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.donation-form-bg {
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  border-radius: 4px;
  background-color: white;
  box-sizing: border-box;
  -moz-box-sizing: border-box;
  position: relative;
  min-height: 100vh;
  padding-bottom: 10rem;
}

@media (min-width: 481px) and (max-width: 1199px) {
  .donation-form-bg {
    border-radius: 8px;
    min-height: calc(100vh - 6rem);
  }
}

@media (max-width: 480px) {
  .donation-form-bg {
    border-radius: 0;
  }
}

@media (min-width: 1200px) {
  .form-alignment-left {
    left: 7rem;
    position: absolute;
  }

  .form-alignment-right {
    right: 5rem;
    position: absolute;
  }
}

.donation-form-styling {
  background-color: #ffffff !important;
}

@media (min-width: 481px) {
  .donation-form-styling {
    margin-top: 3%;
    margin-bottom: 3%;
  }
}

@media (max-width: 480px) {
  .donation-form-styling {
    width: 100%;
  }

  .modal.bootbox {
    width: 90%;
  }
}

@media (max-width: 340px) {
  .new_look_logo_box {
    width: inherit !important;
  }
}

.new_look_logo_row {
  
}

.new_look_logo_box {
  height: 100px;
  width: 100%;
  margin: 0 auto;
  padding: 20px 0;
  font-size: 1.3em;
  font-weight: 900;
  text-align: center;
  background: url('https://s3.amazonaws.com/mobilecause-avatar-production/shared_img/shared_imgs/96007/original/SMGF-Logo-PNG.png?1504200673');color: transparent;border: none;outline: none;
  background-repeat: no-repeat;
  background-size: contain;
  background-position: center;
}

@media screen and (min-width: 768px) {
  .new_look_logo_box {
    padding: 34px 0;
  }
}

</style>

<meta content='width=device-width, initial-scale=1' name='viewport'>
<link href='/touch-icon-192x192.png' rel='icon' sizes='192x192'>
<link href='/apple-touch-icon-180x180-precomposed.png' rel='apple-touch-icon' sizes='180x180'>
<link href='/apple-touch-icon-152x152-precomposed.png' rel='apple-touch-icon' sizes='152x152'>
<link href='/apple-touch-icon-144x144-precomposed.png' rel='apple-touch-icon' sizes='144x144'>
<link href='/apple-touch-icon-120x120-precomposed.png' rel='apple-touch-icon' sizes='120x120'>
<link href='/apple-touch-icon-114x114-precomposed.png' rel='apple-touch-icon' sizes='114x114'>
<link href='/apple-touch-icon-76x76-precomposed.png' rel='apple-touch-icon' sizes='76x76'>
<link href='/apple-touch-icon-72x72-precomposed.png' rel='apple-touch-icon' sizes='72x72'>
<link href='/apple-touch-icon-precomposed.png' rel='icon'>
<link href='/apple-touch-icon-180x180.png' rel='apple-touch-icon' sizes='180x180'>
<link href='/apple-touch-icon-152x152.png' rel='apple-touch-icon' sizes='152x152'>
<link href='/apple-touch-icon-144x144.png' rel='apple-touch-icon' sizes='144x144'>
<link href='/apple-touch-icon-120x120.png' rel='apple-touch-icon' sizes='120x120'>
<link href='/apple-touch-icon-114x114.png' rel='apple-touch-icon' sizes='114x114'>
<link href='/apple-touch-icon-76x76.png' rel='apple-touch-icon' sizes='76x76'>
<link href='/apple-touch-icon-72x72.png' rel='apple-touch-icon' sizes='72x72'>
<link href='/apple-touch-icon.png' rel='apple-touch-icon'>

</head>
<body class='donation-form-styling'>
<!-- Google Tag Manager (noscript) -->
<noscript>
<iframe height='0' src='https://www.googletagmanager.com/ns.html?id=GTM-573GB3T' style='display:none;visibility:hidden' width='0'></iframe>
</noscript>
<!-- End Google Tag Manager (noscript) -->

<div class='row'>
<div class='col-lg-4 col-xs-12'>
<div class='container donation-form-bg form-alignment-left'>
<div class='row'>
<div class='col-xs-12'>


