{"id":19658,"date":"2024-11-19T15:35:55","date_gmt":"2024-11-19T20:35:55","guid":{"rendered":"https:\/\/fondationsqha.ca\/test-en-donation-form\/"},"modified":"2024-12-04T17:02:39","modified_gmt":"2024-12-04T22:02:39","slug":"test-en-donation-form","status":"publish","type":"page","link":"https:\/\/fondationsqha.ca\/en\/test-en-donation-form\/","title":{"rendered":"test EN donation form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"19658\" class=\"elementor elementor-19658 elementor-19425\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6ba260d elementor-section-full_width elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"6ba260d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a4daca6\" data-id=\"a4daca6\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dcabb62 elementor-hidden-desktop elementor-widget elementor-widget-image\" data-id=\"dcabb62\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/fondationsqha.ca\/wp-content\/uploads\/2023\/07\/fondationsqha_faire-un-don-prod-1024x1024.jpg\" class=\"attachment-large size-large wp-image-13808\" alt=\"Contribuez \u00e0 pr\u00e9venir et ma\u00eetriser l\u2019hypertension art\u00e9rielle \u00e0 tous les stades de la vie.\" srcset=\"https:\/\/fondationsqha.ca\/wp-content\/uploads\/2023\/07\/fondationsqha_faire-un-don-prod-1024x1024.jpg 1024w, https:\/\/fondationsqha.ca\/wp-content\/uploads\/2023\/07\/fondationsqha_faire-un-don-prod-300x300.jpg 300w, https:\/\/fondationsqha.ca\/wp-content\/uploads\/2023\/07\/fondationsqha_faire-un-don-prod-150x150.jpg 150w, https:\/\/fondationsqha.ca\/wp-content\/uploads\/2023\/07\/fondationsqha_faire-un-don-prod-768x768.jpg 768w, https:\/\/fondationsqha.ca\/wp-content\/uploads\/2023\/07\/fondationsqha_faire-un-don-prod-450x450.jpg 450w, https:\/\/fondationsqha.ca\/wp-content\/uploads\/2023\/07\/fondationsqha_faire-un-don-prod-106x106.jpg 106w, https:\/\/fondationsqha.ca\/wp-content\/uploads\/2023\/07\/fondationsqha_faire-un-don-prod-560x560.jpg 560w, https:\/\/fondationsqha.ca\/wp-content\/uploads\/2023\/07\/fondationsqha_faire-un-don-prod-70x70.jpg 70w, https:\/\/fondationsqha.ca\/wp-content\/uploads\/2023\/07\/fondationsqha_faire-un-don-prod.jpg 1200w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-d2d2275\" data-id=\"d2d2275\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1eaa502 wpr-dual-heading-icon-top elementor-widget elementor-widget-wpr-dual-color-heading\" data-id=\"1eaa502\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpr-dual-color-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"wpr-dual-heading-wrap\">\n\t\t\t\t<div class=\"wpr-dual-title-wrap\">\n\t\t\t\t\t<h1 class=\"wpr-dual-title\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"first\">Donation<\/span>\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"second\">form<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/h1>\n\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"wpr-dual-heading-description\" ><\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-23fda9d elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"23fda9d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-47bb04fc elementor-widget elementor-widget-shortcode\" data-id=\"47bb04fc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"> \t<div id=\"give-form-19306-wrap\" class=\"give-form-wrap give-display-onpage give-recurring-form-wrap give-recurring-form-donor\">\n\t\t\t\t\t<form id=\"give-form-19306-1\" class=\"give-form give-form-19306 give-form-type-multi give-recurring-form\" action=\"https:\/\/fondationsqha.ca\/en\/wp-json\/wp\/v2\/pages\/19658\/?payment-mode=paypal-commerce&form-id=19306\" data-id=\"19306-1\" data-currency_symbol=\"&#36;\" data-currency_code=\"CAD\" data-currency_position=\"after\" data-thousands_separator=\" \" data-decimal_separator=\",\" data-number_decimals=\"2\" method=\"post\">\n\t\t\t\t<!-- The following field is for robots only, invisible to humans: -->\n\t\t\t\t<span class=\"give-hidden\" style=\"display: none !important;\">\n\t\t\t\t\t<label for=\"give-form-honeypot-19306\"><\/label>\n\t\t\t\t\t<input id=\"give-form-honeypot-19306\" type=\"text\" name=\"give-honeypot\"\n\t\t\t\t\t\t   class=\"give-honeypot give-hidden\"\/>\n\t\t\t\t<\/span>\n\n\t\t\t\t\t<input type=\"hidden\" name=\"give-form-id-prefix\" value=\"19306-1\"\/>\n\t<input type=\"hidden\" name=\"give-form-id\" value=\"19306\"\/>\n\t<input type=\"hidden\" name=\"give-form-title\" value=\"Donation Form\"\/>\n\t<input type=\"hidden\" name=\"give-current-url\" value=\"https:\/\/fondationsqha.ca\/en\/wp-json\/wp\/v2\/pages\/19658\/\"\/>\n\t<input type=\"hidden\" name=\"give-form-url\" value=\"https:\/\/fondationsqha.ca\/en\/wp-json\/wp\/v2\/pages\/19658\/\"\/>\n\t\t\t<input type=\"hidden\" name=\"give-form-minimum\"\n\t\t\t   value=\"1.00\"\/>\n\t\t<input type=\"hidden\" name=\"give-form-maximum\"\n\t\t\t   value=\"999999.99\"\/>\n\t\t<input type=\"hidden\"  name=\"give-form-hash\" value=\"031119035b\" data-time=\"1777204824\" data-nonce-life=\"86400\" data-donor-session=\"0\"\/><input type=\"hidden\" name=\"give-price-id\" value=\"3\"\/>\t<input type=\"hidden\" name=\"give-recurring-logged-in-only\"\n\t\t   class=\"give-recurring-logged-in-only\"\n\t\t   value=\"1\"\/>\n\n\t<input type=\"hidden\" name=\"give-logged-in-only\"\n\t\t   class=\"give-logged-in-only\"\n\t\t   