{"id":609,"date":"2024-03-12T01:01:30","date_gmt":"2024-03-12T01:01:30","guid":{"rendered":"http:\/\/mountainchildrensforum.org\/?page_id=609"},"modified":"2024-05-28T20:32:59","modified_gmt":"2024-05-28T20:32:59","slug":"donor-information-form-2","status":"publish","type":"page","link":"https:\/\/mountainchildrensforum.org\/index.php\/donor-information-form-2\/","title":{"rendered":"Donor Information Form"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:40px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><h2>PayPal or Credit Card Donor Information<\/h2>\n<\/div><style id=\"wpforms-css-vars-590\">\n\t\t\t\t#wpforms-590 {\n\t\t\t\t\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-590\"><form id=\"wpforms-form-590\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"590\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/609\" data-token=\"59f63ace2bc2a696ca051f9d74a416a5\" data-token-time=\"1776399213\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-590-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-590-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-590-field_1-error\" required><label for=\"wpforms-590-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-590-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-590-field_1-last-error\" required><label for=\"wpforms-590-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-590-field_2-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">Anonymous<\/legend><ul id=\"wpforms-590-field_2\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-590-field_2_1\" name=\"wpforms[fields][2][]\" value=\"Please make my donation anonymous\" aria-errormessage=\"wpforms-590-field_2_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-590-field_2_1\">Please make my donation anonymous<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-590-field_3-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label\">Sharing<\/legend><ul id=\"wpforms-590-field_3\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-590-field_3_1\" name=\"wpforms[fields][3][]\" value=\"I do give permission for my name to be shared on MCF Social Media and Newsletter\" aria-errormessage=\"wpforms-590-field_3_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-590-field_3_1\">I do give permission for my name to be shared on MCF Social Media and Newsletter<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-590-field_5-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-590-field_5\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-590-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" spellcheck=\"false\" aria-errormessage=\"wpforms-590-field_5-error\" required><\/div><div id=\"wpforms-590-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-590-field_6\">Phone<\/label><input type=\"text\" id=\"wpforms-590-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-590-field_6-error\" ><\/div><div id=\"wpforms-590-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-590-field_7\">Address<\/label><input type=\"text\" id=\"wpforms-590-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-590-field_7-error\" aria-describedby=\"wpforms-590-field_7-description\" ><div id=\"wpforms-590-field_7-description\" class=\"wpforms-field-description\">(to send receipt to)<\/div><\/div><div id=\"wpforms-590-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-590-field_8\">Address 2<\/label><input type=\"text\" id=\"wpforms-590-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-590-field_8-error\" ><\/div><div id=\"wpforms-590-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-590-field_9\">City<\/label><input type=\"text\" id=\"wpforms-590-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-590-field_9-error\" ><\/div><div id=\"wpforms-590-field_10-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-590-field_10\">State<\/label><select id=\"wpforms-590-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\"><option value=\"Select a State\"  class=\"choice-4 depth-1\"  >Select a State<\/option><option value=\"Alabama\"  class=\"choice-5 depth-1\"  >Alabama<\/option><option value=\"Alaska\"  class=\"choice-6 depth-1\"  >Alaska<\/option><option value=\"Arizona\"  class=\"choice-7 depth-1\"  >Arizona<\/option><option value=\"Arkansas\"  class=\"choice-8 depth-1\"  >Arkansas<\/option><option value=\"California\"  class=\"choice-9 depth-1\"  >California<\/option><option value=\"Colorado\"  class=\"choice-10 depth-1\"  >Colorado<\/option><option value=\"Connecticut\"  class=\"choice-11 depth-1\"  >Connecticut<\/option><option value=\"Delaware\"  class=\"choice-12 depth-1\"  >Delaware<\/option><option value=\"Florida\"  class=\"choice-13 depth-1\"  >Florida<\/option><option value=\"Georgia\"  class=\"choice-14 depth-1\"  >Georgia<\/option><option value=\"Hawaii\"  class=\"choice-15 depth-1\"  >Hawaii<\/option><option value=\"Idaho\"  class=\"choice-16 depth-1\"  >Idaho<\/option><option value=\"Illinois\"  class=\"choice-17 depth-1\"  >Illinois<\/option><option value=\"Indiana\"  class=\"choice-18 depth-1\"  >Indiana<\/option><option value=\"Iowa\"  class=\"choice-19 depth-1\"  >Iowa<\/option><option value=\"Kansas\"  class=\"choice-20 depth-1\"  >Kansas<\/option><option value=\"Kentucky\"  class=\"choice-21 depth-1\"  >Kentucky<\/option><option value=\"Louisiana\"  class=\"choice-22 depth-1\"  >Louisiana<\/option><option value=\"Maine\"  class=\"choice-23 depth-1\"  >Maine<\/option><option value=\"Maryland\"  class=\"choice-24 depth-1\"  >Maryland<\/option><option value=\"Massachusetts\"  class=\"choice-25 depth-1\"  >Massachusetts<\/option><option value=\"Michigan\"  