<div id='donate'>

<form accept-charset="UTF-8" action="/public/payment_processor_donations/37943921/payment_request" class="clear_inputs" data-hide-payment-section-for-zero-amount="false" data-paypal-supports-recurring="null" data-processing-fee="2.5" id="donation_form" method="post" role="form"><div style="margin:0;padding:0;display:inline"><input name="utf8" type="hidden" value="&#x2713;" /><input name="authenticity_token" type="hidden" value="T1VvYN+KN3fXLBh57iUp7GaTabLeDRPnpsVBewQQ8HQ=" /></div>
<div class='new_look'>
<div class='row top-large new_look_logo_row'>
<div class='col-xs-12'>
<div class='new_look_logo_box bottom-medium'>
<span>Summit Medical Group Foundation Logo</span>
</div>
</div>
</div>
<div class='row'>
<div class='col-xs-12'>
<div class='new_look_midline_text'>
<h3>Hurricane Harvey Support</h3>
<hr>
</div>
</div>
</div>

<p class='notice'></p>
<div class='row'>
<div class='col-xs-12'>
<div class="small"><p><p><span style="font-size: 12pt;">On behalf of <strong>Summit Medical Group</strong> and the <strong>Summit Medical Group Foundation</strong>, we thank you for your contribution toward helping Houston recover and rebuild. Your generous donation will be used to purchase essential supplies through the Community FoodBank of New Jersey and other chapters of Feeding America.</span></p></p></div>
</div>
</div>

<div class='row'>
<div class='col-xs-12'>
<div class='new_look_midline_text'>
<h3>Gift amount</h3>
<hr>
</div>
</div>
</div>

<div class='row'>
<div class='col-md-12'>
<div aria-label='Select a donation amount' class='btn-group btn-group-justified' role='group'>
<div class='btn-group btn-group__amount--lg' role='group'>
<button arial-label='Donate $50' class='btn btn-default changeDonationAmount' data-suggested-amount='50'>
$50
</button>
</div>
<div class='btn-group btn-group__amount--lg' role='group'>
<button arial-label='Donate $100' class='btn btn-default changeDonationAmount' data-suggested-amount='100'>
$100
</button>
</div>
<div class='btn-group btn-group__amount--lg' role='group'>
<button arial-label='Donate $250' class='btn btn-default changeDonationAmount' data-suggested-amount='250'>
$250
</button>
</div>
<div class='btn-group btn-group__amount--lg' role='group'>
<button arial-label='Donate a specific amount.' class='btn btn-default changeDonationAmount' data-suggested-amount=''>
Other
</button>
</div>
</div>
</div>
</div>
<div class='bottom-medium row top-xlarge'>
<div class='col-xs-6 col-xs-offset-3 padding-left-medium padding-right-none'>
<label for='amount'>
<span class='sr-only'>Donation Amount</span>
</label>
<div class='input-group'>
<span class='input-group-addon'>$</span>
<input aria-label="Donation Amount in Dollars" class="donation_amount form-control" data-linked-box="" id="amount" maxlength="9" name="amount" positiveNumber="true" required="required" type="text" value="50.00" />
</div>
</div>
</div>


<p class='notice'></p>

<script>
  var lastFrequency = undefined;
  
  jQuery(document).ready(function() {
    var activeButtonId = "";
  
    var first_time = false
  
    if (first_time) {
      activeButtonId = "frequency_one_time";
    } else {
      activeButtonId = "frequency_one_time" || '';
    }
  
    lastFrequency = document.getElementById(activeButtonId);
  
    if ( lastFrequency == null ) {
      $('#recurring_terms').attr('style', 'display:none;')
    }
  
    updateFreqRequiredAttr(lastFrequency);
  
    setFrequency(lastFrequency);
  
    $('.btn-group.btn-group-justified > .btn').click(function() {
      $(this).siblings().removeClass('active');
    });
  
  });
  
  function setFrequency(frequency) {
    frequency.id = frequency.id.replace(' ', '_')
    // return if clicked on the already active button
    if ( lastFrequency === frequency ) {
      return;
    } else {
      lastFrequency = frequency;
    }
  
    $('button').not(frequency).removeClass('active');
  