value=\"\"\/>\n<input\n\t\t\t\t\ttype=\"hidden\"\n\t\t\t\t\tname=\"_give_is_donation_recurring\"\n\t\t\t\t\tclass=\"_give_is_donation_recurring\"\n\t\t\t\t\tid=\"_give_is_donation_recurring\"\n\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\tdata-_give_recurring=\"yes_donor\"\n\t\t\t\t\tdata-_give_checkbox_default=\"no\"\n                    data-_give_price_option=\"\"\n                \/><input\n\t\t\t\t\ttype=\"hidden\"\n\t\t\t\t\tname=\"give_recurring_donation_details\"\n\t\t\t\t\tclass=\"give_recurring_donation_details\"\n\t\t\t\t\tid=\"give_recurring_donation_details\"\n\t\t\t\t\tvalue=\"{&quot;give_recurring_option&quot;:&quot;yes_donor&quot;}\"\n                \/>\t\t<div class=\"give-total-wrap\">\n\t\t\t<div class=\"give-donation-amount form-row-wide\">\n\t\t\t\t\t\t\t\t<label class=\"give-hidden\" for=\"give-amount\">Donation Amount:<\/label>\n\t\t\t\t<input class=\"give-text-input give-amount-top\" id=\"give-amount\" name=\"give-amount\" type=\"text\" inputmode=\"decimal\"\n\t\t\t\t\t   placeholder=\"\" value=\"100,00\" autocomplete=\"off\">\n\t\t\t\t<span class=\"give-currency-symbol give-currency-position-after\">&#036;<\/span>\t\t\t<\/div>\n\t\t<\/div>\n\t\t<ul id=\"give-donation-level-button-wrap\" class=\"give-donation-levels-wrap give-list-inline\"><li><button type=\"button\" data-price-id=\"0\" class=\"give-donation-level-btn give-btn give-btn-level-0 \" value=\"20,00\" data-default=\"0\">20,00&#036;<\/button><\/li><li><button type=\"button\" data-price-id=\"2\" class=\"give-donation-level-btn give-btn give-btn-level-2 \" value=\"50,00\" data-default=\"0\">50,00&#036;<\/button><\/li><li><button type=\"button\" data-price-id=\"3\" class=\"give-donation-level-btn give-btn give-btn-level-3 give-default-level\" value=\"100,00\" data-default=\"1\">100,00&#036;<\/button><\/li><li><button type=\"button\" data-price-id=\"5\" class=\"give-donation-level-btn give-btn give-btn-level-5 \" value=\"250,00\" data-default=\"0\">250,00&#036;<\/button><\/li><li><button type=\"button\" data-price-id=\"custom\" class=\"give-donation-level-btn give-btn give-btn-level-custom\" value=\"custom\">Custom Amount<\/button><\/li><\/ul>\t<div class=\"give-recurring-donors-choice\">\n\t\t<input id=\"give-donors_choice-19306\" class=\"give-recurring-period\" name=\"give-recurring-period\" type=\"checkbox\" data-period-label=\"Yearly\" data-period=\"year\" data-interval=\"1\"  \/> <label for=\"give-donors_choice-19306\">Make this donation every <select class=\"give-recurring-donors-choice-period\" name=\"give-recurring-period-donors-choice\"><option value=\"day\" >day<\/option><option value=\"week\" >week<\/option><option value=\"month\" >month<\/option><option value=\"quarter\" >quarter<\/option><option value=\"year\"  selected >year<\/option><\/select><\/label>\t<\/div>\n\t<p class=\"recurringExplainFR\">Vous pouvez annuler en tout temps la r\u00e9currence de vos dons. <a href=\"https:\/\/fondationsqha.ca\/gerer-les-dons-recurrents\/\" target=\"_blank\">En savoir plus<\/a><br><p class=\"recurringExplainEN\">You can cancel your recurring donation at any time. <a href=\"https:\/\/fondationsqha.ca\/en\/managing-recurring-donations\/\" target=\"_blank\">Learn More<\/a>\n<input type=\"hidden\" name=\"give-fee-recovery-settings\" value=\"{&quot;fee_data&quot;:{&quot;all_gateways&quot;:{&quot;percentage&quot;:&quot;2.900000&quot;,&quot;base_amount&quot;:&quot;0.300000&quot;,&quot;give_fee_disable&quot;:false,&quot;give_fee_status&quot;:true,&quot;is_break_down&quot;:true,&quot;maxAmount&quot;:&quot;0&quot;}},&quot;give_fee_status&quot;:true,&quot;give_fee_disable&quot;:false,&quot;is_break_down&quot;:true,&quot;fee_mode&quot;:&quot;donor_opt_in&quot;,&quot;is_fee_mode&quot;:true,&quot;fee_recovery&quot;:true}\" \/>\n\t<fieldset id=\"give-payment-mode-select\">\n\t\t\t\t<legend\n\t\t\tclass=\"give-payment-mode-label\">Select Payment Method\t\t\t<span class=\"give-loading-text\"><span\n\t\t\t\t\tclass=\"give-loading-animation\"><\/span>\n\t\t\t<\/span>\n\t\t<\/legend>\n\n\t\t<div id=\"give-payment-mode-wrap\">\n\t\t\t\t\t\t<ul id=\"give-gateway-radio-list\">\n\t\t\t\t\t\t\t\t\t\t<li class=\"give-gateway-option-selected\">\n\t\t\t\t\t\t\t<input type=\"radio\" name=\"payment-mode\" class=\"give-gateway\"\n\t\t\t\t\t\t\t\t   id=\"give-gateway-paypal-commerce-19306-1\"\n\t\t\t\t\t\t\t\t   value=\"paypal-commerce\" checked='checked'>\n\t\t\t\t\t\t\t<label for=\"give-gateway-paypal-commerce-19306-1\"\n\t\t\t\t\t\t\t\t   class=\"give-gateway-option\"\n\t\t\t\t\t\t\t\t   id=\"give-gateway-option-paypal-commerce\"> Credit Card<\/label>\n\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t<li>\n\t\t\t\t\t\t\t<input type=\"radio\" name=\"payment-mode\" class=\"give-gateway\"\n\t\t\t\t\t\t\t\t   id=\"give-gateway-offline-19306-1\"\n\t\t\t\t\t\t\t\t   value=\"offline\">\n\t\t\t\t\t\t\t<label for=\"give-gateway-offline-19306-1\"\n\t\t\t\t\t\t\t\t   class=\"give-gateway-option\"\n\t\t\t\t\t\t\t\t   id=\"give-gateway-option-offline\"> Offline Donation<\/label>\n\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\t\t\t<\/fieldset>\n\n\t\n\t<div id=\"give_purchase_form_wrap\">\n\n\t\t\t\t<div id=\"give-checkout-login-register-19306\">\n\t\t\t\t<fieldset id=\"give-register-fields-19306\">\n\n\t\t\t<fieldset id=\"give_checkout_user_info\" class=\"give-title-prefix-wrap\">\n\t\t<legend>\n\t\t\tPersonal Info\t\t<\/legend>\n\n\t\t\t\t\t<p id=\"give-title-wrap\" class=\"form-row form-row-title form-row-responsive\">\n\t\t\t\t<label class=\"give-label\" for=\"give-title\">\n\t\t\t\t\tTitle\t\t\t\t\t\t\t\t\t\t\t<span class=\"give-required-indicator\">*<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"Title is used to personalize your donation record..