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			<title>American Red Cross</title>
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	    <script type="text/javascript" src="https://cdns.gigya.com/JS/socialize.js?apikey=2_8UbgKup5Y1EJXw9nPR4Oa0U5BicYIV_6eucpt9D7kbk8PTYFkvixLOIs2sOFYaFk"></script>
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  </head>
  <body class="demo_pages demo_pages_donation_flow" ng-app="rco.ui" ng-class="{'noscroll-xs noscroll-sm': navbarToggled}" data-gtm-application="MODF" data-gtm-template-type="Donation Form">
    <input type="hidden" id="mpCancel" value=""/>
    <script type="text/javascript">
    function recaptchaSuccessLogin () {
        //$scope.donationFlow.recaptchaSuccessful = true;
        //$scope.$apply();
    	//$scope.loginView = "login";
    	//RCODonationFlowActions.clearSigninFields();
    	//grecaptcha.reset('1');
    	//$scope.$apply();
      }; 
    function recaptchaSuccess (value) {
        $scope.donationFlow.recaptchaSuccessful = true;
        $scope.$apply();
      };     
    $(function () {
        $(document).on('blur', '.rco-ui-other-amount', function (e) {
            $scope.donationFlowForm['donation.amount'].$dirty = true
            $scope.$apply()
          });
          $(document).on('blur', '.donation-frequency .btn.last', function (e) {
            $scope.donationFlowForm['donation.frequency'].$dirty = true
            $scope.$apply()
          }); 
          $(document).on('blur', '[name=firstName]', function (e) {
            if (typeof($scope.model.payment.personal.firstName) == 'undefined') {
              $scope.formHelpers.validateField($scope.donationFlowForm.firstName);
              if ($(this).val() == '') {
                $scope.model.payment.personal.firstName = '';
                $scope.$apply();
              }
            }
          });
          $(document).on('blur', '[name=lastName]', function (e) {
            if (typeof($scope.model.payment.personal.lastName) == 'undefined') {
              $scope.formHelpers.validateField($scope.donationFlowForm.lastName);
              if ($(this).val() == '') {
                $scope.model.payment.personal.lastName = '';
                $scope.$apply();
              }
            }
          });
          $(document).on('blur', '[name=email]', function (e) {
            if (typeof($scope.model.payment.personal.email) == 'undefined') {
              $scope.formHelpers.validateField($scope.donationFlowForm.email);
              if ($(this).val() == '') {
                $scope.model.payment.personal.email = '';
                $scope.$apply();
              }
            }
          });
          $(document).on('blur', '[name=number]', function (e) { 
        	  $scope.formHelpers.validateField($scope.donationFlowForm.number);
        	  if ($(this).val().length>0 && $(this).val().length<13){
	   		    	$scope.$broadcast('schemaForm.error.payment.card.number','302', false);
     		    	$scope.$apply();
     		    	$("[name='number']").on('keyup',function(){
     		    		$scope.$broadcast('schemaForm.error.payment.card.number','302', true);
   	    			$scope.$apply();
     		    	});
        	  } else if ($scope.model.payment.card.type === 'unknown') {
                $scope.$broadcast('schemaForm.error.payment.card.number','type202',false);
                $scope.$apply();
              }
          });
          $(document).on('change', '[name=number]', function (e) {
              $scope.formHelpers.validateField($scope.donationFlowForm.number);
              value = $('[name=number]').val()
              if (value === '') {
                $scope.$broadcast('schemaForm.error.payment.card.number','302',false);
              }
              $scope.$apply();
            });
            $(document).on('focus', '[name=number]', function (e) {
              if($scope.donationFlowForm.number.$dirty) {
                $scope.$broadcast('schemaForm.error.payment.card.number','type202',true);
                $scope.$broadcast('schemaForm.error.payment.card.number','302',true);
              }
            });          
          $(document).on('blur', '[name=month]', function (e) {
            if ($(this).val() == '?') {
              $scope.model.payment.card.month = "";
              $scope.$apply();
            }
            $scope.formHelpers.validateField($scope.donationFlowForm.month);
          });
          $(document).on('blur', '[name=year]', function (e) {
            if ($(this).val() == '?') {
              $scope.model.payment.card.year = "";
              $scope.$apply();
            }
            $scope.formHelpers.validateField($scope.donationFlowForm.year);
            $('[name=month]').blur();
          });
          $(document).on('focus', '[name=cvv]', function (e) { $(this).attr('maxlength', '4'); });
          $(document).on('blur', '[name=cvv]', function (e) { $scope.formHelpers.validateField($scope.donationFlowForm.cvv); });
          $(document).on('blur', '.payment-billing-section [name=address]', function (e) {
            if ($(this).val() == '') {
              $scope.$broadcast('schemaForm.error.payment.billing.address','tv4-302',false);
              $scope.model.payment.billing.address = '';
              $scope.$apply();
            }
          });
          $(document).on('blur', '.payment-billing-section [name=country]', function (e) {
            if (typeof($scope.model.payment.billing.country) == 'undefined') {
              $scope.formHelpers.validateField($scope.donationFlowForm.country);
              $scope.$broadcast('schemaForm.error.payment.billing.country','tv4-302',false);
              $scope.model.payment.billing.country = ' ';
              $scope.$apply();
              $scope.model.payment.billing.country = '';
              $scope.$apply();
            }
          });
          $(document).on('change', '.payment-billing-section [name=country]', function (e) {
              $scope.model.payment.billing.state = undefined;
              $scope.model.payment.billing.city = undefined;
              $scope.model.payment.billing.zip = undefined;
              $scope.$apply();
              $(".payment-billing-section [name=zip]").val("");
              $scope.actions.setMaxLengthZip();
              if (($scope.donationFlowForm.billingStateSelect )) {
            	  $scope.donationFlowForm.billingStateSelect.$pristine=true;
            	  $scope.donationFlowForm.billingStateSelect.$dirty=false;
            	  $scope.donationFlowForm.billingStateSelect.$touched=false;
            	  $scope.donationFlowForm.billingStateSelect.$untouched=true;
            	  $scope.donationFlowForm.billingStateSelect.$valid=true;
            	  $scope.donationFlowForm.billingStateSelect.$invalid=false; 
            	  $scope.$apply();
              }else if (($scope.donationFlowForm.billingStateFreeform)){
            	  $scope.donationFlowForm.billingStateFreeform.$pristine=true;
            	  $scope.donationFlowForm.billingStateFreeform.$dirty=false;
            	  $scope.donationFlowForm.billingStateFreeform.$touched=false;
            	  $scope.donationFlowForm.billingStateFreeform.$untouched=true;
            	  $scope.donationFlowForm.billingStateFreeform.$valid=true;
            	  $scope.donationFlowForm.billingStateFreeform.$invalid=false;
                  $scope.$apply();
              }
              if ($scope.donationFlowForm.zip ) {
            	  $scope.donationFlowForm.zip.$pristine=true;
            	  $scope.donationFlowForm.zip.$dirty=false;
            	  $scope.donationFlowForm.zip.$touched=false;
            	  $scope.donationFlowForm.zip.$untouched=true;
            	  $scope.donationFlowForm.zip.$valid=true;
            	  $scope.donationFlowForm.zip.$invalid=false;
                  $scope.$apply();
              }
            });          
          $(document).on('blur', '.payment-billing-section [name=city]', function (e) {
            if ($(this).val() == '') {            	
              $scope.formHelpers.validateField($scope.donationFlowForm.city);
              $scope.$broadcast('schemaForm.error.payment.billing.city','tv4-302',false);
              $scope.model.payment.billing.city = '';
              $scope.$apply();
            }
          });
          $(document).on('blur', '.payment-billing-section .state input, .payment-billing-section .state select', function (e) {
        	  if ($(".payment-billing-section .state input").val()=='' 
        			  || $(".payment-billing-section .state select").val()=='? undefined:undefined ?' 
        				|| $(".payment-billing-section .state select").val()=='? string: ?'){
        		  
        	  	if($scope.model.payment.billing.country == 'US' || $scope.model.payment.billing.country == 'CA'){ 
	              $scope.formHelpers.validateField($scope.donationFlowForm.billingStateSelect);
	              $scope.$broadcast('schemaForm.error.payment.billing.state','tv4-302',false);
	              $scope.$apply();
        	  	}
            }
          });
          $(document).on('blur', '.payment-billing-section [name=zip]', function (e) {
        	  if ($(this).val() == ''){//} || typeof($scope.model.payment.billing.zip) == 'undefined') {
	              if ($scope.model.payment.billing.country == 'US' || $scope.model.payment.billing.country == 'CA'){
	            	  $scope.formHelpers.validateField($scope.donationFlowForm.zip);
	              	  $scope.$broadcast('schemaForm.error.payment.billing.zip','tv4-302',false);
	              	  $scope.$apply();
	              }
            }
          });
          $(document).on('blur', '[name=organizationName]', function (e) {
              if (typeof($scope.model.payment.personal.organizationName) == 'undefined') {
                $scope.formHelpers.validateField($scope.donationFlowForm.organizationName);
                $scope.$broadcast('schemaForm.error.payment.personal.organizationName','302', false);
                $scope.model.payment.personal.organizationName=' ';
                $scope.$apply();                
                $scope.model.payment.personal.organizationName='';
                $scope.$apply();
                }
            });
          /* $(document).on('blur', '[name=country]', function (e) { $scope.formHelpers.validateField($scope.donationFlowForm.country); }); */
      });
    
      window.RCOServerSideErrors = {
        "donation.frequency": "Server Side Error"
      };
      
      (function() {
    	  $(document).ready(function() {
    	    "use strict";
    	    $scope.errTag=false;
    	    window.RCODonationFlowActions.init();
    	    window.RCODonationFlowActions.isApplePayBccEnabled="1";
			window.applepay.merchantIdentifier="merchant.redcross.org.arcapplepay.prod";
			window.applepay.init();
    	});
        }).call(this);

