option></option>
<option selected="selected" value="United States">United States</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Aland Islands">Aland Islands</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivarian Republic of Venezuela">Bolivarian Republic of Venezuela</option>
<option value="Bonaire, Sint Eustatios and Saba">Bonaire, Sint Eustatios and Saba</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic </option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote D'Ivoire">Cote D'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curacao">Curacao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Democratic People's Republic of Korea">Democratic People's Republic of Korea</option>
<option value="The Democratic Republic of the Congo">The Democratic Republic of the Congo</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas) </option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Federated States of Micronesia">Federated States of Micronesia</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="The Former Yugoslav Republic of Macedonia">The Former Yugoslav Republic of Macedonia</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories </option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Islamic Republic of Iran">Islamic Republic of Iran </option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">Northern Mariana Islands </option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
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by covering the processing fees, bringing my total monthly gift to</span> $<span id="feeAmount">92.70</span></span>.</p>
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<div id="mobile-content" style="display: none;">
<p>Give now to help deliver 3X the health, healing and HOPE around the world — and <strong>help Artem reach his special Giving Tuesday goal of $50,000 before midnight on 11/28.</strong> The growing frequency and intensity of humanitarian
crises in places like Ukraine and Gaza means we’re counting on compassionate people like you to <strong>help provide medicines, care, training for health workers and relief</strong> for children and families across the world.</p>
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<div class="hidden" id="monthly-level-id">21668</div>
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<div class="stepThree hidden" id="disclaimer" style="display: none;"> By submitting this form, you consent to receive communications from us, including text messages if you’ve provided your phone number. </div>
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</form>Text Content
GIVING TUESDAY 3X MATCHING GIFT CHALLENGE Give now to help deliver 3X the health, healing and HOPE around the world — and help Artem reach his special Giving Tuesday goal of $50,000 before midnight on 11/28. The growing frequency and intensity of humanitarian crises in places like Ukraine and Gaza means we’re counting on compassionate people like you to help provide medicines, care, training for health workers and relief for children and families across the world. GIVING TUESDAY 3X MATCHING GIFT CHALLENGE * 1 Amount * 2 Billing * 3 Payment WILL YOU HELP? While we’re helping save lives in the aftermath of the earthquake in Morocco, we’re still rebuilding health care in places like Ukraine. By making your gift monthly, you’ll provide the support we need to truly transform lives and send HOPE around the world — and your first gift will be matched. GIVE X MONTHLY & MATCH MY GIFT No thanks, please process my one‑time gift You can change or cancel your monthly donation at any time. YOUR GIFT ONE-TIME MONTHLY $60 $90 $120 $300 $600 Other Other $ $20 $35 $50 $100 $250 Other Other $ YOUR INFORMATION United States Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivarian Republic of Venezuela Bonaire, Sint Eustatios and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Democratic People's Republic of Korea The Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Federated States of Micronesia Fiji Finland The Former Yugoslav Republic of Macedonia France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Islamic Republic of Iran Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Plurinational State of Bolivia Poland Portugal Puerto Rico Qatar Republic of Korea Republic of Moldova Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles S. Georgia & S. Sandwich Isls. Sierra Leone Singapore Sint Maarten (Dutch) Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United Republic of Tanzania Uruguay USA Minor Outlying Islands Uzbekistan Vanuatu Viet Nam Virgin Islands (British) Virgin Islands (USA) Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe State AK - Alaska AL - Alabama AR - Arkansas AZ - Arizona CA - California CO - Colorado CT - Connecticut DC - District of Columbia DE - Delaware FL - Florida GA - Georgia HI - Hawaii IA - Iowa ID - Idaho IL - Illinois IN - Indiana KS - Kansas KY - Kentucky LA - Louisiana MA - Massachusetts MD - Maryland ME - Maine MI - Michigan MN - Minnesota MO - Missouri MS - Mississippi MT - Montana NC - North Carolina ND - North Dakota NE - Nebraska NH - New Hampshire NJ - New Jersey NM - New Mexico NV - Nevada NY - New York OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VA - Virginia VT - Vermont WA - Washington WI - Wisconsin WV - West Virginia WY - Wyoming AS - American Samoa FM - Federated States of Micronesia GU - Guam MH - Marshall Islands MP - Northern Mariana Islands PR - Puerto Rico PW - Palau VI - Virgin Islands AA - Armed Forces Americas AE - Armed Forces AP - Armed Forces Pacific AB - Alberta BC - British Columbia MB - Manitoba NB - New Brunswick NL - Newfoundland and Labrador NS - Nova Scotia NT - Northwest Territories NU - Nunavut ON - Ontario PE - Prince Edward Island QC - Quebec SK - Saskatchewan YT - Yukon None Is this gift from an organization or company? PAYMENT INFORMATION Credit Card Bank Account Expiration date: Month — 01 02 03 04 05 06 07 08 09 10 11 12 Year — 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 What is this? Account Type CHECKING SAVINGS What is this? By checking this option, I agree to use my bank account as a payment method and authorize this organization to debit my bank account to fulfill my donation commitment. This gift is in honor or memory of someone Honor Gift type — In Memory Of In Honor Of Notification Title Mr. Ms. Mrs. Miss Dr. United States Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivarian Republic of Venezuela Bonaire, Sint Eustatios and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Democratic People's Republic of Korea The Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Federated States of Micronesia Fiji Finland The Former Yugoslav Republic of Macedonia France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Islamic Republic of Iran Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Plurinational State of Bolivia Poland Portugal Puerto Rico Qatar Republic of Korea Republic of Moldova Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles S. Georgia & S. Sandwich Isls. Sierra Leone Singapore Sint Maarten (Dutch) Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United Republic of Tanzania Uruguay USA Minor Outlying Islands Uzbekistan Vanuatu Viet Nam Virgin Islands (British) Virgin Islands (USA) Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe State/Province — AK AL AR AZ CA CO CT DC DE FL GA 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 ON OR PA RI SC SD TN TX UT VA VT WA WI WV WY — AA AE AP Yes, include the gift amount in the message I want my donation to go further by covering the processing fees, bringing my total gift toI want my donation to go further by covering the processing fees, bringing my total monthly gift to $92.70. NEXT Give now to help deliver 3X the health, healing and HOPE around the world — and help Artem reach his special Giving Tuesday goal of $50,000 before midnight on 11/28. The growing frequency and intensity of humanitarian crises in places like Ukraine and Gaza means we’re counting on compassionate people like you to help provide medicines, care, training for health workers and relief for children and families across the world. DONATE 21668 By submitting this form, you consent to receive communications from us, including text messages if you’ve provided your phone number. Project HOPE All Rights Reserved. Privacy Policy 844-349-0188 PO Box 3270, Harlan, IA 51593-0450 Need help with your donation? Please contact our Donor Services team at 1 (844) 349‑0188 Monday to Friday, 8:30am – 9:00pm ET or email DonorServices@projecthope.org. Make a tax‑deductible gift with your donor-advised fund or cryptocurrency. A gift to this appeal will be used to support Project HOPE’s global emergency response, medical, educational and humanitarian assistance programs, wherever the need is greatest. Project HOPE — The People-to-People Health Foundation, Inc. Dba Project HOPE is a 501(c)(3) not‑for‑profit organization, CFC #11115, EIN 53‑0242962. Please complete your lifesaving donation It only takes a few moments to help deliver urgently-needed medicine, supplies and aid to families who need it most. « TAKE ME BACK