\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>\t\t\t\t<\/label>\n\t\t\t\t<select\n\t\t\t\t\tclass=\"give-input\"\n\t\t\t\t\ttype=\"text\"\n\t\t\t\t\tname=\"give_title\"\n\t\t\t\t\tid=\"give-title\"\n                     required aria-required=\"true\"                 >\n                                            <option\n                            value=\"Mr.\" >Mr.<\/option>\n                                            <option\n                            value=\"Mrs.\" >Mrs.<\/option>\n                                            <option\n                            value=\"Ms.\" >Ms.<\/option>\n                                    <\/select>\n            <\/p>\n        \n        <p id=\"give-first-name-wrap\" class=\"form-row form-row-first form-row-responsive\">\n            <label class=\"give-label\" for=\"give-first\">\n                First Name                                    <span class=\"give-required-indicator\">*<\/span>\n                                <span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"First Name is used to personalize your donation record.\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>            <\/label>\n            <input\n                class=\"give-input required\"\n                type=\"text\"\n                name=\"give_first\"\n                autocomplete=\"given-name\"\n                placeholder=\"First Name\"\n                id=\"give-first\"\n                value=\"\"\n                 required aria-required=\"true\"             \/>\n        <\/p>\n\n        <p id=\"give-last-name-wrap\" class=\"form-row form-row-last form-row-responsive\">\n            <label class=\"give-label\" for=\"give-last\">\n                Last Name                                    <span class=\"give-required-indicator\">*<\/span>\n                                <span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"Last Name is used to personalize your donation record.\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>            <\/label>\n\n            <input\n                class=\"give-input required\"\n                type=\"text\"\n                name=\"give_last\"\n                autocomplete=\"family-name\"\n                id=\"give-last\"\n                placeholder=\"Last Name\"\n                value=\"\"\n                 required aria-required=\"true\"             \/>\n        <\/p>\n\n                        <div id=\"give-company-radio-list-wrap\" class=\"form-row form-row-wide\">\n                    <label>Is this donation on behalf of a company?<\/label>\n                    <ul id=\"give-company-name-radio-list\" class=\"give-company-radio-list\">\n                        <li>\n                            <input\n                                checked\n                                type=\"radio\"\n                                id=\"give-no-company\"\n                                class=\"give_company_option\"\n                                name=\"give_company_option\"\n                                value=\"no\"\n                            \/>\n                            <label for=\"give-no-company\" class=\"give-company-option\"\n                                   id=\"give-no-company\">\n                                No                            <\/label>\n                        <\/li>\n                        <li>\n                            <input\n                                type=\"radio\"\n                                id=\"give-has-company\"\n                                class=\"give_company_option\"\n                                name=\"give_company_option\"\n                                value=\"yes\"\n                            \/>\n                            <label for=\"give-has-company\" class=\"give-company-option\"\n                                   id=\"give-has-company\">\n                                Yes                            <\/label>\n                        <\/li>\n                    <\/ul>\n                <\/div>\n                        <p id=\"give-company-wrap\" class=\"form-row form-row-wide\">\n                <label class=\"give-label\" for=\"give-company\">\n                    Company Name                                        <span class=\"give-tooltip hint--top hint--bounce\" aria-label=\"Donate on behalf of Company\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>                <\/label>\n                <input\n                    class=\"give-input\"\n                    type=\"text\"\n                    name=\"give_company_name\"\n                    placeholder=\"Company Name\"\n                    id=\"give-company\"\n                    value=\"\"\n                                    \/>\n            <\/p>\n        \n                <p id=\"give-email-wrap\" class=\"form-row form-row-wide\">\n            <label class=\"give-label\" for=\"give-email\">\n                Email Address                                    <span class=\"give-required-indicator\">*<\/span>\n                                    <span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"We will send the donation receipt to this address.