    // Saving select frequency as a hidden field
    var hiddenFrequency = document.getElementById("recurring_frequency");
    hiddenFrequency.value = lastFrequency.getAttribute("data-freq");
    var frequencyChanged = new Event('frequencyChanged');
    hiddenFrequency.dispatchEvent(frequencyChanged);
  
    var t_and_c = document.getElementById("recurring_terms");
  
    if ( (frequency != null) && (frequency.id === "frequency_one_time") ) {
      t_and_c.style.display="none";
    } else {
      t_and_c.style.display="block";
    }
  
    updateFreqRequiredAttr(frequency.id);
  }
  
  function updateFreqRequiredAttr(frequency) {
    var tc_cb = document.getElementById("terms_and_conditions");
    if ( frequency === "frequency_one_time" ) {
      tc_cb.removeAttribute("required");
    } else {
      tc_cb.setAttribute("required", "true");
    }
  }
</script>
<div class='row'>
<div class='col-xs-12'>
<div class='new_look_midline_text'>
<h3>Make your gift recurring</h3>
<hr>
</div>
</div>
</div>

<div class='row'>
<div class='col-xs-12 top-medium bottom-medium'>
<div aria-label='Select donation frequency' class='btn-group btn-group-justified' data-toggle='buttons' id='btnFrequency' role='group'>
<div class='btn-group btn-group__frequency--lg'>
<button aria-label='Set donation frequency as One Time donation.' class='active btn btn-default' data-freq='one_time' id='frequency_one_time' onclick='setFrequency(this);'>One Time</button>
</div>
<div class='btn-group btn-group__frequency--lg'>
<button aria-label='Set donation frequency as Monthly donation.' class='btn btn-default' data-freq='monthly' id='frequency_monthly' onclick='setFrequency(this);'>Monthly</button>
</div>
<div class='btn-group btn-group__frequency--lg'>
<button aria-label='Set donation frequency as Quarterly donation.' class='btn btn-default' data-freq='quarterly' id='frequency_quarterly' onclick='setFrequency(this);'>Quarterly</button>
</div>
<div class='btn-group btn-group__frequency--lg'>
<button aria-label='Set donation frequency as Annually donation.' class='btn btn-default' data-freq='yearly' id='frequency_yearly' onclick='setFrequency(this);'>Annually</button>
</div>
</div>
<input id="recurring_frequency" name="recurring_frequency" type="hidden" value="one_time" />
</div>
</div>
<div class='row'>
<div class='col-xs-12' id='recurring_terms' style='display: none;'>
<div class="checkbox"><label for="terms_and_conditions"><input checked="checked" id="terms_and_conditions" name="terms_and_conditions" type="checkbox" value="1" /><span>I read and have agreed to the <a href="https://www.mobilecause.com/recurring-terms/" target="_blank">terms and conditions</a><br> The total below is for <i>this</i> donation only.<br></span><div class="error"></div></label></div>
</div>
</div>
<p class='notice'></p>


<div class='row'>
<div class='col-xs-12'>
<div class='new_look_midline_text'>
<h3>Contact information</h3>
<hr>
</div>
</div>
</div>

<div class='row'>
<div class='col-sm-6 col-xs-12'>
<div class='form-group'>
<label for="first_name">First Name<span class="required"><span class="sr-only">required</span></span></label><input class="new_look_full_width form-control" id="first_name" name="first_name" placeholder="First Name" required="required" type="text" />
</div>
</div>
<div class='col-sm-6 col-xs-12'>
<div class='form-group'>
<label for="last_name">Last Name<span class="required"><span class="sr-only">required</span></span></label><input class="new_look_full_width form-control" id="last_name" name="last_name" placeholder="Last Name" required="required" type="text" />
</div>
</div>
</div>
<div class='row'>
<div class='col-sm-6 col-xs-12'>
<div class='form-group'>
<label for="phone">Mobile Number<span class="required"><span class="sr-only">required</span></span></label><input class="new_look_full_width form-control" id="phone" name="phone" placeholder="Mobile xxx-xxx-xxxx" required="required" type="tel" />
</div>
</div>
<div class='col-sm-6 col-xs-12'>
<div class='form-group'>
<label for="email">Email for Tax Receipt<span class="required"><span class="sr-only">required</span></span></label><input class="new_look_full_width form-control" email="true" id="email" name="email" placeholder="name@example.com" required="required" type="email" />
</div>
</div>
</div>
<div class='row'>
<div class='col-xs-12'>
<div class='form-group'>
<label for="street_address">Address</label><input class="new_look_full_width form-control" id="street_address" name="street_address" placeholder="123 Address Blvd" type="text" />
</div>
</div>
</div>
<div class='row'>
<div class='col-xs-12'>
<div class='form-group'>
<label for="city">City</label><input class="new_look_full_width form-control" id="city" name="city" placeholder="Your City" type="text" />
</div>
</div>
</div>
<div class='row'>
<div class='col-sm-6 col-xs-12'>
<div class='form-group'>
<label for="state">State</label><select class="new_look_full_width form-control" id="state" name="state"><option value="">Your State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AS">American Samoa</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="MP">Northern Mariana Islands</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option></select>
</div>
</div>
<div class='col-sm-6 col-xs-12'>
<div class='form-group'>
<label for="zip">Zip</label><input class="new_look_full_width form-control" id="zip" name="zip" placeholder="12345" type="tel" />
</div>
</div>
</div>
<div class='row'>
</div>