	    $(window).load(function(){
	    	var successMasterPass = $("#mpCancel").val();
	    	if (successMasterPass!=null && successMasterPass==="0" ){
	    		$("html, body").animate({ scrollTop: $(".summaryHeader").offset().top}, "fast");
	    	}	
	    });
      
 window.RCODonationFlowDefaults = {
        "donation.dedication.headline": " ",
        "donation.frequency.headline": " "
      }
      window.RCODonationFlow = {"donatePage.label.paymenttype.visacheckoutheadline":"Visa Checkout","donation.amount.maximumAmount":50000,"donatePage.error.specialchar.personalinfo.email":"Please enter a valid email address.","donatePage.error.invalid.cc.cardNumber":"The credit card number entered is not valid. Please re-enter the number.","donatePage.label.cc.editLink":"Edit Payment Details >>","donatePage.error.empty.invalid.year":"The year selected is not valid. Please select a valid year.","globalfooterpage.label.faq":"FAQ","donatePage.label.paymentmodule.headline":"Payment Details","donatePage.error.empty.billing.zipcode.international":"Don't forget to tell us your postal code.","donatePage.label.cc.cvv":"CVV","donatePage.link.cc.defaultCreditCard":"Use Saved Credit Card","donation.amount.errmsg.emptyVariableDonationAmount":"Please enter a donation amount.","donation.frequency.headline":"Frequency","donatePage.label.paymenttype.paypalheadline":"PayPal","donatePage.error.specialchar.billing.zipcode.international":"Please enter a postal code without special characters or accents.","globalfooterpage.label.mobileapps":"Mobile Apps","donatePage.error.invalid.cardType":"We do not support that credit card type at this time. Please choose another payment method.","donatePage.error.empty.custom.customField":"This is a required field.","donatePage.error.empty.billing.state.freeform":"Please enter a state without special characters or accents.","donationPage.error.empty.personal.companyname":"Please tell us the company or organization name.","donatePage.label.billing.city":"City","donatePage.label.billing.state":"State","donatePage.error.specialchar.donation.dedicationName":"Please enter a dedication without special characters or accents.","donatePage.label.cc.changecard":"Use a Different Card","donatePage.label.signin.link":"Sign in for Saved Account","donation.amount.presets":[1000,500,250,100,75,50],"confirmationPage.text.details.viewmore.transactionid":"Transaction ID","donatePage.label.signin.email":"Email Address","donatePage.label.billing.country":"Country","donatePage.error.empty.cc.cardNumber":"Please enter your credit card number.","donation.footer":[{"content":"<br>To donate by check or to a specific cause, please complete this <a href=\"http://www.redcross.org/images/MEDIA_CustomProductCatalog/m64040094_redcross_donate_by_mail.pdf\"  target=\"_blank\">donation form<\/a> by printing and mailing to:<br><br>\r\rAmerican Red Cross <br>\rPO Box 37839<br>\rBoone, IA 50037-0839","icon":"/images/MEDIA_CustomProductCatalog/m6640488_icon-mobile-40x40-newsletter.png","title":"Donate by Mail","link.title":"Print Donation Form","link":"http://www.redcross.org/images/MEDIA_CustomProductCatalog/m64040094_redcross_donate_by_mail.pdf","classid":"100001"},{"content":"<br>To donate by phone or to get assistance with your donation, please contact us at 1-800-HELP NOW (1-800-435-7669).<br><br>\r\rYou can also reach us at:<br>\rEspañol: 1-800-435-7669<br>\rTDD Operator: 1-800-220-4095","icon":"/images/MEDIA_CustomProductCatalog/m67540075_Phone-trasparent.png","title":"Donate by Phone","classid":"100002"},{"content":"<br>The American National Red Cross is registered as a 501(c)(3) non-profit organization. Contributions to the American National Red Cross are tax-deductible to the extent permitted by law. The Red Cross' tax identification number is 53-0196605.","icon":"/images/MEDIA_CustomProductCatalog/m9540085_40x40_mobiledonateicon.png","title":"Tax Information","classid":"100003"}],"payment.personal.email":{"description":"Your donation receipt will be sent to this address.","tooltip":"<FONT     KERNING=\"1\">By making a donation, you will receive tips on staying safe and prepared via our monthly newsletter and news on our disaster relief efforts. You may unsubscribe at any time.<\/FONT>"},"donatePage.error.signin.missing.password":"Please enter your password.","donation.amount.handleDisplay":"Custom","donatePage.error.signin.missing.email":"Please enter an email address.","donation.recaptcha":false,"donatePage.error.empty.billing.zipcode.canada":"Don't forget to tell us your postal code.","ccTypes":["visa","american-express","discover","master-card"],"donatePage.error.signin.password.mismatch":"This password you entered does not match our records. Passwords are case sensitive. Please try again.","donatePage.error.empty.billing.state.dropdown":"Don't forget to select your state.","donation.amount.taxDeductible.text":"All donations are tax deductible.","donatePage.error.signin.invalid.email":"Please enter a valid email address.","donatePage.button.forgotpassword.completed.ok":"OK","donatePage.error.empty.cc.month":"Please select an expiration month.","donatePage.error.forgot.nomatch.email":"The email address you entered does not match our records. Please try again.","donatePage.error.empty.invalid.month":"The month selected is not valid. Please select a valid month.","donatePage.label.paymenttype.visacheckout":"Visa Checkout","donatePage.label.forgot.completed.title":"<P ALIGN=\"LEFT\"><FONT     KERNING=\"1\">You will receive an email with instructions to reset your password for an existing account.<\/FONT><\/P><P ALIGN=\"LEFT\"><FONT     KERNING=\"1\">If you do not receive an email please call 1-800 RED CROSS (1-800-733-2767) for additional assistance.<\/FONT><\/P>","donatePage.error.character.limit.personalinfo.firstname":"Please limit first name to {{schema.maxLength}} characters. ({{viewValue.length}} characters)","donation.frequency.preselectedFrequencyType":"Onetime","donatePage.link.signin.resetpassword":"Forgot Your Password","donatePage.label.forgotpassword.completed.title":"Forgot Your Password?","donatePage.label.billing.postalcode":"Postal Code","donation.headlineModule.textHorizontalAlignment":"left","donation.otherAmount.skuId":"sku0000","donatePage.label.cc.cardNumber":"Card Number","donatePage.label.paymenttype.cc":"Credit Card","donation.frequency.orderPreference":"One-Time","donation.headlineModule.images":{"sm":"https://embed.widencdn.net/img/americanredcross/cdl3xf1373/exact/ye-2016-donate-aspot-1920x703_new.jpg?quality=100&u=cictwi","md":"https://embed.widencdn.net/img/americanredcross/cdl3xf1373/exact/ye-2016-donate-aspot-1920x703_new.jpg?quality=100&u=cictwi","lg":"https://embed.widencdn.net/img/americanredcross/cdl3xf1373/exact/ye-2016-donate-aspot-1920x703_new.jpg?quality=100&u=cictwi","xs":"https://embed.widencdn.net/img/americanredcross/g9lwgxi2da/exact/ye-2016-donate-aspot-1534x1678_new.jpg?quality=100&u=cictwi"},"donationLessThanMin":"Minimum online donation amount is $5.00.","invalidVariableDonationAmount":"Please enter an amount in U.S. currency format (####.##),","donatePage.error.specialchar.billing.zipcode.canada":"Please enter a postal code without special characters or accents.","donation.amount.minimumDonation.text":"<FONT     KERNING=\"1\">$10.00 is the minimum online donation.<\/FONT>","confirmationPage.text.details.viewmore.designation":"Designation","donatePage.label.forgotpassword.title":"Forgot Your Password?","donation.headlineModule.title":"Change Lives with Your Gift. Donate Now.","donatePage.label.donationmodule.edit":"Edit","donation.frequency.errmsg.required":"Please select a frequency type.","donatePage.error.specialchar.billing.zipcode.us":"Please enter a valid postal code.","donatePage.label.personalinfo.email":"Email Address","donation.paymenttype":{"paypal":{"description":"<FONT     KERNING=\"1\"><I>You will be sent to PayPal&apos;s website to complete your donation.<\/I><\/FONT>","label":"PayPal"},"cc":{"label":"Credit Card"}},"donatePage.error.character.limit.personalinfo.lastname":"Please limit last name to {{schema.maxLength}} characters. ({{viewValue.length}} characters)","donatePage.label.cc.expiryDate":"Exp Date","donatePage.error.empty.cc.cvv4":"CVV must be 4 numbers.","donation.payment.billing":{"states":{"US":[{"name":"Armed Forces Americas (AA)","value":"AA"},{"name":"Armed Forces Europe (AE)","value":"AE"},{"name":"Alaska","value":"AK"},{"name":"Alabama","value":"AL"},{"name":"Armed Forces Pacific (AP)","value":"AP"},{"name":"Arkansas","value":"AR"},{"name":"American Samoa","value":"AS"},{"name":"Arizona","value":"AZ"},{"name":"California","value":"CA"},{"name":"Colorado","value":"CO"},{"name":"Connecticut","value":"CT"},{"name":"District of Columbia","value":"DC"},{"name":"Delaware","value":"DE"},{"name":"Florida","value":"FL"},{"name":"Georgia","value":"GA"},{"name":"Guam","value":"GU"},{"name":"Hawaii","value":"HI"},{"name":"Iowa","value":"IA"},{"name":"Idaho","value":"ID"},{"name":"Illinois","value":"IL"},{"name":"Indiana","value":"IN"},{"name":"Kansas","value":"KS"},{"name":"Kentucky","value":"KY"},{"name":"Louisiana","value":"LA"},{"name":"Massachusetts","value":"MA"},{"name":"Maryland","value":"MD"},{"name":"Maine","value":"ME"},{"name":"Marshall Islands","value":"MH"},{"name":"Michigan","value":"MI"},{"name":"Minnesota","value":"MN"},{"name":"Missouri","value":"MO"},{"name":"Northern Mariana Islands","value":"MP"},{"name":"Mississippi","value":"MS"},{"name":"Montana","value":"MT"},{"name":"North Carolina","value":"NC"},{"name":"North Dakota","value":"ND"},{"name":"Nebraska","value":"NE"},{"name":"New Hampshire","value":"NH"},{"name":"New Jersey","value":"NJ"},{"name":"New 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var gtmAccountID = "GTM-TQZHHP";
(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':
new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],
j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src=
'//www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);
})(window,document,'script','dataLayer', gtmAccountID);</script>
<!-- End Google Tag Manager -->
     <script type="text/javascript">
     var detype='campaign';
     if(detype == 'microsite')
     dataLayer.push({'donation-entity-type': 'Microsite'});
     if(detype == 'campaign')
     dataLayer.push({'donation-entity-type': 'Campaign'});
     dataLayer.push({'donation-entity-id' : '8300002'});
     dataLayer.push({'event': 'donation-form-loaded'});