\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>            <\/label>\n            <input\n                class=\"give-input required\"\n                type=\"email\"\n                name=\"give_email\"\n                autocomplete=\"email\"\n                placeholder=\"Email Address\"\n                id=\"give-email\"\n                value=\"\"\n                 required aria-required=\"true\"             \/>\n\n        <\/p>\n\n        \n\t\t\t\t\t<p id=\"give-comment-wrap\" class=\"form-row form-row-wide\">\n\t\t\t\t<label class=\"give-label\" for=\"give-comment\">\n\t\t\t\t\tComment\t\t\t\t\t\t\t\t\t\t<span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"Would you like to add a comment to this donation?\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>\t\t\t\t<\/label>\n\n\t\t\t\t<textarea\n\t\t\t\t\tclass=\"give-input\"\n\t\t\t\t\tname=\"give_comment\"\n\t\t\t\t\tplaceholder=\"Leave a comment\"\n\t\t\t\t\tid=\"give-comment\"\n\t\t\t\t\t\t\t\t\t><\/textarea>\n\n\t\t\t<\/p>\n\t\t\t\t\t<\/fieldset>\n\t<div class=\"form-row ffm-field-container\" data-field-type=\"html\" data-field-name=\"protection_of_personal_information\" ><legend>Protection of Personal Information<\/legend><\/div><div class=\"form-row form-row-wide ffm-field-container consent1\" data-field-type=\"radio\" data-field-name=\"consent_1\" ><fieldset>\n    <legend class=\"screen-reader-text\">\n        Do you consent to us communicating your first and last name, name of your business, and the amount of your donation to the members of the SQHA board of directors?    <span class=\"give-required-indicator\">\n\t\t<span aria-hidden=\"true\">*<\/span>\n\t\t<span class=\"screen-reader-text\">Required<\/span>\n\t<\/span>\n    <\/legend>\n    <div class=\"give-label\" aria-hidden=\"true\">\n        Do you consent to us communicating your first and last name, name of your business, and the amount of your donation to the members of the SQHA board of directors?    <span class=\"give-required-indicator\">\n\t\t<span aria-hidden=\"true\">*<\/span>\n\t\t<span class=\"screen-reader-text\">Required<\/span>\n\t<\/span>\n    <\/div>\n                    <label for=\"give-consent_1-19306-1-0\">\n            <input\n                type=\"radio\"\n                name=\"consent_1\"\n                id=\"give-consent_1-19306-1-0\"\n                required                                value=\"Yes\"\n            >\n            Yes        <\/label>\n                    <label for=\"give-consent_1-19306-1-1\">\n            <input\n                type=\"radio\"\n                name=\"consent_1\"\n                id=\"give-consent_1-19306-1-1\"\n                required                                value=\"No\"\n            >\n            No        <\/label>\n    <\/fieldset>\n<\/div><div class=\"form-row form-row-wide ffm-field-container\" data-field-type=\"radio\" data-field-name=\"consent_general_public\" ><fieldset>\n    <legend class=\"screen-reader-text\">\n        Do you consent to us indicating your first and last name, or the logo of your company, in the honor recognition table on the Foundation website?    <\/legend>\n    <div class=\"give-label\" aria-hidden=\"true\">\n        Do you consent to us indicating your first and last name, or the logo of your company, in the honor recognition table on the Foundation website?    <\/div>\n                    <label for=\"give-consent_general_public-19306-2-0\">\n            <input\n                type=\"radio\"\n                name=\"consent_general_public\"\n                id=\"give-consent_general_public-19306-2-0\"\n                                                value=\"Yes\"\n            >\n            Yes        <\/label>\n                    <label for=\"give-consent_general_public-19306-2-1\">\n            <input\n                type=\"radio\"\n                name=\"consent_general_public\"\n                id=\"give-consent_general_public-19306-2-1\"\n                                                value=\"No\"\n            >\n            No        <\/label>\n    <\/fieldset>\n<\/div>\n\t\t<fieldset id=\"give-register-account-fields-19306\">\n\t\t\t\n\t\t\t\t\t\t<div id=\"give-create-account-wrap-19306\" class=\"form-row form-row-first form-row-responsive\">\n\t\t\t\t\t\t\t\t<input type=\"hidden\" id=\"give-create-account-19306\" name=\"give_create_account\" class=\"give-input\" value=\"on\" checked \/>\n\t\t\t\t\t\t\t\t<input type=\"hidden\"  name=\"give-form-user-register-hash\" value=\"5c8c0d3101\" data-time=\"1777204824\" data-nonce-life=\"86400\"\/>\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"give-login-account-wrap form-row form-row-last form-row-responsive\">\n\t\t\t\t\t<p class=\"give-login-message\">Already have an account?&nbsp;\n\t\t\t\t\t\t<a href=\"\/en\/wp-json\/wp\/v2\/pages\/19658?login=1\" class=\"give-checkout-login\"\n\t\t\t\t\t\t   data-action=\"give_checkout_login\">Login<\/a>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<p class=\"give-loading-text\">\n\t\t\t\t\t\t<span class=\"give-loading-animation\"><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t<\/fieldset>\n\n\t\t\n\t\t<input type=\"hidden\" name=\"give-purchase-var\" value=\"needs-to-register\"\/>\n\n\t\t\n\t<\/fieldset>\n\t\t\t<\/div>\n\t\t            <fieldset id=\"give-tributes-dedicate-donation-19306\" class=\"give-tributes-dedicate-donation\"> <!