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                        <h1 id="headerText" class="editableText">Yes, I will help send relief to veterans affected by Hurricane Harvey</h1>
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                        <div id="newUdfRegion" class="pageRegion"></div><div id="gift_information_region" class="pageRegion"><div class="ecRegionHeader row"><h1 class="regionTitle">Gift Information</h1></div><div id="gift_information_widget_block" class="block gift_information_widget_block pageBlock row"><div id="ecAdvancedDonationWidget" class="" ><div id="gift_amount_advanced" class="systemStandardElement standard pageBlockElement row"><div class="col-xs-12"><h6 id="label" class="radioType">Donation Amount*</h6></div><div class="col-xs-12"><div class="clear" id="gift_amount_advancedField"><ul><li><input type="radio" id="gift_amount_advanced_10" name="donationAmt" value="10" onclick="getTotal()" etrequired="true"/><span id="label">$10.00</span></li><li><input type="radio" id="gift_amount_advanced_25" name="donationAmt" value="25" onclick="getTotal()" etrequired="true"/><span id="label">$25.00</span></li><li><input type="radio" id="gift_amount_advanced_50" name="donationAmt" value="50" onclick="getTotal()" etrequired="true"/><span id="label">$50.00</span></li><li><input type="radio" id="gift_amount_advanced_100" name="donationAmt" value="100" onclick="getTotal()" etrequired="true"/><span id="label">$100.00</span></li><li><input type="radio" id="gift_amount_advanced_500" name="donationAmt" value="500" onclick="getTotal()" etrequired="true"/><span id="label">$500.00</span></li><li><input type="radio" id="gift_amount_advanced_givingLevelsOther" name="donationAmt" value="otherAmt" onclick="getTotal()" etrequired="true"/><span id="label">Other $</span><span id="ecDonateOther"><input disabled="true" id="otherAmt" name="otherAmt" type="text" onchange="getTotal()" /></span></li></ul></div></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="rgsFrequency" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="dropdownType">Donation Frequency*</h6></div><div class="col-sm-5 col-xs-12"><select id="rgsFrequencyField" name="rgsFrequency" etrequired="true"><option id="gift_amount_advanced_-" value="-">One Time</option><option id="gift_amount_advanced_1" value="1">Annually</option><option id="gift_amount_advanced_4" value="4">Quarterly</option><option id="gift_amount_advanced_12" value="12">Monthly</option></select></div><div class="clearingDiv" style="clear:both;"></div></div>
<div style="clear:both;"></div></div></div>
</div><div id="contact_information_region" class="pageRegion"><div class="ecRegionHeader row"><h1 class="regionTitle">Contact Information</h1></div><div id="names_block" class="block names_block pageBlock row"><div id="ecNamesBlockWidget" class="" ><ng-include src="'diy/templates/contact/contact.html'"></ng-include><script type='text/JavaScript'>
var namesConfig = {"firstName":{"standard":true,"note":false,"userRequired":false,"dataType":0,"renderingtype":"simplefield","appliesTo":null,"rules":["ecFormRequired"],"title":"First Name","type":"systemStandardElement","inputName":"firstName","required":true,"default":false,"subtype":"standard","formRequired":true,"name":"First Name","block":"names_block","html":"","attributes":[],"id":"firstName","present":true,"hasRequirable":false},"lastName":{"standard":true,"note":false,"userRequired":false,"dataType":0,"renderingtype":"simplefield","appliesTo":null,"rules":["ecFormRequired"],"title":"Last Name","type":"systemStandardElement","inputName":"lastName","required":true,"default":false,"subtype":"standard","formRequired":true,"name":"Last Name","block":"names_block","html":"","attributes":[],"id":"lastName","present":true,"hasRequirable":false},"newNames":true,"middleName":{"standard":true,"note":false,"userRequired":false,"dataType":0,"renderingtype":"simplefield","appliesTo":null,"rules":[],"title":"Middle Name","type":"systemStandardElement","inputName":"middleName","default":false,"subtype":"standard","formRequired":false,"name":"Middle Name","block":"names_block","html":"","attributes":[],"id":"middleName","present":true,"hasRequirable":false},"salutation":{"standard":true,"note":false,"userRequired":false,"dataType":0,"renderingtype":"dropdown","appliesTo":null,"rules":[],"title":"Title","type":"systemStandardElement","inputName":"salutation","default":false,"subtype":"standard","formRequired":false,"name":"Title","options":[{"displayValue":"","ref":null,"price":null,"name":"choose title","id":"salutation_","type":"dropdown","present":true,"title":"choose title","inputName":"","element":"salutation"}],"block":"names_block","html":"","attributes":[],"id":"salutation","present":true,"hasRequirable":false},"suffix":{"standard":true,"note":false,"userRequired":false,"dataType":0,"renderingtype":"simplefield","appliesTo":null,"rules":[],"title":"Suffix","type":"systemStandardElement","inputName":"suffix","default":false,"subtype":"standard","formRequired":false,"name":"Suffix","block":"names_block","html":"","attributes":[],"id":"suffix","present":true,"hasRequirable":false}}; 