     </script>
    	
    <header>
      <nav class="navbar navbar-default rco-ui-navbar rco-ui-no-margin-no-padding">
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
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
						    	
									
								
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
				
					
					
					
						
						
						
						    
							
								
						
					
						              	
              	
              		
                	
                	
                
                <a class="navbar-brand" href="/" target="_blank"><img style="width:100px" src="/images/redcross-logo.png" /></a>
              </div>
            </div>
          </div>
        </div>
      </nav>
    </header>
     <main class="rco-ui-donation-flow">
      <div class="loading" ng-show="loading">
        Loading&#8230;
      </div>    
      <div class="browser-check" rco-ui-browserhappy=""></div>
      <div class="rco-ui-headline jumbotron color-white margin-bottom-0 ng-cloak" rco-ui-jumbotron-bg="donationFlow['donation.headlineModule.images']" fixed-height="">
       <div class="container">
         <div class="rco-ui-headline-content bottom left" ng-class="{bottom: !donationFlow['donation.headlineModule.description'] }">
           <h2 ng-bind-html="donationFlow['donation.headlineModule.title']" ng-style="donationFlow['donation.headlineModule.title.style']"></h2>
           <p class="description" ng-bind-html="donationFlow['donation.headlineModule.description']" ng-if="donationFlow['donation.headlineModule.description']" ng-style="donationFlow['donation.headlineModule.description.style']"></p>
         </div>
       </div>
	  </div>      
      <div class="container ng-cloak">
         
        		 
        		 
         















	
	
		
	
	

	
		
		
			
	
		
		
			
					
					
					
					
					
									
			 
	
	
	
	<div class="row summary">
          <div class="col-md-8">
      
          
				
				
				
				 

			
		</div>
		
	</div>

       
        <div class="row body">
          <div class="col-md-8 rco-ui-donation-flow-form">
            <div class="rco-ui-donation-flow-donation">
              <div class="rco-ui-donation-flow-section" condition="!model.payment.type">
              
				
				
                <div class="rco-ui-donation-flow-row">
                  <div class="rco-ui-donation-flow-template" key="donation.amount">
                    <div class="col-md-12" ng-class="{'has-error': (($$value$$ > form.donationFlow['donation.amount.maximumAmount'] || $$value$$ < form.donationFlow['donation.amount.minimumAmount'] && !!$scope.donationFlowForm['donation.amount'].$dirty) && form.donationFlowForm['donation.amount'].$dirty)}">
                      <label class="control-label" ng-bind="form.donationFlow['donation.amount.headline']" ng-style="form.donationFlow['donation.amount.headline.style']"></label><input name="myDonationAmount" ng-value="$$value$$" type="hidden" />
                      <div disable-other-amount="!form.donationFlow['donation.otherAmount.skuId']" placeholder-model="form.donationFlow['donation.amount.otherAmount.text']" presets="form.donationFlow['donation.amount.presets']" rco-ui-donation-amount="$$value$$"></div>
                      <p class="help-block" style="margin: 0 0 5px 0">
                        <span class="rco-ui-validation-error-message" ng-show="$$value$$ > form.donationFlow['donation.amount.maximumAmount']">Please enter an amount less than [{{ form.donationFlow['donation.amount.maximumAmount'] | currency }}]. If you'd like to give more, please call 1-800-RED CROSS.</span>
                      </p>
                      <p class="rco-ui-form-note" style="padding-left: 0 !important">
                        <span ng-bind-html="form.donationFlow['donation.amount.minimumDonation.text']" ng-class="{'rco-ui-validation-error-message': ($$value$$ < form.donationFlow['donation.amount.minimumAmount'] && form.donationFlowForm['donation.amount'].$dirty)}"></span><span ng-bind-html="form.donationFlow['donation.amount.taxDeductible.text']" ng-style="form.donationFlow['donation.amount.taxDeductible.style']"></span>
                      </p>
                    </div>
                  </div>
                </div>
                
		        
			    
      			
              	
               
				
				
		        
                <div class="rco-ui-donation-flow-row">
                  <div class="rco-ui-donation-flow-template" key="donation.supporting">
                    <div class="col-md-8 form-group">
                      <label class="control-label" ng-bind-html="form.donationFlow['donation.designationComp.headline']">I Want to Support</label><ui-select ng-model="$$value$$" search-enabled="!form.donationFlow.isMobile" ng-disabled="form.donationFlow['donation.designationComp.desig'].length == 1"><ui-select-match><img class="option-image" ng-src="{{$select.selected.icon}}" />
                          <div class="option-title" ng-bind-html="$select.selected.title"></div>
                          <div class="option-description" ng-bind-html="$select.selected.description"></div>
                        </ui-select-match><ui-select-choices repeat="designation in form.donationFlow['donation.designationComp.desig']"><img class="option-image" ng-src="{{designation.icon}}" />
                          <div class="option-title" ng-bind-html="designation.title"></div>
                          <div class="option-description" ng-bind-html="designation.description"></div>
                        </ui-select-choices></ui-select>
                    </div>
                  </div>
                </div>
                
			    
      			
              	
               
				
				
		        
			    
			    <div class="rco-ui-donation-flow-row">
                  <div class="rco-ui-donation-flow-template" key="donation.frequency">
  					<div class="form-group donation-frequency schema-form-radiobuttons col-md-12" ng-class="{'has-error': !$$value$$ && form.donationFlowForm['donation.frequency'].$dirty}">                    
                      <div class="row">
                        <label class="control-label col-xs-12"><span ng-bind-html="form.title"></span></label>
						<div class="btn-group col-md-12" role="group">                        
                          <button class="btn btn-default" ng-bind-html="item.name" ng-class="{ active: (item.value === $$value$$), last: $last }" ng-click="$$value$$ = item.value" ng-repeat="item in form.donationFlow['donation.frequency.types']" type="button">One Time</button>
                        </div>
                        <p class="help-block col-xs-12" ng-class="{'without-error': model['donation']['frequency']=='Onetime'}">
                        	<span class="rco-ui-validation-error-message" ng-bind="form.donationFlow['donation.frequency.errmsg.required']" ng-show="!$$value$$ && form.donationFlowForm['donation.frequency'].$dirty"></span><span class="rco-ui-validation-error-message" ng-bind="form.donationFlow['donatePage.error.invalid.billing.country.monthly']" ng-show="form.actions.monthlyErrorEnable"></span>
                        </p>
                        <p class="help-block col-xs-12" ng-class="{'without-error': model['donation']['frequency']=='Monthly'}">
                        	<span ng-show="$$value$$=='Monthly'"><FONT     KERNING="1">Your donation of {{ model.donation.amount | currency }} will be made today and on the 14th of each following month using the payment method selected. You may cancel or change this amount at any time.</FONT></span><span class="rco-ui-validation-error-message" ng-bind="form.donationFlow['donation.frequency.errmsg.required']" ng-show="model['donation']['frequency']=='Monthly' && !$$value$$ && form.donationFlowForm['donation.frequency'].$dirty"></span>
                        </p> 
                      </div>                      
                    </div>
                  </div>
                </div>
                
      			
              	
               
              </div>
              <div class="rco-ui-donation-flow-section" condition="!!model.payment.type">
                <div class="rco-ui-donation-flow-template">
                  <div class="rco-ui-donation-summary">
                    <div class="row">
                      <div class="col-xs-5 col-sm-3">
                        <strong>I Want to Give:</strong>
                      </div>
					  <div class="col-xs-7 col-sm-9">                      
                       {{ model.donation.amount | currency }}
                      </div>
                    </div>
                    <div class="row">
                      <div class="col-xs-5 col-sm-3">
                        <strong>I Want to Support:</strong>
                      </div>
                      <div class="col-xs-7 col-sm-9" ng-bind-html="model.donation.supporting.title"></div>
                    </div>
                    <div class="row">
                      <div class="col-xs-5 col-sm-3">
                        <strong>Frequency:</strong>
                      </div>
                      <div class="col-xs-7 col-sm-9">
                        {{ form.lookupName(form.donationFlow['donation.frequency.types'], model.donation.frequency) }}
                      </div>
                    </div>
                    <div class="row" ng-show="model.donation.isDedicated && model.donation.dedicationName">
                      <div class="col-xs-5 col-sm-3">
                        <strong>{{ form.lookupName(form.donationFlow['donation.dedication.dedication'], model.donation.dedication) }}:</strong>
                      </div>
                      <div class="col-xs-7 col-sm-9">
                        {{ model.donation.dedicationName }}
                      </div>
                    </div>
                    <div class="row">
                      <div class="col-md-12">
                        <a class="rco-ui-donation-flow-edit-link" ng-click="model.payment.type = '';form.actions.showMonthlyErrorMessage()" ng-bind-html="form.donationFlow['donatePage.label.donationmodule.edit']">Edit</a>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
            <div class="rco-ui-donation-flow-payment">
            
            
            
 	                
 					  
 					
 					
 					
 			
 	                
 			
 	                
 			
 	                
 			
           	
	                
	                 
					
					            
              <div class="rco-ui-donation-flow-template" key="payment.type">
                <div class="payment-types row"  ng-class="{'apple-pay-enabled': form.actions.isApplePay}">
                
                  	
	                  <div class="col-sm-3 col-xs-6 apple-pay">
	                    <div class="payment-type" ng-class="{active: $$value$$ == 'ApplePay', disabled: form.helper.paymentTypeDisabled()} " ng-click="form.helper.setPaymentType('ApplePay');form.actions.pushApplePayGTM()" ng-mouseover="form.helper.validateDonation()">
	                      <div class="apple-pay-button apple-pay-button-white-with-line"></div>
	                      <p>
	                        Apple Pay
	                      </p>
	                    </div>
	                  </div>
                  	
                  	                
                	