-- Give - Tributes Start -->\n                <input type=\"hidden\" class=\"give-tributes-type\" name=\"give_tributes_type\" value=\"Donation in memoriam\" \/>\n                <legend>Dedicate this Donation<\/legend>\n                    <div id=\"give-tributes-options-19306\">\n        <ul id=\"give-tributes-show-wrap-19306\" class=\"give-tributes-show-wrap\">\n            <li class=\"give-tributes-show-wrap-li\">\n                <input\n                        class=\"give-input\"\n                        type=\"radio\"\n                        id=\"give-tributes-yes-19306\"\n                        name=\"give_tributes_show_dedication\"\n                     checked='checked'                        value=\"yes\"\n                \/>\n                <label for=\"give-tributes-yes-19306\" class=\"give-tributes-yes\"> Yes, please<\/label>\n            <\/li>\n            <li class=\"give-tributes-show-wrap-li\">\n                <input\n                        class=\"give-input\"\n                        type=\"radio\"\n                        id=\"give-tributes-no-19306\"\n                        name=\"give_tributes_show_dedication\"\n                                            value=\"no\"\n                \/>\n                <label for=\"give-tributes-no-19306\" class=\"give-tributes-no\"> No, thank you<\/label>\n            <\/li>\n        <\/ul>\n    <\/div>\n    <div id=\"give-tributes-type-wrap-19306\" class=\"has_radios give_tributes_type_wrap\"><!-- Give - Tributes type wrap start --><label class=\"give-tributes-label\" for=\"give-tribute-type-19306\" id=\"give-tribute-type-19306\">Dedication Type<\/label><ul id=\"give-tributes-type-radio-list-19306\"><li><input type=\"radio\" id=\"give-tributes-type-radio-donation-in-memoriam-19306\" name=\"give_tributes_radio_type\" data-tribute-type=\"Donation in memoriam\" class=\"give-tribute-type-radio\" value=\"Donation in memoriam\"  checked=\"checked\"><label for=\"give-tributes-type-radio-donation-in-memoriam-19306\">Donation in memoriam<\/label><\/li><li><input type=\"radio\" id=\"give-tributes-type-radio-donation-in-honor-of-19306\" name=\"give_tributes_radio_type\" data-tribute-type=\"Donation in honor of\" class=\"give-tribute-type-radio\" value=\"Donation in honor of\"  ><label for=\"give-tributes-type-radio-donation-in-honor-of-19306\">Donation in honor of<\/label><\/li><\/ul><\/div><!-- Give - Tributes type wrap end -->        <div id=\"give-tributes-info-wrap-19306\" class=\"give_tributes_info_wrap\"><!-- Give - Tributes Info Wrap Start -->\n        <h3 class=\"give-section-break give-tributes-legend\">\u00a0Honoree Details<\/h3>\n        \n    <p id=\"give-tributes-first-name-wrap-19306\" class=\"form-row form-row-first form-row-responsive\">\n        <label class=\"give-label\" for=\"give-tributes-first-name-19306\">\n            First Name\n                            <span class=\"give-required-indicator\">*<\/span>\n            \n            <span class=\"give-tooltip give-icon give-icon-question\"\n                  data-tooltip=\"The first name of the \u00a0honoree.\"><\/span>\n        <\/label>\n        <input\n                class=\"give-input required\"\n                type=\"text\"\n                name=\"give_tributes_first_name\"\n                placeholder=\"\u00a0Honoree First Name\"\n                id=\"give-tributes-first-name-19306\"\n                value=\"\"\n        \/>\n    <\/p>\n\n<p id=\"give-tributes-last-name-wrap-19306\" class=\"form-row form-row-last form-row-responsive\">\n    <label class=\"give-label\" for=\"give-tributes-last-name-19306\">\n        Last Name                <span class=\"give-tooltip give-icon give-icon-question\"\n              data-tooltip=\"The last name of the \u00a0honoree.\"><\/span>\n    <\/label>\n    <input\n            class=\"give-input \"\n            type=\"text\"\n            name=\"give_tributes_last_name\"\n            placeholder=\"\u00a0Honoree Last Name\"\n            id=\"give-tributes-last-name-19306\"\n            value=\"\"\n    \/>\n            <\/p>\n        <\/div><!-- Give - Tributes Info Wrap End -->\n                        <\/fieldset> <!-- Give - Tributes End -->\n            \t<fieldset id=\"give_cc_fields-19306\" class=\"give-do-validate\">\n\t\t<legend>Credit Card Info<\/legend>\n\t\t\t\t\t<div id=\"give_secure_site_wrapper-19306\">\n\t\t\t\t<span class=\"give-icon padlock\"><\/span>\n\t\t\t\t<span>This is a secure SSL encrypted payment.<\/span>\n\t\t\t<\/div>\n\t\t\t\t<p id=\"give-card-number-wrap-19306\" class=\"form-row form-row-two-thirds form-row-responsive\">\n\t\t\t<label for=\"card_number-19306\" class=\"give-label\">\n\t\t\t\tCard Number\t\t\t\t<span class=\"give-required-indicator\">*<\/span>\n\t\t\t\t<span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"The (typically) 16 digits on the front of your credit card.\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>\t\t\t\t<span class=\"card-type\"><\/span>\n\t\t\t<\/label>\n\n\t\t\t<input type=\"tel\" autocomplete=\"off\" name=\"card_number\" id=\"card_number-19306\"\n\t\t\t\t   class=\"card-number give-input required\" placeholder=\"Card Number\"\n\t\t\t\t   required aria-required=\"true\"\/>\n\t\t<\/p>\n\n\t\t<p id=\"give-card-cvc-wrap-19306\" class=\"form-row form-row-one-third form-row-responsive\">\n\t\t\t<label for=\"card_cvc-19306\" class=\"give-label\">\n\t\t\t\tCVC\t\t\t\t<span class=\"give-required-indicator\">*<\/span>\n\t\t\t\t<span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"The 3 digit (back) or 4 digit (front) value on your card.