class=\"choice-26 depth-1\"  >Michigan<\/option><option value=\"Minnesota\"  class=\"choice-27 depth-1\"  >Minnesota<\/option><option value=\"Mississippi\"  class=\"choice-28 depth-1\"  >Mississippi<\/option><option value=\"Missouri\"  class=\"choice-29 depth-1\"  >Missouri<\/option><option value=\"Montana\"  class=\"choice-30 depth-1\"  >Montana<\/option><option value=\"Nebraska\"  class=\"choice-31 depth-1\"  >Nebraska<\/option><option value=\"Nevada\"  class=\"choice-32 depth-1\"  >Nevada<\/option><option value=\"New Hampshire\"  class=\"choice-33 depth-1\"  >New Hampshire<\/option><option value=\"New Jersey\"  class=\"choice-34 depth-1\"  >New Jersey<\/option><option value=\"New Mexico\"  class=\"choice-35 depth-1\"  >New Mexico<\/option><option value=\"New York\"  class=\"choice-36 depth-1\"  >New York<\/option><option value=\"North Carolina\"  class=\"choice-37 depth-1\"  >North Carolina<\/option><option value=\"North Dakota\"  class=\"choice-38 depth-1\"  >North Dakota<\/option><option value=\"Ohio\"  class=\"choice-39 depth-1\"  >Ohio<\/option><option value=\"Oklahoma\"  class=\"choice-40 depth-1\"  >Oklahoma<\/option><option value=\"Oregon\"  class=\"choice-41 depth-1\"  >Oregon<\/option><option value=\"Pennsylvania\"  class=\"choice-42 depth-1\"  >Pennsylvania<\/option><option value=\"Rhode Island\"  class=\"choice-43 depth-1\"  >Rhode Island<\/option><option value=\"South Carolina\"  class=\"choice-44 depth-1\"  >South Carolina<\/option><option value=\"South Dakota\"  class=\"choice-45 depth-1\"  >South Dakota<\/option><option value=\"Tennessee\"  class=\"choice-46 depth-1\"  >Tennessee<\/option><option value=\"Texas\"  class=\"choice-47 depth-1\"  >Texas<\/option><option value=\"Utah\"  class=\"choice-48 depth-1\"  >Utah<\/option><option value=\"Vermont\"  class=\"choice-49 depth-1\"  >Vermont<\/option><option value=\"Virginia\"  class=\"choice-50 depth-1\"  >Virginia<\/option><option value=\"Washington\"  class=\"choice-51 depth-1\"  >Washington<\/option><option value=\"West Virginia\"  class=\"choice-52 depth-1\"  >West Virginia<\/option><option value=\"Wisconsin\"  class=\"choice-53 depth-1\"  >Wisconsin<\/option><option value=\"Wyoming\"  class=\"choice-54 depth-1\"  >Wyoming<\/option><\/select><\/div><div id=\"wpforms-590-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-590-field_11\">Zip Code<\/label><input type=\"text\" id=\"wpforms-590-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-590-field_11-error\" ><\/div><div id=\"wpforms-590-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-590-field_12\">Employers Name<\/label><input type=\"text\" id=\"wpforms-590-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-590-field_12-error\" aria-describedby=\"wpforms-590-field_12-description\" ><div id=\"wpforms-590-field_12-description\" class=\"wpforms-field-description\">Contact your employer about employee matching gift program<\/div><\/div><div id=\"wpforms-590-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-590-field_4\">In Memoriam<\/label><input type=\"text\" id=\"wpforms-590-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-590-field_4-error\" aria-describedby=\"wpforms-590-field_4-description\" ><div id=\"wpforms-590-field_4-description\" class=\"wpforms-field-description\">Please dedicate my donation to:<\/div><\/div><div id=\"wpforms-590-field_14-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-590-field_14\">Address to send a note of person memorialized or honored<\/label><textarea id=\"wpforms-590-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-590-field_14-error\" ><\/textarea><\/div><div id=\"wpforms-590-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-590-field_15\">My donation amount<\/label><input type=\"text\" id=\"wpforms-590-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-590-field_15-error\" ><\/div><div id=\"wpforms-590-field_17-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"17\"><fieldset><legend class=\"wpforms-field-label\">Mailing List<\/legend><ul id=\"wpforms-590-field_17\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-590-field_17_1\" name=\"wpforms[fields][17][]\" value=\"Please do not add me to the Mountain Children&#039;s Forum Mailing List\" aria-errormessage=\"wpforms-590-field_17_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-590-field_17_1\">Please do not add me to the Mountain Children's Forum Mailing List<\/label><\/li><\/ul><\/fieldset><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v2\" ><div class=\"g-recaptcha\" data-sitekey=\"6LfTjEInAAAAAIqGi6-O5XWhZ-a0FWaHx0ZT7F3z\"><\/div><input type=\"text\" name=\"g-recaptcha-hidden\" class=\"wpforms-recaptcha-hidden\" style=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\" data-rule-recaptcha=\"1\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"590\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/mountainchildrensforum.org\/index.php\/wp-json\/wp\/v2\/pages\/609\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-590\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Click to Submit and go to Paypal to Donate\" aria-live=\"assertive\" value=\"wpforms-submit\">Click to Submit and go to Paypal to Donate<\/button><img decoding=\"async\" src=\"https:\/\/mountainchildrensforum.org\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-609","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Donor Information Form - Mountain Children&#039;s Forum USA PayPal or Credit Card Donation<\/title>\n<meta name=\"description\" content=\"PayPal donation or Credit Card conation. 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