                	<div class="col-sm-3 col-xs-6">                
                  <div class="payment-type" ng-class="{active: $$value$$ == 'Credit Card', disabled: form.helper.paymentTypeDisabled()} " ng-click="form.helper.setPaymentType('Credit Card');form.actions.showSummaryLoggedIn();form.actions.preselectCustomFields();form.actions.clearErrors()" ng-mouseover="form.helper.validateDonation()">
					<img class="paymentLogoImagesHiRes" src="/images/modf/rco-ui-donation-credit-cards-hires.png" />                    
                    <p ng-bind-html="form.donationFlow['donation.paymenttype']['cc'].label">
                      *Credit Cards Translation*
                    </p>
                  </div>
                  </div>
                  	
                  	
                  	
                  	                
                	
                  	
                  	
                  	                
                	
                  	
                  	
                  	                
                	
                  	   
                  		
                  		
                  		
                  		
                  		
                  			
                  			
                  				
                  			<div class="col-sm-3 col-xs-6">
			                  <div class="payment-type" ng-class="{active: $$value$$ == 'PayPal', disabled: form.helper.paymentTypeDisabled()}" ng-click="form.helper.setPaymentType('PayPal');form.actions.clearErrors();form.actions.preselectCustomFields()" ng-mouseover="form.helper.validateDonation()">
			                    <img class="paymentLogoImagesHiRes" src="/images/modf/rco-ui-donation-paypal-hires.png" />
			                    <p ng-bind-html="form.donationFlow['donation.paymenttype']['paypal'].label">
			                      *Paypal Brand Name*
			                    </p>
			                  </div>
			                </div>
			                
			                
			                
			                
                  		
                  	
                  	                  
                </div>
              </div>
              
				
              
              
              
	                
				                
              <div class="rco-ui-donation-flow-template" condition="model.payment.type == 'Credit Card'">
                <div class="rco-ui-donation-flow-saved-account" ng-hide="response.personal || form.donationFlow.profile.loggedIn">
				  <a class="cta-link-text" data-target="#loginModal" data-toggle="modal" ng-show="!form.donationFlow.profile.loggedIn" ng-bind-html="form.donationFlow['donatePage.label.signin.link']"  data-gtm-link-type="Sign In">Sign in for Saved Account »</a>
                </div>
              </div>
              <div class="rco-ui-donation-flow-payment-personal">
                <div class="rco-ui-donation-flow-row">
                  <div class="rco-ui-donation-flow-template" key="payment.personal.firstName">
<!--                     <div class="form-group schema-form-input col-md-6" ng-class="{'has-error': hasError()}" ng-show="!form.response.personal">
                      <label class="control-label"><span ng-bind-html="form.donationFlow['donatePage.label.personalinfo.firstname']"></span></label><input class="form-control" ng-model="$$value$$" schema-validate="form" sf-changed="form" type="text" /><span aria-hidden="true" class="form-control-feedback" ng-class="evalInScope(form.feedback) || {'glyphicon': true, 'glyphicon-ok': hasSuccess(), 'glyphicon-remove': hasError() }" ng-if="form.feedback !== false"></span>
 -->                      
                    <div class="form-group schema-form-input col-md-6" ng-class="{'has-error': form.disableErrorState !== true && hasError(), 'has-success': form.disableSuccessState !== true && hasSuccess(), 'has-feedback': form.feedback !== false }" ng-hide="response.personal || form.donationFlow.profile.loggedIn">
                      <label class="control-label"><span ng-bind-html="form.donationFlow['donatePage.label.personalinfo.firstname']"></span></label><input class="form-control" name="firstName" ng-model="$$value$$" schema-validate="form" sf-changed="form" type="text" autocomplete="given-name"/><span aria-hidden="true" class="form-control-feedback" ng-class="evalInScope(form.feedback) || {'glyphicon': true, 'glyphicon-ok': hasSuccess(), 'glyphicon-remove': hasError() }" ng-if="form.feedback !== false"></span>
                      
                      <div class="help-block error-only">
                        <span class="rco-ui-validation-error-message" sf-message="form.description"></span>
                      </div>
                    </div>
                  </div>
                  <div class="rco-ui-donation-flow-template" key="payment.personal.lastName">
                     <div class="form-group schema-form-input col-md-6" ng-class="{'has-error': form.disableErrorState !== true && hasError(), 'has-success': form.disableSuccessState !== true && hasSuccess(), 'has-feedback': form.feedback !== false }" ng-hide="response.personal || form.donationFlow.profile.loggedIn">
                      <label class="control-label"><span ng-bind-html="form.donationFlow['donatePage.label.personalinfo.lastname']"></span></label><input class="form-control" name="lastName" ng-model="$$value$$" schema-validate="form" sf-changed="form" type="text" autocomplete="family-name"/><span aria-hidden="true" class="form-control-feedback" ng-class="evalInScope(form.feedback) || {'glyphicon': true, 'glyphicon-ok': hasSuccess(), 'glyphicon-remove': hasError() }" ng-if="form.feedback !== false"></span>
                       <div class="help-block error-only">
                        <span class="rco-ui-validation-error-message" sf-message="form.description"></span>
                      </div>
                    </div>
                  </div>                  
                </div>
                <div class="rco-ui-donation-flow-row">
                  <div class="rco-ui-donation-flow-template" key="payment.personal.email">
                     <div class="form-group schema-form-input col-md-6" ng-class="{'has-error': form.disableErrorState !== true && hasError(), 'has-success': form.disableSuccessState !== true && hasSuccess(), 'has-feedback': form.feedback !== false }" ng-hide="response.personal || form.donationFlow.profile.loggedIn">
                      <label class="control-label"><span ng-bind-html="form.donationFlow['donatePage.label.personalinfo.email']"></span><span ng-class="{'tooltip-active': form.tooltip} " ng-click="form.tooltip = !form.tooltip" ng-mouseenter="form.tooltip=true" ng-mouseleave="form.tooltip=false" rco-ui-tooltip="form.donationFlow['payment.personal.email'].tooltip" rco-ui-tooltip-helper="tooltipHelper"></span></label><input class="form-control" name="email" ng-model="$$value$$" ng-model-options="{ updateOn: 'blur' }" schema-validate="form" sf-changed="form" type="text" autocomplete="email"/><span aria-hidden="true" class="form-control-feedback" ng-class="evalInScope(form.feedback) || {'glyphicon': true, 'glyphicon-ok': hasSuccess(), 'glyphicon-remove': hasError() }" ng-if="form.feedback !== false"></span>
                       <div class="help-block without-error">
                        <span sf-message="form.donationFlow['payment.personal.email'].description"></span>
                      </div>                      
                    </div>
                  </div>					
                </div>
                
                 
					<div class="rco-ui-donation-flow-organization" ng-show="!response.personal" ng-hide="response.personal"></div>
				                
                <div class="rco-ui-donation-flow-template">
                  <div class="rco-ui-donation-summary" ng-show="form.response.personal">
                    <div class="row">
                      <div class="col-xs-5 col-sm-3">
                        <strong ng-bind="form.donationFlow['donatePage.label.personal.signedincomplete.name']">Signed-In As:</strong>
                      </div>
                      <div class="col-xs-7 col-sm-9">
                        <span ng-bind="model.payment.personal.firstName"></span> <span ng-bind="model.payment.personal.lastName"></span>
                      </div>
                    </div>
                    <div class="row">
                      <div class="col-xs-5 col-sm-3">
                        <strong ng-bind="form.donationFlow['donatePage.label.personal.signedincomplete.email']">Email Address:</strong>
                      </div>
                      <div class="col-xs-7 col-sm-9">
                        <span ng-bind="model.payment.personal.email"></span>
                      </div>
                    </div>
                    <div class="row">
                      <div class="col-md-12">
                        <a class="cta-link-text" data-target="#logoutModal" data-toggle="modal" ng-show="form.donationFlow.profile.loggedIn" ng-bind-html="form.donationFlow['donatePage.link.personal.signedincomplete.signout']" data-gtm-link-type="Sign Out">Sign Out &raquo</a>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
              
              
              
              
	                
				
                            
              <div class="rco-ui-donation-flow-payment-card">
              	
              	              
                <div class="rco-ui-donation-flow-row">
                  <div class="rco-ui-donation-flow-field" condition="!response.creditcard" feedback="{'glyphicon': true, 'glyphicon-lock': true, 'mute': true}" html-class="col-md-6" key="payment.card.number" on-change="updateCardType(modelValue)" title="donationFlow['donatePage.label.cc.cardNumber']" type="tel"></div>
                  <div class="rco-ui-donation-flow-template" condition="!response.creditcard" key="payment.card.type">
                    <div class="col-md-6">
                      <div class="card-icons" ng-class="$$value$$">
                        
	                        
	                        	
	                        		<img class="visa" src="/images/modf/rco-ui-cc-visa.png" />
	                        	
	                        	
	                        	
	                        	
	                        
                        
	                        
	                        	
	                        	
	                        	
	                        		<img class="master-card" src="/images/modf/rco-ui-cc-mastercard.png" />
	                        	
	                        	
	                        
                        
	                        
	                        	
	                        	
	                        	
	                        	
	                        		<img class="american-express" src="/images/modf/rco-ui-cc-amex.png" />
	                        	
	                        
                        
	                        
	                        	
	                        	
	                        		<img class="discover" src="/images/modf/rco-ui-cc-discover.png" />
	                        	
	                        	
	                        	
	                        
                        
                      </div>
                    </div>
                  </div>
                </div>
                <div class="rco-ui-donation-flow-row">
                  <div class="rco-ui-donation-flow-field" condition="!response.creditcard" html-class="col-md-2" key="payment.card.month" title="donationFlow['donatePage.label.cc.month']"></div>
                  <div class="rco-ui-donation-flow-field" condition="!response.creditcard" html-class="col-md-2" key="payment.card.year" title="donationFlow['donatePage.label.cc.year']"></div>
                  <div class="rco-ui-donation-flow-field" condition="!response.creditcard" html-class="col-md-2" key="payment.card.cvv" title="donationFlow['donatePage.label.cc.cvv']" validate-on="blur" type="tel"></div>
                  <div class="rco-ui-donation-flow-template" condition="!response.creditcard">     
                    <div class="payment-card-cvv col-md-2">
                      <img src="/images/modf/rco-ui-cc-cvv.png" />
                    </div>
                  </div>
                </div>
                