</script></div></div>
<div id="contact_block" class="block contact_block pageBlock row"><div id="ecCountryStateWidget" class="" ><div id="country" class="pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label">Country*</h6></div><div class="col-sm-5 col-xs-12"><select name="country" id="countryField" ng-model="locals.selectedCountry" etrequired="true"><option value="" selected="selected" >(None Selected)</option><option value="DZ">Algeria</option><option value="AU">Australia</option><option value="BE">Belgium</option><option value="BR">Brazil</option><option value="CA">Canada</option><option value="KY">Cayman Islands</option><option value="DK">Denmark</option><option value="FR">France</option><option value="DE">Germany</option><option value="HU">Hungary</option><option value="IT">Italy</option><option value="LT">Lithuania</option><option value="MX">Mexico</option><option value="NZ">New Zealand</option><option value="NO">Norway</option><option value="PT">Portugal</option><option value="PR">Puerto Rico</option><option value="SG">Singapore</option><option value="ZA">South Africa</option><option value="ES">Spain</option><option value="SE">Sweden</option><option value="CH">Switzerland</option><option value="GB">United Kingdom</option><option value="US" selected="true" >United States</option></select><div style="clear:both;"></div></div></div><div id="stateSelect" class="pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label">State / Province*</h6></div><div class="col-sm-5 col-xs-12"><select id="stateField" name="state" etrequired="true"></select><input type="hidden" name="selectedState" /><div style="clear:both;"></div></div></div><div id="address" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">Address*</h6></div><div class="col-sm-5 col-xs-12"><textarea id="addressField" type="text" name="address" etrequired="true"></textarea></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="city" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">City*</h6></div><div class="col-sm-5 col-xs-12"><input id="cityField" type="text" name="city" etrequired="true"/></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="state" class="systemStandardElement standard pageBlockElement row" style="display:none;"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">State / Province*</h6></div><div class="col-sm-5 col-xs-12"><input id="stateField" type="text" name="state" etrequired="true"/></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="county" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">*</h6></div><div class="col-sm-5 col-xs-12"><input id="countyField" type="text" name="county" etrequired="true"/></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="postalCode" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">*</h6></div><div class="col-sm-5 col-xs-12"><input id="postalCodeField" type="text" name="postalCode" etrequired="true"/></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="suburb" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">*</h6></div><div class="col-sm-5 col-xs-12"><input id="suburbField" type="text" name="suburb" etrequired="true"/></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="streetName" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">*</h6></div><div class="col-sm-5 col-xs-12"><input id="streetNameField" type="text" name="streetName" etrequired="true"/></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="buildingNumber" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">*</h6></div><div class="col-sm-5 col-xs-12"><input id="buildingNumberField" type="text" name="buildingNumber" etrequired="true"/></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="apartmentNumber" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">*</h6></div><div class="col-sm-5 col-xs-12"><input id="apartmentNumberField" type="text" name="apartmentNumber" etrequired="true"/></div><div class="clearingDiv" style="clear:both;"></div></div>
</div><div id="email" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">Email*</h6></div><div class="col-sm-5 col-xs-12"><input id="emailField" type="text" name="email" etrequired="true"/></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="confirmEmail" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">Confirm Email*</h6></div><div class="col-sm-5 col-xs-12"><input id="confirmEmailField" type="text" name="confirmEmail" etrequired="true"/></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="phone" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">Phone*</h6></div><div class="col-sm-5 col-xs-12"><input id="phoneField" type="text" name="phone" etrequired="true"/></div><div class="clearingDiv" style="clear:both;"></div></div>