<p class='notice'></p>

<div class='payment-information'>
<div class='row'>
<div class='col-xs-12'>
<div class='new_look_midline_text'>
<h3>Payment information</h3>
<hr>
</div>
</div>
</div>

<div class='row' id='selectPaymentType'>
<div class='col-xs-12'>
<div class='btn-group btn--payment center-block hide' data-toggle='buttons' id='paymentMethods'>
<input id="payment_method_none" name="payment_method" type="hidden" value="NONE" />
<label class="btn btn-default togglePayment active" data-payment-type="credit_card" for="payment_method_credit_card"><input checked="checked" id="payment_method_credit_card" name="payment_method" type="radio" value="credit_card" />
<img alt="Cc_icon" class="btn-image" src="//app.mobilecause.com/assets/icons/cc_icon-3a56fba59c344140e08b17010a3e0166.svg" />
Pay with Card
</label></div>
</div>
</div>
<div class='credit_card_section'>
<div class='row'>
<div class='col-xs-12'>
<div class='form-group'>
<label for="card_number">Card Number<span class="required"><span class="sr-only">required</span></span></label>
<div class='row'>
<div class='col-xs-7'>
<input autocomplete="off" class="new_look_full_width form-control" id="card_number" name="card_number" placeholder="XXXX XXXX XXXX XXXX" required="required" type="tel" />
</div>
<div class='col-xs-5'>
<div class='cc-icon__container' data-cc='["visa", "mastercard", "amex", "discover", "maestro", "dinersclub", "jcb"]'></div>
<input id="card_type" name="card_type" type="hidden" />
</div>
</div>
</div>
</div>
</div>
<div class='row'>
<div class='col-xs-7'>
<div class='row'>
<div class='col-xs-12'>
<label for="expiration_date">Expiration Date<span class="required"><span class="sr-only">required</span></span></label>
</div>
<div class='col-xs-6'>
<label class='sr-only' for='expiration_month'>Select a credit card type.</label>
<select class="form-control" id="expiration_month" name="expiration_month"><option value=''>MM</option><option value='01'>01</option><option value='02'>02</option><option value='03'>03</option><option value='04'>04</option><option value='05'>05</option><option value='06'>06</option><option value='07'>07</option><option value='08'>08</option><option value='09'>09</option><option value='10'>10</option><option value='11'>11</option><option value='12'>12</option></select>
</div>
<div class='text-between-inputs left-negative-small'>/</div>
<div class='col-xs-6 left-negative-small'>
<label class='sr-only' for='expiration_year'>Select a credit card type.</label>
<select class="form-control" id="expiration_year" name="expiration_year"><option value=''>YY</option><option value='2018'>18</option><option value='2019'>19</option><option value='2020'>20</option><option value='2021'>21</option><option value='2022'>22</option><option value='2023'>23</option><option value='2024'>24</option><option value='2025'>25</option><option value='2026'>26</option><option value='2027'>27</option><option value='2028'>28</option><option value='2029'>29</option><option value='2030'>30</option><option value='2031'>31</option><option value='2032'>32</option><option value='2033'>33</option></select>
</div>
</div>
<input id="expiration_date" name="expiration_date" type="hidden" />
<div id='expiration_date_required' style='color:red; display:none'>This field is required.</div>
<div id='expiration_date_expired' style='color:red; display:none'>Expired Credit Card</div>
</div>
<div class='col-xs-5'>
<div class='row'>
<div class='col-xs-12'>
<label for='cvv'>CVV<span class='required'><span class='sr-only'>required</span></span> <a data-target='#cvv-modal' data-toggle='modal' tabindex='-1' class='text-info text--sm'>What is this?</a></label>
</div>
</div>
<div class='row'>
<div class='col-xs-12'>
<input autocomplete="off" class="form-control" id="cvv" name="cvv" placeholder="eg. 123" required="required" type="tel" />
</div>
</div>
<div class='modal fade' id='cvv-modal'>
<div class='modal-dialog'>
<div class='modal-content'>
<div class='modal-body'>
<div class='row cvv-example-wrapper' id='credit-card-cvv'>
<div class='col-xs-12'>
<div class='creditcard'>
<img alt='Credit Card CVV number example' class='img-responsive' src='/assets/icons/cc_cvv_icon.svg' style='min-width: 200px;'>
</div>
<div class='textbox'>
<span>Discover, Mastercard, Visa</span>
3-Digit Card Verification Number
</div>
</div>
</div>
<div class='row hide cvv-example-wrapper' id='amex-cvv'>
<div class='col-xs-12'>
<div class='creditcard'>
<img alt='Amex CVV number example' class='img-responsive' src='/assets/icons/cc_amex_icon.svg' style='min-width: 200px;'>
</div>
<div class='textbox'>
<span>American Express</span>
4-Digit Card Verification Number
</div>
</div>
</div>
<div class='row top-xlarge'>
<div class='col-xs-12'>
<div class='text-center'>
<a class='btn btn-success' data-dismiss='modal' style='min-width: 150px;'>OK</a>
</div>
</div>
</div>
</div>
</div>
</div>
</div>