                <div class="rco-ui-donation-flow-template">
                  <div class="rco-ui-donation-summary" ng-show="form.response.creditcard">
                    <div class="row">
                      <div class="col-md-12">
                        <p class="summaryHeader" ng-bind-html="form.donationFlow['donatePage.label.signincomplete.headline']">
                          Payment Information
                        </p>
                      </div>
                    </div>
                    <div class="row">
                      <div class="col-xs-5 col-sm-3">
                        <strong ng-bind-html="form.donationFlow['donatePage.label.cc.cardNumber']">Card Number:</strong>
                      </div>
                      <div class="col-xs-7 col-sm-9">
                        <span ng-bind="form.response.creditcard.lastFour"></span><img class="inlineCreditCard" src="" />
                      </div>
                    </div>
                    <div class="row">
                      <div class="col-xs-5 col-sm-3">
                        <strong ng-bind-html="form.donationFlow['donatePage.label.cc.expiryDate']">Exp Date:</strong>
                      </div>
                      <div class="col-xs-7 col-sm-9">
                        <span ng-bind="form.response.creditcard.expDate"></span>
                      </div>
                    </div>
                    <div class="row">
                      <div class="col-xs-5 col-sm-3"></div>
                      <div class="col-xs-7 col-sm-9"></div>
                    </div>
                    <div class="row">
                      <div class="col-md-12">
                        <a class="rco-ui-donation-flow-edit-link" ng-click="form.response.creditcard = false; form.actions.preClearCreditCardFields();" ng-bind="form.donationFlow['donatePage.label.cc.changecard']">Edit</a>  <i class="fa fa-lock" ng-show="!form.actions.changeCreditCard"></i>
                      </div>
                    </div>
                   </div>
                </div>
				<div class="rco-ui-donation-flow-row">
                  <div class="rco-ui-donation-flow-template">
                    <div class="col-md-12">
                      <a class="cta-link-text" ng-show="form.actions.showDefaultCreditCard()" ng-click="form.helper.setPaymentType('Credit Card');form.actions.changeCreditCard=false;form.actions.showSummaryLoggedIn()" ng-bind-html="form.donationFlow['donatePage.link.cc.defaultCreditCard']">User Default Credit Card</a>
                    </div>
                  </div>
                </div>  
				<div class="rco-ui-donation-flow-row" condition="response.creditcard"" html-class="schema-form-section col-sm-12 creditcard-custom fields">
	                
		            	
		            















	
	
	
	
		
		
		
		
	

                </div>                   
              </div>
              <div class="rco-ui-donation-flow-payment-billing">
                <div class="rco-ui-donation-flow-row">
                  <div class="rco-ui-donation-flow-field" html-class="col-md-6" key="payment.billing.address" on-change="updateShipping()" title="donationFlow['donatePage.label.billing.address1']"></div>
                  <div class="rco-ui-donation-flow-field" description-model="donationFlow['donatePage.label.billing.address2.optional']" html-class="col-md-6" key="payment.billing.address2" on-change="updateShipping()" title="donationFlow['donatePage.label.billing.address2']"></div>
                </div>
                <div class="rco-ui-donation-flow-row">
                  <div class="rco-ui-donation-flow-field" html-class="col-md-6" key="payment.billing.country" on-change="updateShipping()" title="donationFlow['donatePage.label.billing.country']" title-map="donationFlow['donation.payment.billing'].countries" type="select"></div>
                </div>
                <div class="rco-ui-donation-flow-row">
                  <div class="rco-ui-donation-flow-field" html-class="col-md-6" key="payment.billing.city" on-change="updateShipping()" title="donationFlow['donatePage.label.billing.city']"></div>
                  <div class="rco-ui-donation-flow-template" key="payment.billing.state">
                    <div class="form-group schema-form-input state col-md-3" ng-class="{'has-error': form.disableErrorState !== true && hasError(), 'has-success': form.disableSuccessState !== true && hasSuccess(), 'has-feedback': form.feedback !== false }">
                      <label class="control-label"><span ng-bind-html="form.donationFlow['donatePage.label.billing.state']"></span></label>
                      <div ng-switch="!!form.donationFlow['donation.payment.billing'].states[model.payment.billing.country] ? 'select' : 'text'">
                        <div ng-switch-when="text">
                          <input class="form-control" name="billingStateFreeform" ng-change="form.helper.updateShipping()" ng-model="$$value$$" schema-validate="form" sf-changed="form" type="text" /><span aria-hidden="true" class="form-control-feedback" ng-class="evalInScope(form.feedback) || {'glyphicon': true, 'glyphicon-ok': hasSuccess(), 'glyphicon-remove': hasError() }" ng-if="form.feedback !== false"></span>
                        </div>
                        <div ng-switch-when="select">
                          <select class="form-control" name="billingStateSelect" ng-change="form.helper.updateShipping()" ng-model="$$value$$" schema-validate="form" sf-changed="form" type="text">
                            <option ng-repeat="option in form.donationFlow['donation.payment.billing'].states[model.payment.billing.country]" value="{{option.value}}">
                              {{option.name}}


                            </option>
                          </select>
                        </div>
                      </div>                      
                      <div class="help-block error-only">
                        <span class="rco-ui-validation-error-message" sf-message="form.description"></span>
                      </div>
                    </div>
                  </div>
                   <div class="rco-ui-donation-flow-template" key="payment.billing.zip">
                     <div class="form-group schema-form-input col-md-3" ng-class="{'has-error': form.disableErrorState !== true && hasError(), 'has-success': form.disableSuccessState !== true && hasSuccess(), 'has-feedback': form.feedback !== false }" >
                      <label class="control-label"><span ng-bind-html="form.donationFlow['donatePage.label.billing.postalcode']"></span></label>
                      <input on-change="updateShipping()" validate-on="blur" class="form-control" name="zip" ng-model="$$value$$" schema-validate="form" sf-changed="form" type="text" autocomplete="postal-code"/><span aria-hidden="true" class="form-control-feedback" ng-class="evalInScope(form.feedback) || {'glyphicon': true, 'glyphicon-ok': hasSuccess(), 'glyphicon-remove': hasError() }" ng-if="form.feedback !== false"></span>
                       <div class="help-block error-only">
                        <span class="rco-ui-validation-error-message" sf-message="form.description"></span>
                      </div>
                    </div>
                    
                  
    
    </div>
                </div>
	      		
	            	
	            















	
	
	
	
		
		
		
		
	

              </div>
              
              
              
	                
				
              
              
                            
            </div>
            <div class="rco-ui-donation-flow-section" html-class="row">
              <div class="rco-ui-donation-flow-section" condition="model.payment.type == 'ApplePay'" html-class="payment-code col-md-12">
                <div class="rco-ui-donation-flow-template">
                  <div class="col-md-8 col-md-offset-2">
                    <div class="apple-pay-button-with-text apple-pay-button-black-with-text" ng-click="form.actions.payWithApplePay()">
                      <span class="text">Donate with</span><span class="logo"></span>
                    </div>
                    <p style="margin: 15px 0 25px 0;">                    
                    </p>
                  </div>
                </div>
              </div>      
                    
              <div class="rco-ui-donation-flow-section" condition="model.payment.type == 'PayPal'" html-class="payment-code col-md-12">
                <div class="rco-ui-donation-flow-row" html-class="payment-code-paypal fields">
		                
			            	
			            















	
	
	
	
		
		
		
		
	

                </div>
                
                <div class="rco-ui-donation-flow-template">
                    <a ng-click="form.actions.paypalPaymentSubmit()"><img class="rco-ui-imagelink" src="/images/responsive/checkouts/donatePayPal.png" alt="Donate with Paypal"/></a>
                    <p ng-bind-html="form.donationFlow['donation.paymenttype']['paypal'].description">
                      *You will be sent to the PayPal website to complete your donation*
                    </p>
				</div> 
				</div>   
				 
				          
	          
            </div>
            <div class="rco-ui-donation-flow-section" html-class="row">
              <div class="rco-ui-donation-flow-template">
                <p id="thirdpartyerror" class="rco-ui-validation-error-message" style="text-align:center">
                </p>
              </div>
            </div>
            <div class="rco-ui-donation-flow-section" html-class="row">
              <div class="rco-ui-donation-flow-template" key="payment.type">
                <div class="donation-recaptcha col-sm-12" ng-show="$$value$$ && form.donationFlow['donation.recaptcha']  && model.payment.type == 'Credit Card'">
                  <div class="g-recaptcha" data-callback="recaptchaSuccess" data-sitekey="6Le6AykTAAAAABfq7hCeyDyOeX3YKBXC_GWDaDiH"></div>
                </div>
              </div>
              <div class="rco-ui-donation-flow-template">
              	<p id="recaptchaerror" class="rco-ui-validation-error-message" style="text-align:left"></p>
              </div>
            </div>            
            <div class="rco-ui-donation-flow-section" html-class="actions row">
              <div class="rco-ui-donation-flow-template" key="payment.type">
                <div class="certs col-sm-12">
                  <div class="payment-submit col-sm-6" ng-switch="$$value$$">
                    <div class="payment-submit-cc" ng-switch-when="Credit Card">
                      <a class="btn btn-primary rco-ui-donateBu" ng-click="form.actions.submitDonation()" ng-touchend="form.actions.submitDonationScrolling()" ng-mouseup="form.actions.submitDonationScrolling()" ng-disabled="form.donationFlow['donation.recaptcha'] && !form.donationFlow.recaptchaSuccessful">Donate {{ model.donation.amount | currency }} {{model.donation.frequency=='Onetime' ? '' : 'Monthly'}}</a>
                    </div>
                    <div class="payment-submit-masterpass" ng-show="form.response.masterpass" ng-switch-when="MasterPass">
                      <a class="btn btn-primary rco-ui-donateBu" ng-click="form.actions.submitDonation()" ng-touchend="form.actions.submitDonationScrolling()" ng-mouseup="form.actions.submitDonationScrolling()">Donate {{ model.donation.amount | currency }} {{model.donation.frequency=='Onetime' ? '' : 'Monthly'}}</a>
                    </div>
                    <div class="payment-submit-visa" ng-show="form.response.visa" ng-switch-when="Visa Checkout">
                      <a class="btn btn-primary rco-ui-donateBu" ng-click="form.actions.submitDonation()" ng-touchend="form.actions.submitDonationScrolling()"ng-mouseup="form.actions.submitDonationScrolling()">Donate {{ model.donation.amount | currency }} {{model.donation.frequency=='Onetime' ? '' : 'Monthly'}}</a>
                    </div>                    
                    