</div>
</div><div id="payment_information_region" class="pageRegion"><div class="ecRegionHeader row"><h1 class="regionTitle">Payment Information</h1></div><div id="payment_widget_block" class="block payment_widget_block pageBlock row"><div id="ecPaymentWidget" class="" ><div id="amount" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">Amount*</h6></div><div class="col-sm-5 col-xs-12"><h6 class="currencySymbol text-right">$</h6><input id="amountField" type="text" name="amount" etrequired="true" readonly="true"/></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="ecCCFields"><div id="cardType" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="dropdownType">Card Type*</h6></div><div class="col-sm-5 col-xs-12"><select id="cardTypeField" name="cardType" etrequired="true"><option id="cardType_Visa" value="Visa">Visa</option><option id="cardType_MasterCard" value="MasterCard">MasterCard</option><option id="cardType_Discover" value="Discover">Discover</option><option id="cardType_American Express" value="American Express">American Express</option></select></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="cardholderName" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">Name on Card*</h6></div><div class="col-sm-5 col-xs-12"><input id="cardholderNameField" type="text" name="cardholderName" etrequired="true"/></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="cardNumber" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">Card Number*</h6></div><div class="col-sm-5 col-xs-12"><input id="cardNumberField" type="text" name="cardNumber" etrequired="true" autocomplete="off"/></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="cardCVV2" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="simplefieldType">CVV2*</h6></div><div class="col-sm-5 col-xs-12"><input id="cardCVV2Field" type="text" name="cardCVV2" etrequired="true" autocomplete="off" maxlength="4"/><a id="cvv2infoLink" href="https://app.etapestry.com/hosted/eTapestry.com/cvv2_en.html" onclick="window.open(this.href, '','toolbar=no,location=no-directories=no,status=no,menubar=no,scrollbars=no,resizable=no,width=400,height=400');return false;">CVV2 Information</a></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="cardExpMonth" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="dropdownType">Expiration Month*</h6></div><div class="col-sm-5 col-xs-12"><select id="cardExpMonthField" name="cardExpMonth" etrequired="true"><option id="cardExpMonth_01" value="01">01</option><option id="cardExpMonth_02" value="02">02</option><option id="cardExpMonth_03" value="03">03</option><option id="cardExpMonth_04" value="04">04</option><option id="cardExpMonth_05" value="05">05</option><option id="cardExpMonth_06" value="06">06</option><option id="cardExpMonth_07" value="07">07</option><option id="cardExpMonth_08" value="08">08</option><option id="cardExpMonth_09" value="09">09</option><option id="cardExpMonth_10" value="10">10</option><option id="cardExpMonth_11" value="11">11</option><option id="cardExpMonth_12" value="12">12</option></select></div><div class="clearingDiv" style="clear:both;"></div></div>
<div id="cardExpYear" class="systemStandardElement standard pageBlockElement row"><div class="col-sm-5 col-xs-12"><h6 id="label" class="dropdownType">Expiration Year*</h6></div><div class="col-sm-5 col-xs-12"><select id="cardExpYearField" name="cardExpYear" etrequired="true"><option id="cardExpYear_2017" value="2017">2017</option><option id="cardExpYear_2018" value="2018">2018</option><option id="cardExpYear_2019" value="2019">2019</option><option id="cardExpYear_2020" value="2020">2020</option><option id="cardExpYear_2021" value="2021">2021</option><option id="cardExpYear_2022" value="2022">2022</option><option id="cardExpYear_2023" value="2023">2023</option><option id="cardExpYear_2024" value="2024">2024</option><option id="cardExpYear_2025" value="2025">2025</option><option id="cardExpYear_2026" value="2026">2026</option><option id="cardExpYear_2027" value="2027">2027</option><option id="cardExpYear_2028" value="2028">2028</option><option id="cardExpYear_2029" value="2029">2029</option><option id="cardExpYear_2030" value="2030">2030</option><option id="cardExpYear_2031" value="2031">2031</option><option id="cardExpYear_2032" value="2032">2032</option><option id="cardExpYear_2033" value="2033">2033</option><option id="cardExpYear_2034" value="2034">2034</option><option id="cardExpYear_2035" value="2035">2035</option><option id="cardExpYear_2036" value="2036">2036</option><option id="cardExpYear_2037" value="2037">2037</option></select></div><div class="clearingDiv" style="clear:both;"></div></div>
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