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    <title>Donate Now</title>
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      <a href="http://www.habitatforhorses.org/" class="logo" target="_blank"><img src="https://www.habitatforhorses.org/support/assets/img/logo.png"></a>
      <h1 class="title">Donate Now to the Hurricane Harvey Horse Response Fund</h1>
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          <h1 class="title">Donate Now to the Hurricane Harvey Horse Response Fund</h1>
          <p>
            Hundreds of horses are caught in the middle of catastrophic floods. When the water recedes, our work will just be beginning. We’re determined to save every horse – friends like you can help.
            <br /><br />
            Donate now!
          </p>
          <div class="instructions">
            <p>
              If you reside outside of the U.S., please donate using PayPal at step 3.
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            <p>
              To give by phone please call 409-935-0277. Or, to donate by mail, <a href="assets/docs/2017_01_HFH_printable_donation_form.pdf" target="_blank">download&nbsp;this&nbsp;form</a>.
            </p>
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      <div class="validation-errors">
  </div>

<form action="https://www.habitatforhorses.org/support/fy17hurricaneharvey" id="sanky-donation-form" method="post" accept-charset="utf-8">

  <fieldset class="donation-amount">
    <legend><div>1</div>Select your gift amount:</legend>

    <!-- <fieldset class="designation">
      <div class="form-item">
        <label style="display: block;" for="designation">Gift Designation: </label>
        <div class="select-bg-1">
          <select id="designation" name="designation" value="" data-parsley-required="true" data-parsley-trigger-after-failure="change" />
            <option value="Where the need is greatest">Where the need is greatest</option>
<option value="South Dakota wild horse rescue">South Dakota wild horse rescue</option>
          </select>
        </div>
      </div>
    </fieldset> -->

    <div class="donation-amount-container">
<span class="one-time-wrapper">
    <div class="radio-item one-time">
    <input class="radio-donation-amounts form-radio" type="radio" id="donation-amounts-25" name="donation_amounts" value="25" checked="checked">
    <label class="donation-amount" for="donation-amounts-25">$25</label>
  </div>
    <div class="radio-item one-time">
    <input class="radio-donation-amounts form-radio" type="radio" id="donation-amounts-50" name="donation_amounts" value="50">
    <label class="donation-amount" for="donation-amounts-50">$50</label>
  </div>
    <div class="radio-item one-time">
    <input class="radio-donation-amounts form-radio" type="radio" id="donation-amounts-100" name="donation_amounts" value="100">
    <label class="donation-amount" for="donation-amounts-100">$100</label>
  </div>
    <div class="radio-item one-time">
    <input class="radio-donation-amounts form-radio" type="radio" id="donation-amounts-250" name="donation_amounts" value="250">
    <label class="donation-amount" for="donation-amounts-250">$250</label>
  </div>
    <div class="radio-item one-time">
    <input class="radio-donation-amounts form-radio" type="radio" id="donation-amounts-500" name="donation_amounts" value="500">
    <label class="donation-amount" for="donation-amounts-500">$500</label>
  </div>
</span>

<span class="monthly-wrapper">
  <div class="radio-item monthly">
    <input class="radio-donation-amounts form-radio" type="radio" id="donation-amounts-10" name="donation_amounts" value="10">
    <label class="donation-amount" for="donation-amounts-10">$10</label>
  </div>
  <div class="radio-item monthly">
    <input class="radio-donation-amounts form-radio" type="radio" id="donation-amounts-20" name="donation_amounts" value="20">
    <label class="donation-amount" for="donation-amounts-20">$20</label>
  </div>
  <div class="radio-item monthly">
    <input class="radio-donation-amounts form-radio" type="radio" id="donation-amounts-30" name="donation_amounts" value="30">
    <label class="donation-amount" for="donation-amounts-30">$30</label>
  </div>
  <div class="radio-item monthly">
    <input class="radio-donation-amounts form-radio" type="radio" id="donation-amounts-40" name="donation_amounts" value="40">
    <label class="donation-amount" for="donation-amounts-40">$40</label>
  </div>
  <div class="radio-item monthly">
    <input class="radio-donation-amounts form-radio" type="radio" id="donation-amounts-50" name="donation_amounts" value="50">
    <label class="donation-amount" for="donation-amounts-50">$50</label>
  </div>
</span>

