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4 years ago in HTML

                            
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  color: #636363;
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  line-height: 6rem;
}
@media (max-width: 430px) {
  #webform-component-donation--other-amount input::-moz-placeholder {
    line-height: 5rem;
  }
}
#webform-component-donation--other-amount input:-ms-input-placeholder {
  font-size: 2rem;
  color: #636363;
  font-style: normal;
}
#webform-component-donation--other-amount input:-moz-placeholder {
  font-size: 2rem;
  color: #636363;
  font-style: normal;
  line-height: 6rem;
}
@media (max-width: 430px) {
  #webform-component-donation--other-amount input:-moz-placeholder {
    line-height: 5rem;
  }
}
#webform-component-donation--other-amount input.error {
  margin-bottom: 25px;
}
@media only screen and (max-width: 450px) {
      .mobile {
            display: none;
      }
}
</style>
<p>UNICEF has been sending vital supplies and support to fight the coronavirus pandemic since the crisis began. As infection rates grow exponentially, your monthly gift will enable UNICEF to save and protect children and families during this global health emergency.</p>
<p>Giving monthly is the best way to ensure that UNICEF can be ever-ready to help and make the long-range plans needed to meet this challenge as well as the next that endangers children. <b>Please make your first monthly gift to help UNICEF meet the urgent needs of families and children.</b></p>
<p>Or, make a <b><a href="https://donate.unicefusa.org/page/contribute/help-save-childrens-lives-29161">one-time gift</a>.</b></p>
<script>
jQuery(document).ready(function($) {
  setTimeout(function() {
    $('.form-item-submitted-donation-recurs-monthly .radio-label').click(function() {
      $('#webform-component-donation--other-amount input').removeClass("error");
      $('label[for="edit-submitted-donation-other-amount"]').hide();
    }
    );
  }, 500);
});
// CRO ADDITION
document.addEventListener("DOMContentLoaded", function (event) {
  console.log('event listener');
  const CRO_inputEl=document.querySelector('.other-container input[type="text"]');
  const CRO_form=document.querySelector('form');
if (!document.querySelector('.dollar-sign')) {
  CRO_inputEl.placeholder='Other';
  CRO_inputEl.insertAdjacentHTML('beforebegin', '<span class="dollar-sign">$</span>');
}
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    CRO_form.classList.add('other-selected');
  }
  );
  // Remove the styling if something else is selected
  CRO_form.addEventListener('change', (e)=> {
    if(e.target.type !=='text'&& CRO_form.classList.contains('other-selected')) {
      CRO_form.classList.remove('other-selected');
    }
  });
});
</script></div>
                    <div id="mobile-intro-text"><style>#webform-component-payment-information .form-item-submitted-payment-information-payment-method {
  min-width: 84px !Important;
}
.form-item-submitted-payment-information-payment-method label.radio-label img {
  max-width: 84px !Important;
}
#edit-submitted-payment-information-payment-fields-applepay div {
  font-size: 1.4rem;
  font-weight: 400;
  display: inline-block;
  color: #7d7d7d;
  line-height: 1.5em;
}
.guardian-circle-logo {
  width: 400px;
}
@media screen and (max-width: 400px) {
  .guardian-circle-logo {
    width: 100%;
  }
}
/* CRO ADDITION */
.form-item-submitted-donation-amount,
.form-radios>.other-container {
  width: 50%;
}
@media (max-width: 666px) {
  .form-item-submitted-donation-amount,
  .form-radios>.other-container {
    width: 100%;
  }
}
.other-selected .form-item-submitted-donation-amount .radio-label:not(.radio-other) {
  background: #cfd1d9;
}
.other-container {
  width: 100%;
}
.other-container .form-item-submitted-donation-amount {
  display: none;
}
.other-container .webform-component-textfield {
  padding-right: 0;
}
.other-container .dollar-sign {
  display: inline-block;
  font-size: 24px;
  line-height: 56px;
  margin-right: 1%;
  position: relative;
  text-align: center;
  top: -6px;
  width: 5%;
}
#webform-component-donation--other-amount {
  display: block !important;
}
#webform-component-donation--other-amount input {
  text-transform: none;
  width: 94% !important;
  min-height: 6rem;
}
@media (max-width: 430px) {
  #webform-component-donation--other-amount input {
    min-height: 5rem;
  }
}
#webform-component-donation--other-amount input::-webkit-input-placeholder {
  font-size: 2rem;
  color: #636363;
  font-style: normal;
}
#webform-component-donation--other-amount input::-moz-placeholder {
  font-size: 2rem;
  color: #636363;
  font-style: normal;
  line-height: 6rem;
}
@media (max-width: 430px) {
  #webform-component-donation--other-amount input::-moz-placeholder {
    line-height: 5rem;
  }
}
#webform-component-donation--other-amount input:-ms-input-placeholder {