                  </div>
                  
                  <div class="payment-logos col-sm-6">
                  		
                  			
                  			
                  			
                  			
                            
                                <a href=" http://www.give.org/charity-reviews/national/human-services/american-red-cross-in-washington-dc-679"  target="_blank"><img class="pull-right" src="https://embed.widencdn.net/img/americanredcross/ihx7fwfylz/exact/100x49_BBB_Logo.jpg?quality=100&u=zicqfr" /></a>                  
                            
                 
                  			
                  			
                  			
                  			
                                        <img class="pull-right" src="https://embed.widencdn.net/img/americanredcross/tdc96jx34z/142px/Verizon_Cybertrust_logo.jpg?quality=100&u=cictwi" />
                            
                            
                 
                 </div>
                </div>
              </div>
            </div>
 			<div class="rco-ui-donation-flow-section" html-class="actions">
              <div class="rco-ui-donation-flow-template" key="payment.type">
                  <div class="payment-submit" ng-switch="$$value$$">
                    <div class="payment-submit-cc col-md-6 footnote" ng-switch-when="Credit Card">
                      <p ng-bind-html="form.donationFlow['donation.submitbutton.informationtext']"></p>
                    </div>
                    <div class="payment-submit-masterpass col-md-6 footnote" ng-show="form.response.masterpass" ng-switch-when="MasterPass">
                      <p ng-bind-html="form.donationFlow['donation.submitbutton.informationtext']"></p>
                    </div>
                    <div class="payment-submit-visa col-md-6 footnote" ng-show="form.response.visa" ng-switch-when="Visa Checkout">
                      <p ng-bind-html="form.donationFlow['donation.submitbutton.informationtext']"></p>
                    </div>
                    <div class="col-md-6"></div>  
                  </div>
              </div>
            </div>            
            <input type="hidden" value="en" id="language-code"/>
              
            <form id="responsive-paypal-form" style="display:none" action="/modf/index.jsp?_DARGS=/modf/index.jsp.responsive-paypal-form" method="post"><input name="_dyncharset" value="UTF-8" type="hidden"></input><input name="_dynSessConf" value="-1958696187839833822" type="hidden"></input>
            <input id="txt1-donationid" name="/arc/commerce/order/purchase/bean/BillingInfoBean.donationEntityId" value="8300002" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.donationEntityId" value=" " type="hidden">
      		<input id="txt1-donationitem" name="/arc/commerce/order/purchase/bean/BillingInfoBean.donationEntityItem" value="decampaign:8300002" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.donationEntityItem" value=" " type="hidden">            
      		
            	
            
















	
	
	
	
		
		
		
			
		
		
	
	
	<input id="resp_paypal_recurring" name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationRecurring" value="false" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationRecurring" value=" " type="hidden">
	<input id="resp_paypal_productId" name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationProductId" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationProductId" value=" " type="hidden">
	<input id="resp_paypal_skuId" name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationSkuId" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationSkuId" value=" " type="hidden">	
	<input id="resp_paypal_displayName" name="/arc/commerce/order/purchase/bean/BillingInfoBean.OneStepDonationItemDisplayName" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.OneStepDonationItemDisplayName" value=" " type="hidden">
	<input id="resp_paypal_customDollarHandle" name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCustomDollarHandle" value="false" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCustomDollarHandle" value=" " type="hidden">	
	<input id="resp_paypal_amount" name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationVariableAmt" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationVariableAmt" value=" " type="hidden">
	
	
 	<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.receiveEmailUpdates" value="true" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.receiveEmailUpdates" value=" " type="hidden">	
	<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationRecurrenceDay" value="14" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationRecurrenceDay" value=" " type="hidden">
 	<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationQty" value="1" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationQty" value=" " type="hidden">
	
		<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCampaignId" value="8300002" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCampaignId" value=" " type="hidden">
		<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCampaignOrder" value="true" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCampaignOrder" value=" " type="hidden">
		<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCampaignName" value="Disaster Relief - POST-Major Disasters Form" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCampaignName" value=" " type="hidden">
		<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationSourceCode" value="RSG00000E000" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationSourceCode" value=" " type="hidden">
		<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationSubSourceCode" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationSubSourceCode" value=" " type="hidden">
		<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.microsite" value="false" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.microsite" value=" " type="hidden">
	
	
	
	
			
	
	
		
	
	
	
		
	
	
	
	
		
	
		
	
		
	
		
			
		
	
		
	
		
		
	
	
		
		
			<input id="resp_paypal_tribute" name="/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.tributeCardInfo.tributeDonation" value="false" type="hidden"><input name="_D:/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.tributeCardInfo.tributeDonation" value=" " type="hidden">
			<input id="resp_paypal_tribute_type" name="/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.tributeCardInfo.honorGiftType" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.tributeCardInfo.honorGiftType" value=" " type="hidden">
			<input id="resp_paypal_tribute_name" name="/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.tributeCardInfo.honoreeName" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.tributeCardInfo.honoreeName" value=" " type="hidden">
			<input id="resp_skip_tc_valid" name="/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.tributeCardInfo.skipCardValidation" value="true" type="hidden"><input name="_D:/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.tributeCardInfo.skipCardValidation" value=" " type="hidden">
			<input id="resp_errorUrl" name="/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.payThruPayPalErrorURL" value="/donate/disaster-donations?restoreData=1&walletType=pp" type="hidden"><input name="_D:/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.payThruPayPalErrorURL" value=" " type="hidden">
			<input id="resp_successUrl" name="/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.payThruPayPalSuccessURL" value="/modf/thankyou.jsp?&utm_nooverride=1&campaignId=8300002&scode=RSG00000E017&utm_campaign=Harvey" type="hidden"><input name="_D:/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.payThruPayPalSuccessURL" value=" " type="hidden">
			<input id="resp_pp_tribute" name="/arc/forms/QuickDonateFormVO.tribute" value="" type="hidden"><input name="_D:/arc/forms/QuickDonateFormVO.tribute" value=" " type="hidden">
			<input id="resp_pp_tributeType" name="/arc/forms/QuickDonateFormVO.tributeType" value="" type="hidden"><input name="_D:/arc/forms/QuickDonateFormVO.tributeType" value=" " type="hidden">
			<input id="resp_pp_tributeName" name="/arc/forms/QuickDonateFormVO.honoreeName" value="" type="hidden"><input name="_D:/arc/forms/QuickDonateFormVO.honoreeName" value=" " type="hidden"> 
			<input id="resp_pp_recurring" name="/arc/forms/QuickDonateFormVO.recurring" value="" type="hidden"><input name="_D:/arc/forms/QuickDonateFormVO.recurring" value=" " type="hidden">
  			<input id="resp_pp_amount" name="/arc/forms/QuickDonateFormVO.variableAMount" value="" type="hidden"><input name="_D:/arc/forms/QuickDonateFormVO.variableAMount" value=" " type="hidden">
		
		
	
	
	<input type="hidden" name="customFieldsBean.count" value=""/>
	
	

             <input id="resp_isSpanish" name="/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.value.isSpanish" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.value.isSpanish" value=" " type="hidden">
      		<input name="/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.payThruPayPalResponsive" value="Save" type="hidden"><input name="_D:/arc/commerce/order/purchase/PayPalBillingInfoFormHandler.payThruPayPalResponsive" value=" " type="hidden">
             <input name="_DARGS" value="/modf/index.jsp.responsive-paypal-form" type="hidden"></input></form>
             
             
           
           <form id="responsive" style="display:none" action="/modf/index.jsp?_DARGS=/modf/index.jsp.responsive" method="post"><input name="_dyncharset" value="UTF-8" type="hidden"></input><input name="_dynSessConf" value="-1958696187839833822" type="hidden"></input>
           		<input id="cc-recaptchamessage" name="/arc/commerce/order/purchase/bean/BillingInfoBean.recaptchaMessage" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.recaptchaMessage" value=" " type="hidden">
      			<input id="txt-donationid" name="/arc/commerce/order/purchase/bean/BillingInfoBean.donationEntityId" value="8300002" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.donationEntityId" value=" " type="hidden">
      			<input id="txt-donationitem" name="/arc/commerce/order/purchase/bean/BillingInfoBean.donationEntityItem" value="decampaign:8300002" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.donationEntityItem" value=" " type="hidden">
      			
            	
            	
















	
	
	
	
		
		
		
		
	
	
	<input id="resp_recurring" name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationRecurring" value="false" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationRecurring" value=" " type="hidden">
	<input id="resp_productId" name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationProductId" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationProductId" value=" " type="hidden">
	<input id="resp_skuId" name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationSkuId" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationSkuId" value=" " type="hidden">	
	<input id="resp_displayName" name="/arc/commerce/order/purchase/bean/BillingInfoBean.OneStepDonationItemDisplayName" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.OneStepDonationItemDisplayName" value=" " type="hidden">
	<input id="resp_customDollarHandle" name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCustomDollarHandle" value="false" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCustomDollarHandle" value=" " type="hidden">	
	<input id="resp_amount" name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationVariableAmt" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationVariableAmt" value=" " type="hidden">
	
	
 	<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.receiveEmailUpdates" value="true" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.receiveEmailUpdates" value=" " type="hidden">	
	<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationRecurrenceDay" value="14" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationRecurrenceDay" value=" " type="hidden">
 	<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationQty" value="1" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationQty" value=" " type="hidden">
	
		<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCampaignId" value="8300002" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCampaignId" value=" " type="hidden">
		<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCampaignOrder" value="true" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCampaignOrder" value=" " type="hidden">
		<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCampaignName" value="Disaster Relief - POST-Major Disasters Form" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationCampaignName" value=" " type="hidden">
		<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationSourceCode" value="RSG00000E000" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationSourceCode" value=" " type="hidden">
		<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationSubSourceCode" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.oneStepDonationSubSourceCode" value=" " type="hidden">
		<input name="/arc/commerce/order/purchase/bean/BillingInfoBean.microsite" value="false" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.microsite" value=" " type="hidden">
	