<div class="other-amount-container">
  <input class="radio-donation-amounts form-radio" type="radio" id="donation-amounts-other" name="donation_amounts" value="other">
  <label class="donation-amount" for="donation-amounts-other">Other</label>
</div>
<div class="other-amount-input">
  <label for="other-amount">$ </label>
  <input type="number" id="other-amount" name="amount" value="" size="60" maxlength="255" class="other-amount-input" data-validation="number" data-validation-allowing="float" data-validation-optional="true" data-parsley-type="number" step="0.01" data-parsley-trigger="focusin focusout" data-validation-error-msg="Please enter a valid dollar amount">
</div>
    </div>
  </fieldset>

  <fieldset class="frequency">
    <div class="frequency-item frequency-item-single">
      <input class="radio-frequency form-radio" type="radio" id="frequency-one-time" name="frequency" value="one-time"  checked="checked">
      <label class="label-radio frequency-option" for="frequency-one-time"><span></span>one-time gift </label>
    </div>
    <div class="frequency-item frequency-item-monthly">
      <input class="radio-frequency form-radio" type="radio" id="frequency-monthly" name="frequency" value="monthly" >
      <label class="label-radio frequency-option" for="frequency-monthly"><span></span>monthly gift </label>
    </div>
  </fieldset>

  <fieldset class="billing-info">
    <legend><div>2</div>Enter donor contact information:</legend>
    <div class="form-item left-first">
      <label for="first_name">First Name<span class="asterisk">*</span></label>
      <input type="text" id="first_name" name="first_name" value="" data-parsley-required="true" placeholder="First Name" />
    </div>

    <div class="form-item right-first">
      <label for="last_name">Last Name<span class="asterisk">*</span></label>
      <input type="text" id="last_name" name="last_name" value="" data-parsley-required="true" placeholder="Last Name" />
    </div>

    <div class="form-item">
      <label for="address_1">Address 1<span class="asterisk">*</span></label>
      <input type="text" id="address_1" name="address_1" value="" data-parsley-required="true" placeholder="Billing Address 1" />
    </div>

    <div class="form-item">
      <label for="address_2">Address 2</label>
      <input type="text" id="address_2" name="address_2" value="" placeholder="Billing Address 2" />
    </div>

     <div class="form-item left">
      <label for="postal_code">Zip/Postal Code<span class="asterisk">*</span></label>
      <input type="text" id="postal_code" name="postal_code" value="" data-parsley-required="true" maxlength="10" placeholder="Zip Code" />
    </div>

    <div class="form-item right">
      <label for="city">City<span class="asterisk">*</span></label>
      <div id="city_wrap"><input type="text" id="city" name="city" value="" data-parsley-required="true" placeholder="City" /></div>
    </div>

    <div class="form-item left">
      <label for="state">State<span class="asterisk">*</span></label>
      <div class="select-bg">
        <select type="text" id="state" name="state" value="" data-parsley-required="true" data-parsley-trigger-after-failure="change" />
          <option value="" selected="selected">&mdash;&nbsp;&mdash;</option>
<option value="AL">AL</option>
<option value="AK">AK</option>
<option value="AZ">AZ</option>
<option value="AR">AR</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DE">DE</option>
<option value="DC">DC</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="IA">IA</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="ME">ME</option>
<option value="MD">MD</option>
<option value="MA">MA</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MS">MS</option>
<option value="MO">MO</option>
<option value="MT">MT</option>
<option value="NE">NE</option>
<option value="NV">NV</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NY">NY</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VT">VT</option>
<option value="VA">VA</option>
<option value="WA">WA</option>
<option value="WV">WV</option>
<option value="WI">WI</option>
<option value="WY">WY</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
<option value="NL">NL</option>
<option value="PE">PE</option>
<option value="NS">NS</option>
<option value="NB">NB</option>
<option value="QC">QC</option>
<option value="ON">ON</option>
<option value="MB">MB</option>
<option value="SK">SK</option>
<option value="AB">AB</option>
<option value="BC">BC</option>
<option value="YT">YT</option>
<option value="NT">NT</option>
<option value="NU">NU</option>
        </select>
      </div>
    </div>

    <div class="form-item right">
      <label for="country">Country<span class="asterisk">*</span></label>
      <div class="select-bg-1">
        <select type="text" id="country" name="country" data-parsley-required="true" />
          <option value="United States">United States</option>
<option value="Canada">Canada</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Aland Islands">Aland Islands</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua And Barbuda">Antigua And Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia And Herzegovina">Bosnia And Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, The Democratic Republic of The">Congo, The Democratic Republic of The</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote D'Ivoire">Cote D'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and Mcdonald Islands">Heard Island and Mcdonald Islands</option>
<option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Macedonia, The Former Yugoslav Republic of">Macedonia, The Former Yugoslav Republic of</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia, Federated States of">Micronesia, Federated States of</option>
<option value="Moldova, Republic of">Moldova, Republic of</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Barthelemy">Saint Barthelemy</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome And Principe">Sao Tome And Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syrian Arab Republic">Syrian Arab Republic</option>
<option value="Taiwan, Province of China">Taiwan, Province of China</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, United Republic of">Tanzania, United Republic of</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City State">Vatican City State</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
        </select>
      </div>
    </div>