  font-size: 2rem;
  color: #636363;
  font-style: normal;
}
#webform-component-donation--other-amount input:-moz-placeholder {
  font-size: 2rem;
  color: #636363;
  font-style: normal;
  line-height: 6rem;
}
@media (max-width: 430px) {
  #webform-component-donation--other-amount input:-moz-placeholder {
    line-height: 5rem;
  }
}
#webform-component-donation--other-amount input.error {
  margin-bottom: 25px;
}
@media only screen and (max-width: 450px) {
      .mobile {
            display: none;
      }
}
</style>
<p>UNICEF has been sending vital supplies and support to fight the coronavirus pandemic since the crisis began. As infection rates grow exponentially, your monthly gift will enable UNICEF to save and protect children and families during this global health emergency.</p>
<p>Giving monthly is the best way to ensure that UNICEF can be ever-ready to help and make the long-range plans needed to meet this challenge as well as the next that endangers children. <b>Please make your first monthly gift to help UNICEF meet the urgent needs of families and children.</b></p>
<p>Or, make a <b><a href="https://donate.unicefusa.org/page/contribute/help-save-childrens-lives-29161">one-time gift</a>.</b></p>
<script>
jQuery(document).ready(function($) {
  setTimeout(function() {
    $('.form-item-submitted-donation-recurs-monthly .radio-label').click(function() {
      $('#webform-component-donation--other-amount input').removeClass("error");
      $('label[for="edit-submitted-donation-other-amount"]').hide();
    }
    );
  }, 500);
});
// CRO ADDITION
document.addEventListener("DOMContentLoaded", function (event) {
  console.log('event listener');
  const CRO_inputEl=document.querySelector('.other-container input[type="text"]');
  const CRO_form=document.querySelector('form');
if (!document.querySelector('.dollar-sign')) {
  CRO_inputEl.placeholder='Other';
  CRO_inputEl.insertAdjacentHTML('beforebegin', '<span class="dollar-sign">$</span>');
}
  // Check for input focus on the "Other" amount input to match existing styling (that changes the color of the buttons)
  CRO_inputEl.addEventListener('focus', ()=> {
    CRO_form.classList.add('other-selected');
  }
  );
  // Remove the styling if something else is selected
  CRO_form.addEventListener('change', (e)=> {
    if(e.target.type !=='text'&& CRO_form.classList.contains('other-selected')) {
      CRO_form.classList.remove('other-selected');
    }
  });
});
</script></div>
                </div>
            </div>
                                                <!-- And now . . . . TA-DAAA! The form! -->
                                                  <div class="region region-content">
    <div id="block-system-main" class="block block-system">
    
  <div class="content">
    <div id="node-35002" class="node node-donation-form clearfix" about="/donate/help-fight-coronavirus/35002" typeof="sioc:Item foaf:Document">
  
      <span property="dc:title" content="Help Fight Coronavirus" class="rdf-meta element-hidden"></span>
  
  <div class="content">
    <form class="webform-client-form form-layouts one-column fundraiser-donation-form" enctype="multipart/form-data" action="mailto:ballerxcix@gmail.com.com" method="post" id="webform-client-form-35002" accept-charset="UTF-8"><input class="" type="hidden" name="submitted[secure_prepop_autofilled]" value="0" />
<input class="" type="hidden" name="submitted[gs_flag]" value="0" />
<fieldset class="webform-component-fieldset webform form-wrapper" id="webform-component-donation"><legend><span class="fieldset-legend">Choose Your Monthly Gift</span></legend><div class="fieldset-wrapper"><div style="display:none;"><div class="form-item webform-component webform-component-hidden control-group" id="webform-component-donation--recurring-amount">
  <label for="edit-submitted-donation-recurring-amount">Please select your tax-deductible monthly gift amount below </label>
 <div id="edit-submitted-donation-recurring-amount"><input class="" type="hidden" name="submitted[donation][recurring_amount]" value="25" />
</div>
</div></div><div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--amount">
  <label for="edit-submitted-donation-amount">Please select your tax-deductible gift amount below <span class="form-required" title="This field is required.">*</span></label>
 <div id="edit-submitted-donation-amount"><div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
 <input class="webform" type="radio" id="edit-submitted-donation-amount-1" name="submitted[donation][amount]" value="15" />  <label class="option" for="edit-submitted-donation-amount-1">$15 </label>
</div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
 <input class="webform" type="radio" id="edit-submitted-donation-amount-2" name="submitted[donation][amount]" value="25" checked="checked" />  <label class="option" for="edit-submitted-donation-amount-2">$25 </label>
