{"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 wpr-column-slider-no wpr-equal-height-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=\"4186199ef9\" data-time=\"1788038933\" 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=\"256d26c333\" data-time=\"1788038933\" 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 wpr-column-slider-no wpr-equal-height-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":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"Donation form Donation Amount: $ 20,00$50,00$100,00$250,00$Custom Amount Make this donation every dayweekmonthquarteryear Vous pouvez annuler en tout temps la r\u00e9currence de vos dons. En savoir plusYou can cancel your recurring donation at any time. Learn More Select Payment Method Credit Card Offline Donation Personal Info Title * Mr. Mrs. Ms. First Name * Last Name\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<link rel=\"canonical\" href=\"https:\/\/fondationsqha.ca\/en\/test-en-donation-form\/\" \/>\n\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 5.0.0.1\" \/>\n\t\t<meta property=\"og:locale\" content=\"en_US\" \/>\n\t\t<meta property=\"og:site_name\" content=\"Fondation de la Soci\u00e9t\u00e9 qu\u00e9b\u00e9coise d&#039;hypertension art\u00e9rielle - PASSION PRESSION\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"test EN donation form - Fondation de la Soci\u00e9t\u00e9 qu\u00e9b\u00e9coise d&#039;hypertension art\u00e9rielle\" \/>\n\t\t<meta property=\"og:description\" content=\"Donation form Donation Amount: $ 20,00$50,00$100,00$250,00$Custom Amount Make this donation every dayweekmonthquarteryear Vous pouvez annuler en tout temps la r\u00e9currence de vos dons. 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