    <div class="form-item left-first">
      <label for="email">Email Address<span class="asterisk">*</span></label>
      <input type="text" id="email" name="email" value="" data-validation="email" data-parsley-type="email" data-parsley-required="true" placeholder="Email Address" />
    </div>

    <div class="form-item right-first">
      <label for="day_phone">Daytime Phone</label>
      <input type="text" id="day_phone" name="day_phone" value="" placeholder="Phone Number" />
    </div>

    <div class="form-item tribute-selector">
      <input id="is_tribute" class="checkbox-is_tribute checkbox-item" type="checkbox" name="is_tribute" value="1"  />
      <label class="label-checkbox" for="is_tribute"><span></span>Honor or remember someone with your gift?</label>
    </div>
    <div class="tribute-details">
      <div class="form-item">
        <label for="honoree_name">Honoree Name<span class="asterisk">*</span></label>
        <input type="text" id="honoree_name" class="tribute-field" name="honoree_name" value="" data-parsley-required="true" placeholder="Honoree Name" disabled="disabled" />
      </div>
      <div class="form-item">
        <label for="honoree_address">Honoree Address<span class="asterisk">*</span></label>
        <textarea id="honoree_address" class="tribute-field" name="honoree_address" placeholder="Honoree Address" disabled="disabled"></textarea>
      </div>
    </div>
  </fieldset>

  <fieldset class="payment">
   <legend><div>3</div>Enter donor payment information:</legend>
   <div class="payment-container">
      <div class="payment-item payment-item-credit-card">
        <input class="radio-method-payment form-radio" type="radio" id="method-payment-credit-card" name="method_payment" value="credit_card"  checked="checked">
        <label class="payment-option" for="method-payment-credit-card">Credit Card</label>
      </div>
      <div class="payment-item payment-item-paypal">
        <input class="radio-method-payment form-radio" type="radio" id="method-payment-paypal-express" name="method_payment" value="paypal_express" >
        <label class="payment-option" for="method-payment-paypal-express">Pay Pal</label>
      </div>
    </div>

    <div class="payment-credit-card" data-parsley-check-children="3">
      <div class="form-item third-left">
        <label for="cc-number">Credit Card Number<span class="asterisk">*</span></label>
        <input type="text" id="cc-number" name="cc_number" value="" data-parsley-required="true" data-parsley-type="number" data-parsley-luhn data-parsley-luhn-message="This credit card number is invalid." placeholder="Credit Card Number"/>
      </div>
      <div class="payment-credit-card-expiration third-center">
        <div class="form-item">
          <label for="cc-expiration">Expiration<span class="asterisk">*</span></label>
          <input type="text" id="cc-expiration" name="cc_expiration" value="" placeholder="MM/YY" data-date-format="MM/YY" data-parsley-required="true" data-parsley-ccexp="true" data-parsley-pattern="^\s*(0?[1-9]|1[0-2])\/(\d\d|\d{4})\s*$" data-parsley-pattern-message="This expiration date is invalid."/>
        </div>
      </div>
      <div class="form-item third-right">
        <label for="cc_cvv">CVV<span class="asterisk">*</span></label>
        <input type="text" id="cc_cvv" name="cc_cvv" value="" maxlength="4" data-parsley-required="true" data-parsley-type="number" placeholder="CVV" data-parsley-pattern="^([0-9]{3})|([0-9]{4})$" data-parsley-pattern-message="This CVV is invalid."/>
      </div>
    </div>

    <div class="payment-paypal-express">
      <p>
        After clicking Donate Now button You will be redirected to PayPal where you will be able to complete your transaction.
      </p>
    </div>

  </fieldset>

      <fieldset class="verify">
      <div class="g-recaptcha form-item" data-sitekey="6LdjsAsUAAAAAFX6N5eK1iP5AtNg8C4MIGIFkcMy"></div>
    </fieldset>
  
  <input type="hidden" id="currency" name="currency" value="USD">
  <input type="hidden" id="form-token" name="form_token" value="c29d80221c304de27197ef81a2cb431e">
  <input type="hidden" id="donation-page" name="donation_page" value="fy17hurricaneharvey">
  <input type="hidden" id="origin" name="origin" value="">

  <input type="submit" id="submit" name="submit" value="Donate Now" class="form-submit">
</form>
      </article>

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