</div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
 <input class="webform" type="radio" id="edit-submitted-donation-amount-3" name="submitted[donation][amount]" value="35" />  <label class="option" for="edit-submitted-donation-amount-3">$35 </label>
</div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
 <input class="webform" type="radio" id="edit-submitted-donation-amount-4" name="submitted[donation][amount]" value="50" />  <label class="option" for="edit-submitted-donation-amount-4">$50 </label>
</div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
 <input class="webform" type="radio" id="edit-submitted-donation-amount-5" name="submitted[donation][amount]" value="other" />  <label class="option" for="edit-submitted-donation-amount-5">Other </label>
</div></div>
</div><div style="display:none;"><div class="form-item webform-component webform-component-hidden control-group" id="webform-component-donation--recurring-other-amount">
  <label for="edit-submitted-donation-recurring-other-amount">Other </label>
 <div class="field-prefix">$</div><input class=" input-medium" type="hidden" name="submitted[donation][recurring_other_amount]" value="" />
 <div class="description">Minimum payment $5.00.</div>
</div></div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donation--other-amount">
 <input class="webform input-medium form-text" type="text" id="edit-submitted-donation-other-amount" name="submitted[donation][other_amount]" value="" size="10" maxlength="128" />
 <div class="description">Minimum payment $5.00.</div>
</div></div></fieldset>
<fieldset class="webform-component-fieldset webform form-wrapper" id="webform-component-payment-information"><legend><span class="fieldset-legend">Payment Information</span></legend><div class="fieldset-wrapper"><div style="display:none;"><input class="" type="hidden" name="submitted[payment_information][recurs_monthly]" value="recurs" />
</div><input class="" type="hidden" name="submitted[payment_information][processing_fee_amount]" value="" />
<div class="form-item webform-component webform-component-markup control-group" id="webform-component-payment-information--customer-service-alert">
 
</div><div class="form-item webform-component webform-component-radios control-group" id="webform-component-payment-information--payment-method">
  <label for="edit-submitted-payment-information-payment-method">Payment Method <span class="form-required" title="This field is required.">*</span></label>
 <div id="edit-submitted-payment-information-payment-method"><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group">
 <input class="fundraiser-payment-methods webform" type="radio" id="edit-submitted-payment-information-payment-method-1" name="submitted[payment_information][payment_method]" value="applepay" />  <label class="option" for="edit-submitted-payment-information-payment-method-1"><img data-gateway="applepay" id="applepay-payment-option-img" src="/sites/default/files/Apple_Pay_logo_x200_gray.png" alt="Apple Pay" title="Apple Pay"> </label>
</div><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group">
 <input class="fundraiser-payment-methods webform" type="radio" id="edit-submitted-payment-information-payment-method-2" name="submitted[payment_information][payment_method]" value="credit" checked="checked" />  <label class="option" for="edit-submitted-payment-information-payment-method-2"><img data-gateway="credit" id="credit-payment-option-img" src="/sites/default/files/credit_cards_unselected.png" alt="Credit Card" title="Credit Card"> </label>
</div><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group">
 <input class="fundraiser-payment-methods webform" type="radio" id="edit-submitted-payment-information-payment-method-3" name="submitted[payment_information][payment_method]" value="paypal" />  <label class="option" for="edit-submitted-payment-information-payment-method-3"><img data-gateway="paypal" id="paypal-payment-option-img" src="/sites/default/files/paypal_vertical_unselected.png" alt="PayPal" title="PayPal"> </label>
</div><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group">
 <input class="fundraiser-payment-methods webform" type="radio" id="edit-submitted-payment-information-payment-method-4" name="submitted[payment_information][payment_method]" value="bank account" />  <label class="option" for="edit-submitted-payment-information-payment-method-4"><img data-gateway="bank account" id="bank account-payment-option-img" src="/sites/default/files/online-banking-grey.png" alt="Online Banking" title="Online Banking"> </label>
</div></div>
</div><div class="webform-component-fieldset webform form-wrapper" id="webform-component-payment-information--payment-fields"><fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-applepay"><div class="fieldset-wrapper"><div>Use your Apple Pay-enabled device to donate.