	
	
	
	
		
	
	
	
		
	
	
	
	
		
	
		
	
		
	
		
			
		
	
		
	
		
		
	
	
		
			<input id="resp_expirationMonth" name="/arc/commerce/order/purchase/bean/BillingInfoBean.expirationMonth" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.expirationMonth" value=" " type="hidden">
			<input id="resp_expirationYear" name="/arc/commerce/order/purchase/bean/BillingInfoBean.expirationYear" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.expirationYear" value=" " type="hidden">
			<input id="txt-card-number" name="/arc/commerce/order/purchase/bean/BillingInfoBean.creditCardNumber" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.creditCardNumber" value=" " type="hidden">
				<input id="cvv" name="/arc/commerce/order/purchase/bean/BillingInfoBean.cardVerficationNumber" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.cardVerficationNumber" value=" " type="hidden">
				<input id="txt-address1" name="/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.address1" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.address1" value=" " type="hidden">
			    <input id="txt-address2" name="/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.address2" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.address2" value=" " type="hidden">
			    <input id="txt-city" name="/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.city" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.city" value=" " type="hidden">
			    <input id="txt-postal-code" name="/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.postalCode" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.postalCode" value=" " type="hidden">
				<input id="resp_country" name="/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.country" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.country" value=" " type="hidden">
			    <input id="resp_state" name="/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.state" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.state" value=" " type="hidden">
				<input id="txt-card-email" name="/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.email" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.email" value=" " type="hidden">
				<input id="txt-firstName" name="/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.firstName" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.firstName" value=" " type="hidden">
				<input id="txt-lastName" name="/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.lastName" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.lastName" value=" " type="hidden">
				<input id="txt-companyName" name="/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.companyName" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.companyName" value=" " type="hidden">
				<input id="requiredCompanyName" name="/arc/commerce/order/purchase/bean/BillingInfoBean.requiredCompanyName" value="false" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.requiredCompanyName" value=" " type="hidden">
			<input id="resp_tribute" name="/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.tributeCardInfo.tributeDonation" value="false" type="hidden"><input name="_D:/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.tributeCardInfo.tributeDonation" value=" " type="hidden">
			<input id="resp_tribute_type" name="/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.tributeCardInfo.honorGiftType" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.tributeCardInfo.honorGiftType" value=" " type="hidden">
			<input id="resp_tribute_name" name="/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.tributeCardInfo.honoreeName" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.tributeCardInfo.honoreeName" value=" " type="hidden">
			<input id="resp_skip_tc_valid" name="/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.tributeCardInfo.skipCardValidation" value="true" type="hidden"><input name="_D:/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.tributeCardInfo.skipCardValidation" value=" " type="hidden">
			<input id="resp_country" name="/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.country" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.country" value=" " type="hidden">
			<input id="resp_state" name="/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.state" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.billingAddress.state" value=" " type="hidden">
			<input id="ccType" name="/arc/commerce/order/purchase/bean/BillingInfoBean.creditCardType" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.creditCardType" value=" " type="hidden">
			
        	<input id="resp_successUrl" name="/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.creditCardSuccessUrl" value="/modf/thankyou.jsp?&campaignId=8300002&scode=RSG00000E017&utm_campaign=Harvey" type="hidden"><input name="_D:/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.creditCardSuccessUrl" value=" " type="hidden">
        	<input id="resp_errorUrl" name="/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.creditCardErrorUrl" value="/donate/disaster-donations" type="hidden"><input name="_D:/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.creditCardErrorUrl" value=" " type="hidden">
        	
        	<input type="hidden" id="resp_using_saved_cc" name="usingSavedCC" ng-value="txtUsingSavedCC"  ng-init="txtUsingSavedCC = false"/>
        	<input type="hidden" id="resp_cc_edit_mode" name="isCCEditMode" ng-value="txtIsCCEditMode"  ng-init="txtIsCCEditMode = 'false'"/>
 			
 			<input id="resp_isVisaCheckout" name="/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.value.isVisaCheckout" value="false" type="hidden"><input name="_D:/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.value.isVisaCheckout" value=" " type="hidden">
 			<input id="resp_isMasterPass" name="/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.value.isMasterCheckout" value="false" type="hidden"><input name="_D:/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.value.isMasterCheckout" value=" " type="hidden">  
 			<input id="resp_isApplePay" name="/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.value.isApplePay" value="false" type="hidden"><input name="_D:/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.value.isApplePay" value=" " type="hidden">
 			<input id="txt-appleToken" name="/arc/commerce/order/purchase/bean/BillingInfoBean.appleToken" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.appleToken" value=" " type="hidden">
			<input id="resp_isSaveCard" name="/arc/commerce/order/purchase/bean/BillingInfoBean.saveCardOnProfile" value="false" type="hidden"><input name="_D:/arc/commerce/order/purchase/bean/BillingInfoBean.saveCardOnProfile" value=" " type="hidden">
			
		
		
		
	
	
	<input type="hidden" name="customFieldsBean.count" value=""/>
	
	
  
            <input id="resp_isSpanish" name="/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.value.isSpanish" value="" type="hidden"><input name="_D:/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.value.isSpanish" value=" " type="hidden">
 			<input name="/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.confirmDonateResponsive" value="Save" type="hidden"><input name="_D:/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.confirmDonateResponsive" value=" " type="hidden">
      <input name="_DARGS" value="/modf/index.jsp.responsive" type="hidden"></input></form>
           
            <div class="rco-ui-donation-flow-section" html-class="row">
              <div class="rco-ui-donation-flow-template">
                <p id="creditcarderror" class="rco-ui-validation-error-message" style="text-align:center">
                </p>
              </div>
            </div>            
          </div>
          
		  
        		 
       		















		
	
	
	
     
	 
		 
	 
	 
	 
		 
	 
	 
	 
		 
		     
		 
	 
	 		
		
		
     <div class="col-md-4">
            <div class="rco-ui-component rco-ui-component-vertical rco-ui-donation-aside-message"  ng-if="model.donation.supporting.displayType == 'DisplayStatic'">
                <div class="rco-ui-component-header" ng-if="model.donation.supporting.productId">
                <a>
                	<img ng-src="{{model.donation.supporting.associatedImage}}"/>
                </a>
              </div>
              
              <div class="rco-ui-component-content" ng-switch="model.donation.supporting.productId" ng-show="!!(model.donation.supporting.associatedTitle || model.donation.supporting.associatedDesc)">
                <h5 ng-style="model.donation.supporting['associatedStatic.title.style']" ng-bind-html="model.donation.supporting.associatedTitle"></h5>
                <p ng-style="model.donation.supporting['associatedStatic.description.style']" ng-bind-html="model.donation.supporting.associatedDesc"> </p>
               </div>
            </div>
             <div class="rco-ui-component rco-ui-component-vertical rco-ui-donation-aside-message"  ng-if="model.donation.supporting.displayType == 'DisplayVideo'">
              <!-- <script src="https://www.youtube.com/iframe_api"></script> -->
	           <div class="rco-ui-component rco-ui-component-vertical rco-ui-donation-aside-message" ng-if="model.donation.supporting.productId">
	           	<div class="rco-ui-video-preview sidebar">  
	             <div rco-ui-video=" {{model.donation.supporting.associatedVideoId }}" play-style="model.donation.supporting.playStyle" video-title="{{model.donation.supporting.associatedVideoTitle }}" video-preview="{{model.donation.supporting.associatedPreviewImage }}" player-vars="{controls: 0, rel: 0, showinfo: 0}" show-caption="!!(model.donation.supporting.associatedVideoDesc)" >
			        <p ng-style="model.donation.supporting['associatedStatic.description.style']" ng-bind-html="model.donation.supporting.associatedVideoDesc">
			        </p>
	      		  </div>
	            </div>	          
	          </div>
              </div>
			    
           		
            
     		
 	         </div>
 
 
		  
        </div>
      </div>
      <div aria-hidden="true" aria-labelledby="loginModalLabel" class="modal" id="loginModal" role="dialog">
     	
		
			
		
		
			
				
			
		
		
			
			
		
			
			
				
		
			     
         <div class="modal-dialog modal-md">
          <div class="modal-content" ng-switch="" on="loginModalState">
            <div id="signinModal" ng-switch-default="" style="display:block">
              <div class="modal-header">
                <button aria-label="Close" class="close" data-dismiss="modal" type="button"><span aria-hidden="true"> X</span></button>
                <h4 class="modal-title" id="myModalLabel" ng-bind="donationFlow['donatePage.label.signin.headline']">
                  *Sign In*
                </h4>
              </div>
             <div id="div-captcha-container" class="modal-body" ng-show="loginView == 'captcha'">      
			        
						
						
						
					




















<script type="text/javascript">
 var RecaptchaOptions = 
{ theme : 'custom', custom_theme_widget: 'responsive_recaptcha' };
 RCODonationFlowActions.captchaKey="6Le6AykTAAAAABfq7hCeyDyOeX3YKBXC_GWDaDiH";
 </script>

<link rel="stylesheet" href="/css/mo/components-a/responsive_recaptcha.css">
    
    
	
	
	
	    
	   	
			<script async="" defer="" src="https://www.google.com/recaptcha/api.js"></script>
		
    


<div class="row" >
	
		
			
		
		
			
				
			
		
		
			
			
		
			
			
				
		
		
	
         <p style="margin-top:15px">
            <span id="captchaerror" class="fieldErrorText"></span>
			<div id="div-captcha-error-holder" class="fieldErrorText" style="display:none">
				<font color="red"><b>Please enter the Captcha Text to see the Sign In page again.</b></font>
			</div>            
         </p>		
         
     <form id="responsive-captcha-form" action="/modf/index.jsp?_DARGS=/modf/modfCaptchaView.jsp.responsive-captcha-form" method="post" onsubmit="return false;"><input name="_dyncharset" value="UTF-8" type="hidden"></input><input name="_dynSessConf" value="-1958696187839833822" type="hidden"></input>
     	