</div>
</div>

</div>


<p class='notice'></p>

</div>

<input id="mc_key" name="mc_key" type="hidden" value="token_440" />
<input id="postback_payment_method" name="postback_payment_method" type="hidden" />
<input id="W2n1Jw" name="W2n1Jw" type="hidden" value="ZYCiEp1Rk_efrtDZYcSmnYllAREVEFYAMdh1nEtKp9A" />
<input id="source" name="source" type="hidden" value="pledging_form" />
<input id="mc_code" name="mc_code" type="hidden" />


<div class='payment-information'>
<div class='row'>
<div class='col-xs-12'>
<div class='new_look_midline_text'>
<h3>Donation total</h3>
<hr>
</div>
</div>
</div>

<div class='row'>
<div class='col-xs-12'>
<div class='new_look_big_text new_look_select_color_text' data-linked-label='true' id='total_amount_label'></div>
</div>
</div>
</div>
<div class='row top-large'>
<div class='col-xs-12'>
<button class="btn btn-donation btn-block btn-lg form-submit-button" data-pointer-submit="true" id="submit-donation" name="button" type="submit">DONATE NOW</button>
<input id="post_action" name="post_action" type="hidden" />
</div>
</div>

<p class='notice'></p>

</div>
</form>

<div class='loading-modal'>
<div class='outer-centering'>
<div class='inner-centering lead lead-large loading-text'>Processing...</div>
</div>
<div class='clearfix'></div>
</div>


</div>

</div>
</div>
<footer class='footer' role='contentinfo'>
<div class='row'>
<div class='col-xs-12'>
<div class='row'>
<div class='col-xs-6'>
<a href="https://www.mobilecause.com" target="_blank"><img alt="MobileCause" src="//app.mobilecause.com/assets/mobile/MC_Small_Color_Logo-35e5d913258693e518c62cc78267e6ee.png" />
</a></div>
<div class='col-xs-6'>
<a href="https://www.mobilecause.com/compliance-and-security" class="pull-right" target="_blank"><img alt="PCI Compliance Certification 2016" class="pci__img--well" src="//app.mobilecause.com/assets/pci-ea6e473c7dab1dd52d55e53d1bcf8d93.png" />
</a></div>
</div>

</div>
</div>
<div class='row'>
<div class='col-xs-12'>
<div class='top-large left-small text-center'>
<a href="https://www.mobilecause.com/constituent-terms-new" class="text--xs" target="_blank">Terms and Conditions</a>

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</footer>

</div>
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