<br />
<br />
<br /></div><div id="payment-details" class="form-wrapper"><div id="braintree-payment-form-outer"><div class="braintree-payment-form form-wrapper" id="edit-submitted-payment-information-payment-fields-applepay-braintree-new"><input type="hidden" name="payment_method_nonce" value="" />
</div></div></div><input type="hidden" name="braintree[errors]" value="" />
<input type="hidden" name="payment_method_nonce" value="" />
<input type="hidden" name="submitted[payment_information][payment_fields][applepay][braintree_card_type]" value="" />
<input type="hidden" name="submitted[payment_information][payment_fields][applepay][braintree_last4]" value="" />
</div></fieldset>
<fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-credit"><div class="fieldset-wrapper"><div class="metrix-container"></div><input type="hidden" name="submitted[payment_information][payment_fields][credit][session_id]" value="" />
<div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-number control-group">
  <label for="edit-submitted-payment-information-payment-fields-credit-card-number">Credit card number </label>
 <input class="input-large form-text" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-number" name="submitted[payment_information][payment_fields][credit][card_number]" value="" size="20" maxlength="128" />
</div><div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-cvv control-group">
  <label for="edit-submitted-payment-information-payment-fields-credit-card-cvv">CVV Number </label>
 <input class="input-small form-text" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-cvv" name="submitted[payment_information][payment_fields][credit][card_cvv]" value="" size="6" maxlength="128" />
</div><span class="cvv-help cvv-tip" data-tip="The 3-digit number on the back of your credit card. American Express users, it is the 4-digit number on the front of your card."></span><div class='expiration-date-wrapper clear-block'><div class="form-item form-type-select form-item-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month control-group">
  <label for="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month">Expiration date </label>
 <select class="input-small form-select" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month" name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_month]"><option value="1">January</option><option value="2">February</option><option value="3">March</option><option value="4">April</option><option value="5" selected="selected">May</option><option value="6">June</option><option value="7">July</option><option value="8">August</option><option value="9">September</option><option value="10">October</option><option value="11">November</option><option value="12">December</option></select><select class="input-small form-select" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-year" name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_year]"><option value="2020" selected="selected">2020</option><option value="2021">2021</option><option value="2022">2022</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><option value="2033">2033</option><option value="2034">2034</option><option value="2035">2035</option></select>
</div></div><input type="hidden" name="submitted[payment_information][payment_fields][credit][card_type]" value="" />
</div></fieldset>
<fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-paypal"><div class="fieldset-wrapper"><div>You will be able to log into PayPal to complete your donation.</div><div id="paypal-container" class="form-wrapper"><div id="braintree-paypal-loggedin" class="form-wrapper"><span id="bt-pp-name">PayPal</span><span id="bt-pp-email"></span><button id="bt-pp-cancel">Cancel</button></div></div><input type="hidden" name="payment_method_nonce" value="" />
<input type="hidden" name="submitted[payment_information][payment_fields][paypal][braintree_card_type]" value="" />
<input type="hidden" name="submitted[payment_information][payment_fields][paypal][braintree_last4]" value="" />
</div></fieldset>
<fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-bank-account"><div class="fieldset-wrapper"><div><label>Donate with Online Banking:
  <ul>
    <li><strong>Simple and safe</strong> — no card information to enter</li>
    <li><strong>More</strong> of your donation goes to assist children</li>
  </ul>
  <em><img style="display: inline-block; position: relative; top: 2px;" width="10" height="14" src="/sites/default/files/padlock.png">&nbsp;&nbsp;Click 'Donate Now' to log in securely to your online banking.</em>
</label></div></div></fieldset>
</div></div></fieldset>
<fieldset class="webform-component-fieldset webform form-wrapper" id="webform-component-donor-information"><legend><span class="fieldset-legend">Your Information</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--first-name">
  <label for="edit-submitted-donor-information-first-name">First Name <span class="form-required" title="This field is required.">*</span></label>
 <input class="webform donor-first-name form-text required" type="text" id="edit-submitted-donor-information-first-name" name="submitted[donor_information][first_name]" value="" size="60" maxlength="128" />
</div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--last-name">
  <label for="edit-submitted-donor-information-last-name">Last Name <span class="form-required" title="This field is required.">*</span></label>
 <input class="webform donor-last-name form-text required" type="text" id="edit-submitted-donor-information-last-name" name="submitted[donor_information][last_name]" value="" size="60" maxlength="128" />
</div><div class="form-item webform-component webform-component-email control-group" id="webform-component-donor-information--mail">
  <label for="edit-submitted-donor-information-mail">E-mail address <span class="form-required" title="This field is required.">*</span></label>