\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>\t\t\t<\/label>\n\n\t\t\t<input type=\"tel\" size=\"4\" autocomplete=\"off\" name=\"card_cvc\" id=\"card_cvc-19306\"\n\t\t\t\t   class=\"card-cvc give-input required\" placeholder=\"CVC\"\n\t\t\t\t   required aria-required=\"true\"\/>\n\t\t<\/p>\n\n\t\t<p id=\"give-card-name-wrap-19306\" class=\"form-row form-row-two-thirds form-row-responsive\">\n\t\t\t<label for=\"card_name-19306\" class=\"give-label\">\n\t\t\t\tCardholder Name\t\t\t\t<span class=\"give-required-indicator\">*<\/span>\n\t\t\t\t<span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"The name of the credit card account holder.\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>\t\t\t<\/label>\n\n\t\t\t<input type=\"text\" autocomplete=\"off\" name=\"card_name\" id=\"card_name-19306\"\n\t\t\t\t   class=\"card-name give-input required\" placeholder=\"Cardholder Name\"\n\t\t\t\t   required aria-required=\"true\"\/>\n\t\t<\/p>\n\t\t\t\t<p class=\"card-expiration form-row form-row-one-third form-row-responsive\">\n\t\t\t<label for=\"card_expiry-19306\" class=\"give-label\">\n\t\t\t\tExpiration\t\t\t\t<span class=\"give-required-indicator\">*<\/span>\n\t\t\t\t<span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"The date your credit card expires, typically on the front of the card.\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>\t\t\t<\/label>\n\n\t\t\t<input type=\"hidden\" id=\"card_exp_month-19306\" name=\"card_exp_month\"\n\t\t\t\t   class=\"card-expiry-month\"\/>\n\t\t\t<input type=\"hidden\" id=\"card_exp_year-19306\" name=\"card_exp_year\"\n\t\t\t\t   class=\"card-expiry-year\"\/>\n\n\t\t\t<input type=\"tel\" autocomplete=\"off\" name=\"card_expiry\" id=\"card_expiry-19306\"\n\t\t\t\t   class=\"card-expiry give-input required\" placeholder=\"MM \/ YY\"\n\t\t\t\t   required aria-required=\"true\"\/>\n\t\t<\/p>\n\t\t\t<\/fieldset>\n\t\t<fieldset id=\"give_cc_address\" class=\"cc-address\">\n\t\t<legend>Billing Details<\/legend>\n\t\t\t\t<p id=\"give-card-country-wrap\" class=\"form-row form-row-wide\">\n\t\t\t<label for=\"billing_country\" class=\"give-label\">\n\t\t\t\tCountry\t\t\t\t\t\t\t\t\t<span class=\"give-required-indicator\">*<\/span>\n\t\t\t\t\t\t\t\t<span class=\"give-tooltip give-icon give-icon-question\"\n\t\t\t\t\t  data-tooltip=\"The country for your billing address.\"><\/span>\n\t\t\t<\/label>\n\n\t\t\t<select\n\t\t\t\tname=\"billing_country\"\n\t\t\t\tautocomplete=\"country\"\n\t\t\t\tid=\"billing_country\"\n\t\t\t\tclass=\"billing-country billing_country give-select required\"\n\t\t\t\t required aria-required=\"true\" \t\t\t>\n\t\t\t\t<option value=\"\"><\/option><option value=\"US\">United States<\/option><option value=\"CA\" selected='selected'>Canada<\/option><option value=\"GB\">United Kingdom<\/option><option value=\"AF\">Afghanistan<\/option><option value=\"AL\">Albania<\/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=\"BY\">Belarus<\/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=\"BA\">Bosnia and Herzegovina<\/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=\"BN\">Brunei Darrussalam<\/option><option value=\"BG\">Bulgaria<\/option><option value=\"BF\">Burkina Faso<\/option><option value=\"BI\">Burundi<\/option><option value=\"KH\">Cambodia<\/option><option value=\"CM\">Cameroon<\/option><option value=\"CV\">Cape Verde<\/option><option value=\"KY\">Cayman Islands<\/option><option value=\"CF\">Central African Republic<\/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 Islands<\/option><option value=\"CO\">Colombia<\/option><option value=\"KM\">Comoros<\/option><option value=\"CD\">Congo, Democratic People&#039;s Republic<\/option><option value=\"CG\">Congo, Republic of<\/option><option value=\"CK\">Cook Islands<\/option><option value=\"CR\">Costa Rica<\/option><option value=\"CI\">Cote d&#039;Ivoire<\/option><option value=\"HR\">Croatia\/Hrvatska<\/option><option value=\"CU\">Cuba<\/option><option value=\"CW\">Cura\u00e7ao<\/option><option value=\"CY\">Cyprus Island<\/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=\"TP\">East Timor<\/option><option value=\"EC\">Ecuador<\/option><option value=\"EG\">Egypt<\/option><option value=\"GQ\">Equatorial Guinea<\/option><option value=\"SV\">El Salvador<\/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=\"GR\">Greece<\/option><option value=\"GH\">Ghana<\/option><option value=\"GI\">Gibraltar<\/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 and McDonald Islands<\/option><option value=\"VA\">Holy See (City Vatican State)<\/option><option value=\"HN\">Honduras<\/option><option value=\"HK\">Hong Kong<\/option><option value=\"HU\">Hungary<\/option><option value=\"IS\">Iceland<\/option><option value=\"IN\">India<\/option><option value=\"ID\">Indonesia<\/option><option value=\"IR\">Iran<\/option><option value=\"IQ\">Iraq<\/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\">Lao People&#039;s Democratic Republic<\/option><option value=\"LV\">Latvia<\/option><option value=\"LB\">Lebanon<\/option><option value=\"LS\">Lesotho<\/option><option value=\"LR\">Liberia<\/option><option value=\"LY\">Libyan Arab Jamahiriya<\/option><option value=\"LI\">Liechtenstein<\/option><option value=\"LT\">Lithuania<\/option><option value=\"LU\">Luxembourg<\/option><option value=\"MO\">Macau<\/option><option