		 <input type="hidden" id="recaptcha_response_field" name="recaptcha_response_field" />
		 <p id="recaptchaerror" class="rco-ui-validation-error-message" style="text-align:left"></p>

				<div id="responsive_recaptcha" >
		     		
					
					<div id="recaptcha_div" class="form-group" class="g-recaptcha" data-callback="recaptcha_callback" data-sitekey="6Le6AykTAAAAABfq7hCeyDyOeX3YKBXC_GWDaDiH"></div>
				 </div>
     	   
          
		<input name="/arc/userprofiling/CaptchaFormHandler.captchaURL" value="/modf/index.jsp" type="hidden"><input name="_D:/arc/userprofiling/CaptchaFormHandler.captchaURL" value=" " type="hidden">
		<input name="/arc/userprofiling/CaptchaFormHandler.signInURL" value="/modf/index.jsp" type="hidden"><input name="_D:/arc/userprofiling/CaptchaFormHandler.signInURL" value=" " type="hidden">
		<input name="/arc/userprofiling/CaptchaFormHandler.value.allowedAttempts" value="3" type="hidden"><input name="_D:/arc/userprofiling/CaptchaFormHandler.value.allowedAttempts" value=" " type="hidden">
		<input name="/arc/userprofiling/CaptchaFormHandler.submitCaptha" value="Submit" type="hidden"><input name="_D:/arc/userprofiling/CaptchaFormHandler.submitCaptha" value=" " type="hidden">
	 <input name="_DARGS" value="/modf/modfCaptchaView.jsp.responsive-captcha-form" type="hidden"></input></form>
		<div class="form-group">  
		 	<button id="btn-captcha" class="btn btn-large btn-primary" >Submit</button>
		</div> 	 	
</div>

				</div>              
              <div id="div-login-container" class="modal-body" ng-show="loginView == 'login'">     
                <p ng-bind-html="donationFlow['donatePage.label.signin.title']">
                </p>
                <form id="responsive-login-form" action="/modf/index.jsp?_DARGS=/modf/index.jsp.responsive-login-form" method="post"><input name="_dyncharset" value="UTF-8" type="hidden"></input><input name="_dynSessConf" value="-1958696187839833822" type="hidden"></input>
                  <div class="form-group">
                  <p style="margin-top:15px">
                    <span id="signinerror" class="fieldErrorText"></span>
                  </p>	                  
                    <label for="email" ng-bind="donationFlow['donatePage.label.signin.email']">*Email address*</label>
					
		                
		                
		                
	                <input id="emailLogin" placeholder="Email" name="/atg/userprofiling/ProfileFormHandler.value.login" ng-model="email" value="" class="form-control" type="email"><input name="_D:/atg/userprofiling/ProfileFormHandler.value.login" value=" " type="hidden">           
	                <span id="signinemailinline" class="fieldErrorText"></span>        
                  </div>
                  <div class="form-group">
                  	<label for="password" ng-bind="donationFlow['donatePage.label.signin.password']">*Password*</label>
	                
		                
		                
		                
	                <input id="passwordLogin" placeholder="Password" name="/atg/userprofiling/ProfileFormHandler.value.password" ng-model="password" value="" class="form-control" type="password"><input name="_D:/atg/userprofiling/ProfileFormHandler.value.password" value=" " type="hidden">  
	                <span id="signinpasswordinline" class="fieldErrorText"></span>                   
                  </div>
                  <div class="form-group"></div>
	                <input name="/atg/userprofiling/ProfileFormHandler.loginSuccessURL" value="/modf/index.jsp" type="hidden"><input name="_D:/atg/userprofiling/ProfileFormHandler.loginSuccessURL" value=" " type="hidden">
					<input name="/atg/userprofiling/ProfileFormHandler.loginErrorURL" value="/modf/index.jsp" type="hidden"><input name="_D:/atg/userprofiling/ProfileFormHandler.loginErrorURL" value=" " type="hidden">
					<input name="responsiveLogin" value="true" type="hidden"/> 
					<input name="modfLogin" value="true" type="hidden"/>
					<input name="includeUrl" value="/model/userDataLoad.jsp" type="hidden"/> 
					<input name="/atg/userprofiling/ProfileFormHandler.login" value="submit" type="hidden"><input name="_D:/atg/userprofiling/ProfileFormHandler.login" value=" " type="hidden">
					<input name="/atg/userprofiling/ProfileFormHandler.value.allowedAttempts" value="3" type="hidden"><input name="_D:/atg/userprofiling/ProfileFormHandler.value.allowedAttempts" value=" " type="hidden">                  
				    <input name="/atg/userprofiling/ProfileFormHandler.captchaURL" value="/modf/index.jsp" type="hidden"><input name="_D:/atg/userprofiling/ProfileFormHandler.captchaURL" value=" " type="hidden">
				  <button id="signinbtn" class="btn btn-primary" type="submit" ng-bind="donationFlow['donatePage.button.signin.submit']">*SIGN IN*</button>			                    
                  <p style="margin-top:15px">
                    <a class="cta-link-text" ng-click="actions.showResetPassword()" ng-bind="donationFlow['donatePage.link.signin.resetpassword']" data-gtm-link-type="Forgot Password">*Forgot your password?*</a>
                  </p>
                  <div class="rco-ui-donation-flow-section" html-class="rco-ui-validation-error-message row"></div>
                  
                <input name="_DARGS" value="/modf/index.jsp.responsive-login-form" type="hidden"></input></form>
              </div>
            </div>
            <div id="forgotPasswordModal" ng-switch-when="forgotPassword" style="display:block">
              <div class="modal-header">
                <button aria-label="Close" class="close" data-dismiss="modal" type="button"><span aria-hidden="true"> X</span></button>
                <h4 class="modal-title" id="myModalLabel" ng-bind="donationFlow['donatePage.label.forgotpassword.title']">
                  *Forgot your Password?*
                </h4>
              </div>
                <div id="div-resetPassword-container" class="modal-body">
                <p ng-bind-html="donationFlow['donatePage.label.forgot.active.title']">
                </p>              
                <form id="responsive-forgotpwd-form" action="/modf/index.jsp?_DARGS=/modf/index.jsp.responsive-forgotpwd-form" method="post"><input name="_dyncharset" value="UTF-8" type="hidden"></input><input name="_dynSessConf" value="-1958696187839833822" type="hidden"></input>
                  <div class="form-group">
                  <p style="margin-top:15px">
                    <span id="forgotpassworderror" class="fieldErrorText"></span>
                  </p>                     
                    <label for="email" ng-bind="donationFlow['donatePage.label.forgotpassword.email']">* Email address*</label>
	                
						 
						
					<input id="emailLogin" placeholder="Email" name="/atg/userprofiling/ForgotPasswordHandler.value.login" value="" class="form-control" type="email"><input name="_D:/atg/userprofiling/ForgotPasswordHandler.value.login" value=" " type="hidden">  
					<span id="forgotemailinline" class="fieldErrorText"></span>					                  
                  </div>
                  <div class="form-group"></div>
	                <input name="/atg/userprofiling/ForgotPasswordHandler.forgotPasswordSuccessURL" value="/modf/index.jsp" type="hidden"><input name="_D:/atg/userprofiling/ForgotPasswordHandler.forgotPasswordSuccessURL" value=" " type="hidden">
					<input name="/atg/userprofiling/ForgotPasswordHandler.forgotPasswordErrorURL" value="/modf/index.jsp" type="hidden"><input name="_D:/atg/userprofiling/ForgotPasswordHandler.forgotPasswordErrorURL" value=" " type="hidden">
					<input name="modfLogin" value="true" type="hidden"/>
					<input name="/atg/userprofiling/ForgotPasswordHandler.forgotPasswordResponsive" value="Submit" type="hidden"><input name="_D:/atg/userprofiling/ForgotPasswordHandler.forgotPasswordResponsive" value=" " type="hidden">                  
                  <button id="forgotpasswordbtn" class="btn btn-primary"  ng-click="actions.resetPassword($event)" type="submit" ng-bind="donationFlow['donatePage.button.forgotpassword.submit']">*SUBMIT*</button>                
                  <p class="help-block"></p>
                <input name="_DARGS" value="/modf/index.jsp.responsive-forgotpwd-form" type="hidden"></input></form>
              </div>
            </div>
            <div id="forgotPasswordModal2" ng-switch-when="resetSent" style="display:block">
              <div class="modal-header">
                <button aria-label="Close" class="close" data-dismiss="modal" type="button"><span aria-hidden="true"> X</span></button>
                <h4 class="modal-title" id="myModalLabel" ng-bind="donationFlow['donatePage.label.forgotpassword.completed.title']">
                  *Forgot your Password?*
                </h4>
              </div>
              <div class="modal-body">
                <p ng-bind-html="donationFlow['donatePage.label.forgot.completed.title']">
                </p>                 
                <form>
                  <div class="form-group"></div>
                  <button class="btn btn-primary" ng-click="actions.closeSigninModal()" type="submit" ng-bind="donationFlow['donatePage.button.forgotpassword.completed.ok']">* OK*</button>
                </form>
              </div>
            </div>
          </div>
        </div>
      </div>
    </main>
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    <form id="session-check" action="/modf/index.jsp?_DARGS=/modf/index.jsp.session-check" method="post"><input name="_dyncharset" value="UTF-8" type="hidden"></input><input name="_dynSessConf" value="-1958696187839833822" type="hidden"></input>
      	<input type="hidden" value="1" name="checkInvalidSession"></input>
      	<input name="/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.value.dummy" value="1" type="hidden"><input name="_D:/arc/commerce/order/purchase/CreditCardBillingInfoFormHandler.value.dummy" value=" " type="hidden">
      <input name="_DARGS" value="/modf/index.jsp.session-check" type="hidden"></input></form>
      <div aria-hidden="true" aria-labelledby="loginModalLabel" class="modal" id="logoutModal" role="dialog">
        <div class="modal-dialog modal-md">
          <div class="modal-content">
            <div id="signoutModal">
              <div class="modal-header">
                <button aria-label="Close" class="close" data-dismiss="modal" type="button"><span aria-hidden="true"> X</span></button>
                <h4 class="modal-title" id="myModalLabel" ng-bind="donationFlow['donatePage.label.signout.headline']">
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