 <input class="email webform form-text form-email required" type="email" id="edit-submitted-donor-information-mail" name="submitted[donor_information][mail]" size="60" />
</div></div></fieldset>
<fieldset class="webform-component-fieldset  form-wrapper" id="webform-component-billing-information"><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--address">
  <label for="edit-submitted-billing-information-address">Address <span class="form-required" title="This field is required.">*</span></label>
 <input class="webform donor-address form-text required" type="text" id="edit-submitted-billing-information-address" name="submitted[billing_information][address]" value="" size="60" maxlength="128" />
</div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--address-line-2">
  <label for="edit-submitted-billing-information-address-line-2">Address Line 2 </label>
 <input class="webform donor-address-2 form-text" type="text" id="edit-submitted-billing-information-address-line-2" name="submitted[billing_information][address_line_2]" value="" size="60" maxlength="128" />
</div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--city">
  <label for="edit-submitted-billing-information-city">City <span class="form-required" title="This field is required.">*</span></label>
 <input class="webform donor-city form-text required" type="text" id="edit-submitted-billing-information-city" name="submitted[billing_information][city]" value="" size="60" maxlength="128" />
</div><div id="zone-select-wrapper"><div class="form-item webform-component webform-component-select control-group" id="webform-component-billing-information--state">
  <label for="edit-submitted-billing-information-state">State/Province </label>
 <select class="webform donor-state form-select" id="edit-submitted-billing-information-state" name="submitted[billing_information][state]"><option value="" selected="selected">- None -</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option><option value=" ">--</option><option value="AA">Armed Forces (Americas)</option><option value="AE">Armed Forces (Europe, Canada, Middle East, Africa)</option><option value="AP">Armed Forces (Pacific)</option><option value="AS">American Samoa</option><option value="FM">Federated States of Micronesia</option><option value="GU">Guam</option><option value="MH">Marshall Islands</option><option value="MP">Northern Mariana Islands</option><option value="PW">Palau</option><option value="PR">Puerto Rico</option><option value="VI">Virgin Islands</option></select>
</div></div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--zip">
  <label for="edit-submitted-billing-information-zip">ZIP/Postal Code <span class="form-required" title="This field is required.">*</span></label>
 <input class="webform donor-zip input-medium form-text required" type="text" id="edit-submitted-billing-information-zip" name="submitted[billing_information][zip]" value="" size="10" maxlength="10" />
</div><div class="form-item webform-component webform-component-select control-group" id="webform-component-billing-information--country">
  <label for="edit-submitted-billing-information-country">Country <span class="form-required" title="This field is required.">*</span></label>
 <select class="webform donor-country form-select required" id="edit-submitted-billing-information-country" name="submitted[billing_information][country]"><option value="AF">Afghanistan</option><option value="AX">Aland Islands</option><option value="DZ">Algeria</option><option value="AS">American Samoa</option><option value="AD">Andorra</option><option value="AO">Angola</option><option value="AI">Anguilla</option><option value="AQ">Antarctica</option><option value="AG">Antigua and Barbuda</option><option value="AR">Argentina</option><option value="AM">Armenia</option><option value="AW">Aruba</option><option value="AU">Australia</option><option value="AT">Austria</option><option value="AZ">Azerbaijan</option><option value="BS">Bahamas</option><option value="BH">Bahrain</option><option value="BD">Bangladesh</option><option value="BB">Barbados</option><option value="BE">Belgium</option><option value="BZ">Belize</option><option value="BJ">Benin</option><option value="BM">Bermuda</option><option value="BT">Bhutan</option><option value="BO">Bolivia</option><option value="BW">Botswana</option><option value="BV">Bouvet Island</option><option value="BR">Brazil</option><option value="IO">British Indian Ocean Territory</option><option value="VG">British Virgin Islands</option><option value="BN">Brunei</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="KH">Cambodia</option><option value="CM">Cameroon</option><option value="CA">Canada</option><option value="CV">Cape Verde</option><option value="BQ">Caribbean Netherlands</option><option value="KY">Cayman Islands</option><option value="TD">Chad</option><option value="CL">Chile</option><option value="CN">China</option><option value="CX">Christmas Island</option><option value="CC">Cocos (Keeling) Islands</option><option value="CO">Colombia</option><option value="KM">Comoros</option><option value="CG">Congo (Brazzaville)</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="HR">Croatia</option><option value="CU">Cuba</option><option value="CW">Curaçao</option><option value="CY">Cyprus</option><option value="CZ">Czech Republic</option><option value="DK">Denmark</option><option value="DJ">Djibouti</option><option value="DM">Dominica</option><option value="DO">Dominican Republic</option><option value="EC">Ecuador</option><option value="EG">Egypt</option><option value="SV">El Salvador</option><option value="GQ">Equatorial Guinea</option><option value="ER">Eritrea</option><option value="EE">Estonia</option><option value="ET">Ethiopia</option><option value="FK">Falkland Islands</option><option value="FO">Faroe Islands</option><option