value=\"MK\">Macedonia<\/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, Republic of<\/option><option value=\"MC\">Monaco<\/option><option value=\"MN\">Mongolia<\/option><option value=\"ME\">Montenegro<\/option><option value=\"MS\">Montserrat<\/option><option value=\"MA\">Morocco<\/option><option value=\"MZ\">Mozambique<\/option><option value=\"MM\">Myanmar<\/option><option value=\"NA\">Namibia<\/option><option value=\"NR\">Nauru<\/option><option value=\"NP\">Nepal<\/option><option value=\"NL\">Netherlands<\/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=\"KP\">North Korea<\/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 Territories<\/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 Island<\/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 Island<\/option><option value=\"RO\">Romania<\/option><option value=\"RU\">Russian Federation<\/option><option value=\"RW\">Rwanda<\/option><option value=\"SH\">Saint Helena<\/option><option value=\"KN\">Saint Kitts and Nevis<\/option><option value=\"LC\">Saint Lucia<\/option><option value=\"PM\">Saint Pierre and Miquelon<\/option><option value=\"VC\">Saint Vincent and the Grenadines<\/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=\"SK\">Slovak Republic<\/option><option value=\"SI\">Slovenia<\/option><option value=\"SB\">Solomon Islands<\/option><option value=\"SO\">Somalia<\/option><option value=\"ZA\">South Africa<\/option><option value=\"GS\">South Georgia<\/option><option value=\"KR\">South Korea<\/option><option value=\"ES\">Spain<\/option><option value=\"LK\">Sri Lanka<\/option><option value=\"SD\">Sudan<\/option><option value=\"SR\">Suriname<\/option><option value=\"SJ\">Svalbard and Jan Mayen Islands<\/option><option value=\"SZ\">Eswatini<\/option><option value=\"SE\">Sweden<\/option><option value=\"CH\">Switzerland<\/option><option value=\"SY\">Syrian Arab Republic<\/option><option value=\"TW\">Taiwan<\/option><option value=\"TJ\">Tajikistan<\/option><option value=\"TZ\">Tanzania<\/option><option value=\"TG\">Togo<\/option><option value=\"TK\">Tokelau<\/option><option value=\"TO\">Tonga<\/option><option value=\"TH\">Thailand<\/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=\"UG\">Uganda<\/option><option value=\"UA\">Ukraine<\/option><option value=\"AE\">United Arab Emirates<\/option><option value=\"UY\">Uruguay<\/option><option value=\"UM\">US Minor Outlying Islands<\/option><option value=\"UZ\">Uzbekistan<\/option><option value=\"VU\">Vanuatu<\/option><option value=\"VE\">Venezuela<\/option><option value=\"VN\">Vietnam<\/option><option value=\"VG\">Virgin Islands (British)<\/option><option value=\"VI\">Virgin Islands (USA)<\/option><option value=\"WF\">Wallis and Futuna Islands<\/option><option value=\"EH\">Western Sahara<\/option><option value=\"WS\">Western Samoa<\/option><option value=\"YE\">Yemen<\/option><option value=\"YU\">Yugoslavia<\/option><option value=\"ZM\">Zambia<\/option><option value=\"ZW\">Zimbabwe<\/option>\t\t\t<\/select>\n\t\t<\/p>\n\n\t\t<p id=\"give-card-address-wrap\" class=\"form-row form-row-wide\">\n\t\t\t<label for=\"card_address\" class=\"give-label\">\n\t\t\t\tAddress 1\t\t\t\t\t\t\t\t\t<span class=\"give-required-indicator\">*<\/span>\n\t\t\t\t\t\t\t\t<span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"The primary billing address for your credit card.\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>\t\t\t<\/label>\n\n\t\t\t<input\n\t\t\t\ttype=\"text\"\n\t\t\t\tid=\"card_address\"\n\t\t\t\tname=\"card_address\"\n\t\t\t\tautocomplete=\"address-line1\"\n\t\t\t\tclass=\"card-address give-input required\"\n\t\t\t\tplaceholder=\"Address line 1\"\n\t\t\t\tvalue=\"\"\n\t\t\t\t  required aria-required=\"true\" \t\t\t\/>\n\t\t<\/p>\n\n\t\t<p id=\"give-card-address-2-wrap\" class=\"form-row form-row-wide\">\n\t\t\t<label for=\"card_address_2\" class=\"give-label\">\n\t\t\t\tAddress 2\t\t\t\t\t\t\t\t<span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"(optional) The suite, apartment number, post office box (etc) associated with your billing address.\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>\t\t\t<\/label>\n\n\t\t\t<input\n\t\t\t\ttype=\"text\"\n\t\t\t\tid=\"card_address_2\"\n\t\t\t\tname=\"card_address_2\"\n\t\t\t\tautocomplete=\"address-line2\"\n\t\t\t\tclass=\"card-address-2 give-input\"\n\t\t\t\tplaceholder=\"Address line 2\"\n\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\t\/>\n\t\t<\/p>\n\n\t\t<p id=\"give-card-city-wrap\" class=\"form-row form-row-wide\">\n\t\t\t<label for=\"card_city\" class=\"give-label\">\n\t\t\t\tCity\t\t\t\t\t\t\t\t\t<span class=\"give-required-indicator \">*<\/span>\n\t\t\t\t\t\t\t\t<span class=\"give-tooltip hint--top hint--bounce\" aria-label=\"The city for your billing address.\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>\t\t\t<\/label>\n\t\t\t<input\n\t\t\t\ttype=\"text\"\n\t\t\t\tid=\"card_city\"\n\t\t\t\tname=\"card_city\"\n\t\t\t\tautocomplete=\"address-level2\"\n\t\t\t\tclass=\"card-city give-input required\"\n\t\t\t\tplaceholder=\"City\"\n\t\t\t\tvalue=\"\"\n\t\t\t\t required aria-required=\"true\" \t\t\t\/>\n\t\t<\/p>\n\n\t\t\t\t<p id=\"give-card-state-wrap\"\n\t\t   class=\"form-row form-row-first form-row-responsive  \">\n\t\t\t<label for=\"card_state\" class=\"give-label\">\n\t\t\t\t<span class=\"state-label-text\">Province<\/span>\n\t\t\t\t<span\n\t\t\t\t\tclass=\"give-required-indicator  \">*<\/span>\n\t\t\t\t<span class=\"give-tooltip give-icon give-icon-question\"\n\t\t\t\t\t  data-tooltip=\"The state, province, or county for your billing address.