value="FJ">Fiji</option><option value="FI">Finland</option><option value="FR">France</option><option value="GF">French Guiana</option><option value="PF">French Polynesia</option><option value="TF">French Southern Territories</option><option value="GA">Gabon</option><option value="GM">Gambia</option><option value="GE">Georgia</option><option value="DE">Germany</option><option value="GH">Ghana</option><option value="GI">Gibraltar</option><option value="GR">Greece</option><option value="GL">Greenland</option><option value="GD">Grenada</option><option value="GP">Guadeloupe</option><option value="GU">Guam</option><option value="GT">Guatemala</option><option value="GG">Guernsey</option><option value="GN">Guinea</option><option value="GW">Guinea-Bissau</option><option value="GY">Guyana</option><option value="HT">Haiti</option><option value="HM">Heard Island and McDonald Islands</option><option value="HN">Honduras</option><option value="HK">Hong Kong S.A.R., China</option><option value="HU">Hungary</option><option value="IS">Iceland</option><option value="IN">India</option><option value="ID">Indonesia</option><option value="IE">Ireland</option><option value="IM">Isle of Man</option><option value="IL">Israel</option><option value="IT">Italy</option><option value="JM">Jamaica</option><option value="JP">Japan</option><option value="JE">Jersey</option><option value="JO">Jordan</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KI">Kiribati</option><option value="KW">Kuwait</option><option value="KG">Kyrgyzstan</option><option value="LA">Laos</option><option value="LV">Latvia</option><option value="LB">Lebanon</option><option value="LS">Lesotho</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MO">Macao S.A.R., China</option><option value="MG">Madagascar</option><option value="MW">Malawi</option><option value="MY">Malaysia</option><option value="MV">Maldives</option><option value="ML">Mali</option><option value="MT">Malta</option><option value="MH">Marshall Islands</option><option value="MQ">Martinique</option><option value="MR">Mauritania</option><option value="MU">Mauritius</option><option value="YT">Mayotte</option><option value="MX">Mexico</option><option value="FM">Micronesia</option><option value="MD">Moldova</option><option value="MC">Monaco</option><option value="MN">Mongolia</option><option value="MS">Montserrat</option><option value="MA">Morocco</option><option value="MZ">Mozambique</option><option value="NA">Namibia</option><option value="NR">Nauru</option><option value="NP">Nepal</option><option value="NL">Netherlands</option><option value="AN">Netherlands Antilles</option><option value="NC">New Caledonia</option><option value="NZ">New Zealand</option><option value="NI">Nicaragua</option><option value="NE">Niger</option><option value="NG">Nigeria</option><option value="NU">Niue</option><option value="NF">Norfolk Island</option><option value="MP">Northern Mariana Islands</option><option value="NO">Norway</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PW">Palau</option><option value="PS">Palestinian Territory</option><option value="PA">Panama</option><option value="PG">Papua New Guinea</option><option value="PY">Paraguay</option><option value="PE">Peru</option><option value="PH">Philippines</option><option value="PN">Pitcairn</option><option value="PL">Poland</option><option value="PT">Portugal</option><option value="PR">Puerto Rico</option><option value="QA">Qatar</option><option value="RE">Reunion</option><option value="RO">Romania</option><option value="RU">Russia</option><option value="RW">Rwanda</option><option value="BL">Saint Barthélemy</option><option value="SH">Saint Helena</option><option value="KN">Saint Kitts and Nevis</option><option value="LC">Saint Lucia</option><option value="MF">Saint Martin (French part)</option><option value="PM">Saint Pierre and Miquelon</option><option value="VC">Saint Vincent and the Grenadines</option><option value="WS">Samoa</option><option value="SM">San Marino</option><option value="ST">Sao Tome and Principe</option><option value="SA">Saudi Arabia</option><option value="SN">Senegal</option><option value="RS">Serbia</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapore</option><option value="SX">Sint Maarten</option><option value="SK">Slovakia</option><option value="SI">Slovenia</option><option value="SB">Solomon Islands</option><option value="ZA">South Africa</option><option value="GS">South Georgia and the South Sandwich Islands</option><option value="KR">South Korea</option><option value="ES">Spain</option><option value="LK">Sri Lanka</option><option value="SR">Suriname</option><option value="SJ">Svalbard and Jan Mayen</option><option value="SZ">Swaziland</option><option value="SE">Sweden</option><option value="CH">Switzerland</option><option value="SY">Syria</option><option value="TW">Taiwan, China</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzania</option><option value="TH">Thailand</option><option value="TL">Timor-Leste</option><option value="TG">Togo</option><option value="TK">Tokelau</option><option value="TO">Tonga</option><option value="TT">Trinidad and Tobago</option><option value="TN">Tunisia</option><option value="TR">Turkey</option><option value="TM">Turkmenistan</option><option value="TC">Turks and Caicos Islands</option><option value="TV">Tuvalu</option><option value="VI">U.S. Virgin Islands</option><option value="UG">Uganda</option><option value="AE">United Arab Emirates</option><option value="GB">United Kingdom</option><option value="US" selected="selected">United States</option><option value="UM">United States Minor Outlying Islands</option><option value="UY">Uruguay</option><option value="UZ">Uzbekistan</option><option value="VU">Vanuatu</option><option value="VA">Vatican</option><option value="VE">Venezuela</option><option value="VN">Vietnam</option><option value="WF">Wallis and Futuna</option><option value="EH">Western Sahara</option><option value="ZM">Zambia</option></select>
</div></div></fieldset>
<fieldset class="webform-component-fieldset  form-wrapper" id="webform-component-billing-address-info"><legend><span class="fieldset-legend">Billing Address Information</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-radios control-group" id="webform-component-billing-address-info--use-your-donation-info-address">
  <label for="edit-submitted-billing-address-info-use-your-donation-info-address">Would you like to use your Donation information address? </label>
 <div id="edit-submitted-billing-address-info-use-your-donation-info-address"><div class="form-item form-type-radio form-item-submitted-billing-address-info-use-your-donation-info-address control-group">
 <input class="trigger-yesno donor-info-copy" type="radio" id="edit-submitted-billing-address-info-use-your-donation-info-address-1" name="submitted[billing_address_info][use_your_donation_info_address]" value="yes" checked="checked" />  <label class="option" for="edit-submitted-billing-address-info-use-your-donation-info-address-1">Yes </label>
</div><div class="form-item form-type-radio form-item-submitted-billing-address-info-use-your-donation-info-address control-group">
 <input class="trigger-yesno donor-info-copy" type="radio" id="edit-submitted-billing-address-info-use-your-donation-info-address-2" name="submitted[billing_address_info][use_your_donation_info_address]" value="no" />  <label class="option" for="edit-submitted-billing-address-info-use-your-donation-info-address-2">No </label>
</div></div>
</div><fieldset class="webform-component-fieldset toggle-yesno form-wrapper" id="webform-component-billing-address-info--billing-fields"><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-address-info--billing-fields--billing-first-name">
  <label for="edit-submitted-billing-address-info-billing-fields-billing-first-name">Billing First Name </label>
 <input class="webform billing-first-name form-text" type="text" id="edit-submitted-billing-address-info-billing-fields-billing-first-name" name="submitted[billing_address_info][billing_fields][billing_first_name]" value="" size="60" maxlength="128" />
</div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-address-info--billing-fields--billing-last-name">
  <label for="edit-submitted-billing-address-info-billing-fields-billing-last-name">Billing Last Name </label>
 <input class="webform billing-last-name form-text" type="text" id="edit-submitted-billing-address-info-billing-fields-billing-last-name" name="submitted[billing_address_info][billing_fields][billing_last_name]" value="" size="60" maxlength="128" />
</div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-address-info--billing-fields--billing-address-1">
  <label for="edit-submitted-billing-address-info-billing-fields-billing-address-1">Billing Address 1 </label>
 <input class="webform billing-address form-text" type="text" id="edit-submitted-billing-address-info-billing-fields-billing-address-1" name="submitted[billing_address_info][billing_fields][billing_address_1]" value="" size="60" maxlength="128" />
</div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-address-info--billing-fields--billing-address-2">
  <label for="edit-submitted-billing-address-info-billing-fields-billing-address-2">Billing Address 2 </label>
 <input class="webform billing-address-2 form-text" type="text" id="edit-submitted-billing-address-info-billing-fields-billing-address-2" name="submitted[billing_address_info][billing_fields][billing_address_2]" value="" size="60" maxlength="128" />
</div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-address-info--billing-fields--billing-city">
  <label for="edit-submitted-billing-address-info-billing-fields-billing-city">Billing City </label>
 <input class="webform billing-city form-text" type="text" id="edit-submitted-billing-address-info-billing-fields-billing-city" name="submitted[billing_address_info][billing_fields][billing_city]" value="" size="60" maxlength="128" />
</div><div id="billing-zone-select-wrapper"><div class="form-item webform-component webform-component-select control-group" id="webform-component-billing-address-info--billing-fields--billing-state">
  <label for="edit-submitted-billing-address-info-billing-fields-billing-state">Billing State </label>
 <select class="webform billing-state form-select" id="edit-submitted-billing-address-info-billing-fields-billing-state" name="submitted[billing_address_info][billing_fields][billing_state]"><option value="" selected="selected">- None -</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option><option value=" ">--</option><option value="AA">Armed Forces (Americas)</option><option value="AE">Armed Forces (Europe, Canada, Middle East, Africa)</option><option value="AP">Armed Forces (Pacific)</option><option value="AS">American Samoa</option><option value="FM">Federated States of Micronesia</option><option value="GU">Guam</option><option value="MH">Marshall Islands</option><option value="MP">Northern Mariana Islands</option><option value="PW">Palau</option><option value="PR">Puerto Rico</option><option value="VI">Virgin Islands</option></select>
</div></div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-address-info--billing-fields--billing-zip-postal-code">
  <label for="edit-submitted-billing-address-info-billing-fields-billing-zip-postal-code">Billing ZIP/Postal Code </label>
 <input class="webform billing-zip form-text" type="text" id="edit-submitted-billing-address-info-billing-fields-billing-zip-postal-code" name="submitted[billing_address_info][billing_fields][billing_zip_postal_code]" value="" size="60" maxlength="128" />
</div><div class="form-item webform-component webform-component-select control-group" id="webform-component-billing-address-info--billing-fields--billing-country">