\"><\/span>\n\t\t\t<\/label>\n\t\t\t\t\t\t\t<select\n\t\t\t\t\tname=\"card_state\"\n\t\t\t\t\tautocomplete=\"address-level1\"\n\t\t\t\t\tid=\"card_state\"\n\t\t\t\t\tclass=\"card_state give-select required\"\n\t\t\t\t\t required aria-required=\"true\" >\n\t\t\t\t\t<option value=\"\"><\/option><option value=\"AB\">Alberta<\/option><option value=\"BC\">British Columbia<\/option><option value=\"MB\">Manitoba<\/option><option value=\"NB\">New Brunswick<\/option><option value=\"NL\">Newfoundland and Labrador<\/option><option value=\"NS\">Nova Scotia<\/option><option value=\"NT\">Northwest Territories<\/option><option value=\"NU\">Nunavut<\/option><option value=\"ON\">Ontario<\/option><option value=\"PE\">Prince Edward Island<\/option><option value=\"QC\" selected='selected'>Quebec<\/option><option value=\"SK\">Saskatchewan<\/option><option value=\"YT\">Yukon<\/option>\t\t\t\t<\/select>\n\t\t\t\t\t<\/p>\n\n\t\t<p id=\"give-card-zip-wrap\" class=\"form-row form-row-last form-row-responsive\">\n\t\t\t<label for=\"card_zip\" class=\"give-label\">\n\t\t\t\tZip \/ Postal Code\t\t\t\t<span class=\"give-required-indicator\">*<\/span>\n\t\t\t\t<span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"The zip or postal code for your billing address.\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>\t\t\t<\/label>\n\n\t\t\t<input\n\t\t\t\ttype=\"text\"\n\t\t\t\tsize=\"4\"\n\t\t\t\tid=\"card_zip\"\n\t\t\t\tname=\"card_zip\"\n\t\t\t\tautocomplete=\"postal-code\"\n\t\t\t\tclass=\"card-zip give-input required\"\n\t\t\t\tplaceholder=\"Zip \/ Postal Code\"\n\t\t\t\tvalue=\"\"\n\t\t\t\t required aria-required=\"true\" \t\t\t\/>\n\t\t<\/p>\n\t\t\t<\/fieldset>\n\t\t\t\t<input\n\t\t\t\t\ttype=\"hidden\"\n\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\tclass=\"give-fee-disable\"\n\t\t\t\/>\n\t\t\t\t\t\t\t<fieldset class=\"give-fee-recovery-donors-choice give-fee-message form-row\"\n\t\t\t\t\t\t  id=\"give-fee-recovery-wrap-19306\">\n\t\t\t\t\t<legend class=\"give-fee-message-legend\"\n\t\t\t\t\t\t\tstyle=\"display: none;\">Would you like to help cover the processing fees?<\/legend>\n\n\t\t\t\t\t<label for=\"give_fee_mode_checkbox-19306\"\n\t\t\t\t\t\t   class=\"give-fee-message-label\"\n\t\t\t\t\t\t   data-feemessage=\"I&#039;d like to help cover the transaction fees of {fee_amount} for my donation.\"\n\t\t\t\t\t\t   style=\"font-weight:normal; cursor: pointer;\">\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\t\tname=\"give_fee_mode_checkbox\"\n\t\t\t\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\t\t\t\tid=\"give_fee_mode_checkbox-19306\"\n\t\t\t\t\t\t\t\tclass=\"give_fee_mode_checkbox\"\n\t\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t<span class=\"give-fee-message-label-text\">I&#039;d like to help cover the transaction fees of 0 for my donation.<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t\t<\/fieldset>\n\t\t\t\t\t<fieldset id=\"give_purchase_submit\" class=\"give-donation-submit\">\n\t\t\t<p id=\"give-final-total-wrap\" class=\"form-wrap \">\n\t\t\t\t<span class=\"give-donation-total-label\">\n\t\t\tDonation Total:\t\t<\/span>\n\t\t<span class=\"give-final-total-amount\"\n\t\t\t  data-total=\"100,00\">\n\t\t\t100,00&#36;\t\t<\/span>\n\t\t<span id=\"give-recurring-modal-period-wrap\" class=\"give-hidden\"><span id=\"give-recurring-modal-period\">One Time<\/span><\/span>\t<\/p>\n\t<p class=\"fee-break-down-message fee-break-down-message-19306\" data-breakdowntext=\"\" style=\"display: none;\"><\/p>\t<input type=\"hidden\" name=\"give_action\" value=\"purchase\"\/>\n\t<input type=\"hidden\" name=\"give-gateway\" value=\"paypal-commerce\"\/>\n\t\t<div class=\"give-submit-button-wrap give-clearfix\">\n\t\t<input type=\"submit\" class=\"give-submit give-btn\" id=\"give-purchase-button\" name=\"give-purchase\"\n\t\t\t   value=\"Donate Now\" data-before-validation-label=\"Donate Now\"\/>\n\t\t<span class=\"give-loading-animation\"><\/span>\n\t<\/div>\n\t\t<\/fieldset>\n\t\n\t<\/div>\n\n\t\t\t\t<\/form>\n\n\t\t\t\n\t<\/div><!--end #give-form-19306-->\n\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-26d91da7 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"26d91da7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-70d26c90\" data-id=\"70d26c90\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Donation form<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"give_campaign_id":0,"footnotes":""},"class_list":["post-19658","page","type-page","status-publish","hentry"],"aioseo_notices":[],"campaignId":"","_links":{"self":[{"href":"https:\/\/fondationsqha.ca\/en\/wp-json\/wp\/v2\/pages\/19658","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fondationsqha.ca\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/fondationsqha.ca\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/fondationsqha.ca\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fondationsqha.ca\/en\/wp-json\/wp\/v2\/comments?post=19658"}],"version-history":[{"count":1,"href":"https:\/\/fondationsqha.ca\/en\/wp-json\/wp\/v2\/pages\/19658\/revisions"}],"predecessor-version":[{"id":19659,"href":"https:\/\/fondationsqha.ca\/en\/wp-json\/wp\/v2\/pages\/19658\/revisions\/19659"}],"wp:attachment":[{"href":"https:\/\/fondationsqha.ca\/en\/wp-json\/wp\/v2\/media?parent=19658"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}