  <label for="edit-submitted-billing-address-info-billing-fields-billing-country">Billing Country </label>
 <select class="webform billing-country form-select" id="edit-submitted-billing-address-info-billing-fields-billing-country" name="submitted[billing_address_info][billing_fields][billing_country]"><option value="AF">Afghanistan</option><option value="AX">Aland Islands</option><option value="DZ">Algeria</option><option value="AS">American Samoa</option><option value="AD">Andorra</option><option value="AO">Angola</option><option value="AI">Anguilla</option><option value="AQ">Antarctica</option><option value="AG">Antigua and Barbuda</option><option value="AR">Argentina</option><option value="AM">Armenia</option><option value="AW">Aruba</option><option value="AU">Australia</option><option value="AT">Austria</option><option value="AZ">Azerbaijan</option><option value="BS">Bahamas</option><option value="BH">Bahrain</option><option value="BD">Bangladesh</option><option value="BB">Barbados</option><option value="BE">Belgium</option><option value="BZ">Belize</option><option value="BJ">Benin</option><option value="BM">Bermuda</option><option value="BT">Bhutan</option><option value="BO">Bolivia</option><option value="BW">Botswana</option><option value="BV">Bouvet Island</option><option value="BR">Brazil</option><option value="IO">British Indian Ocean Territory</option><option value="VG">British Virgin Islands</option><option value="BN">Brunei</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="KH">Cambodia</option><option value="CM">Cameroon</option><option value="CA">Canada</option><option value="CV">Cape Verde</option><option value="BQ">Caribbean Netherlands</option><option value="KY">Cayman Islands</option><option value="TD">Chad</option><option value="CL">Chile</option><option value="CN">China</option><option value="CX">Christmas Island</option><option value="CC">Cocos (Keeling) Islands</option><option value="CO">Colombia</option><option value="KM">Comoros</option><option value="CG">Congo (Brazzaville)</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="HR">Croatia</option><option value="CU">Cuba</option><option value="CW">Curaçao</option><option value="CY">Cyprus</option><option value="CZ">Czech Republic</option><option value="DK">Denmark</option><option value="DJ">Djibouti</option><option value="DM">Dominica</option><option value="DO">Dominican Republic</option><option value="EC">Ecuador</option><option value="EG">Egypt</option><option value="SV">El Salvador</option><option value="GQ">Equatorial Guinea</option><option value="ER">Eritrea</option><option value="EE">Estonia</option><option value="ET">Ethiopia</option><option value="FK">Falkland Islands</option><option value="FO">Faroe Islands</option><option value="FJ">Fiji</option><option value="FI">Finland</option><option value="FR">France</option><option value="GF">French Guiana</option><option value="PF">French Polynesia</option><option value="TF">French Southern Territories</option><option value="GA">Gabon</option><option value="GM">Gambia</option><option value="GE">Georgia</option><option value="DE">Germany</option><option value="GH">Ghana</option><option value="GI">Gibraltar</option><option value="GR">Greece</option><option value="GL">Greenland</option><option value="GD">Grenada</option><option value="GP">Guadeloupe</option><option value="GU">Guam</option><option value="GT">Guatemala</option><option value="GG">Guernsey</option><option value="GN">Guinea</option><option value="GW">Guinea-Bissau</option><option value="GY">Guyana</option><option value="HT">Haiti</option><option value="HM">Heard Island and McDonald Islands</option><option value="HN">Honduras</option><option value="HK">Hong Kong S.A.R., China</option><option value="HU">Hungary</option><option value="IS">Iceland</option><option value="IN">India</option><option value="ID">Indonesia</option><option value="IE">Ireland</option><option value="IM">Isle of Man</option><option value="IL">Israel</option><option value="IT">Italy</option><option value="JM">Jamaica</option><option value="JP">Japan</option><option value="JE">Jersey</option><option value="JO">Jordan</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KI">Kiribati</option><option value="KW">Kuwait</option><option value="KG">Kyrgyzstan</option><option value="LA">Laos</option><option value="LV">Latvia</option><option value="LB">Lebanon</option><option value="LS">Lesotho</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MO">Macao S.A.R., China</option><option value="MG">Madagascar</option><option value="MW">Malawi</option><option value="MY">Malaysia</option><option value="MV">Maldives</option><option value="ML">Mali</option><option value="MT">Malta</option><option value="MH">Marshall Islands</option><option value="MQ">Martinique</option><option value="MR">Mauritania</option><option value="MU">Mauritius</option><option value="YT">Mayotte</option><option value="MX">Mexico</option><option value="FM">Micronesia</option><option value="MD">Moldova</option><option value="MC">Monaco</option><option value="MN">Mongolia</option><option value="MS">Montserrat</option><option value="MA">Morocco</option><option value="MZ">Mozambique</option><option value="NA">Namibia</option><option value="NR">Nauru</option><option value="NP">Nepal</option><option value="NL">Netherlands</option><option value="AN">Netherlands Antilles</option><option value="NC">New Caledonia</option><option value="NZ">New Zealand</option><option value="NI">Nicaragua</option><option value="NE">Niger</option><option value="NG">Nigeria</option><option value="NU">Niue</option><option value="NF">Norfolk Island</option><option value="MP">Northern Mariana Islands</option><option value="NO">Norway</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option 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