{% if page.headline.size > 0 %}

{% endif %} {% if page.donation_v2.content.size > 0 %}

{% endif %} {% if page.donation_v2.has_amount_goal? %}

{% include "progress" percent: page.donation_v2.percent_of_amount_goal, amount: page.donations_amount_format, goal: page.donation_v2.amount_goal_format, label: "raised", headlineClasses: "d-block mb-2 h5" %}

{% elsif page.donation_v2.has_donor_goal? %}

{% include "progress" percent: page.donation_v2.percent_of_donor_goal, count: page.donations_count, goal: page.donation_v2.donor_goal, label: "donors", headlineClasses: "d-block mb-2 h5" %}

{% endif %} {% if page.show_social_slider? and page.public_activities_count > 0 %} {% include "social_slider" class:"slider--no-gradient" %}

{% endif %} {% form_for donation %}

{% error_messages_for donation %}

{% if page.donation_v2.has_merchant_account? == false %}

No payment processor: This page will not work until you add a payment processor

{% elsif page.donation_v2.merchant_account.is_test_mode? %}

Testing mode: Transactions will not be processed. Use your regular credit card to test, you will not actually be charged.

{% endif %} {% unless request.current_order %} {% unless page.donation_v2.amount_in_cents != 0 %}

Select an amount

{% endunless %} {% if page.donation_v2.donation_frequency == "any" %}

{% endif %} {% endunless %} {% if request.current_order %}

{% for item in request.current_order.items %} {% if item.num_time_periods and item.time_period_type %} {% endif %} {% endfor %}

Your order
Quantity	Name	Amount
{{ item.quantity }}	{{ item.name }}	{{ item.amount }}	billed automatically every {{ item.num_time_periods }} {{item.time_period_type }}
Total: {{ page.donation_v2.ticket_purchase_total }}

Click here to clear your order.

{% else %}

{% if page.donation_v2.amount_in_cents != 0 %} {{ page.donation_v2.amount_formatted }} {% if page.donation_v2.donation_frequency == "one-time" %} {% elsif page.donation_v2.donation_frequency == "monthly" %} paid monthly {% elsif page.donation_v2.donation_frequency == "annual" %} paid annually {% else %} {% if page.donation_v2.interval_monthly? %}paid test monthly{% endif %} {% endif %} {% else %}

{% endif %}

{% if page.donation_v2.accepts_variable_amounts? %}

{% endif %}

Pay With

{% if page.donation_v2.express_payment_activated? %}

{% endif %}

If you use Apple Pay, your confirmation prompt may refer to our payment processor, "NationBuilder"

Change payment method

You're almost done! Submit {% if request.current_order %}payment {% else %}donation {% endif %}below.

Payment method information has been saved. Change payment method

{% capture payment_field %} {% payment_field 'card' %} {% endcapture %} {% unless payment_field contains "Liquid error" %}

{% endunless %}

Change payment method

Your Information

Edit

First Name* {% text_field "first_name", class:"text form-control", required:"required" %}

Last Name* {% text_field "last_name", class:"text form-control", required:"required" %}

Email* {% email_field "email", class:"text form-control", required:"required" %}

Phone number* {% phone_field "billing_address.phone_number", class:"text form-control", required:"required" %}

{% unless page.show_consent_form? %}

{% check_box "email_opt_in", class:"custom-control-input checkbox" %} Send email updates

{% endunless %}

Edit ,

Address line 1* {% text_field "billing_address.address1", class:"text form-control", required:"required" %}

Address line 2 {% text_field "billing_address.address2", class:"text form-control" %}

Country {% select_field "billing_address.country_code", page.donation_v2.countries, "code", "name", class:"custom-select", required:"required" %}

City* {% text_field "billing_address.city", class:"text form-control", required:"required" %}

Zip* {% text_field "billing_address.zip", class:"text form-control", required:"required" %}

{% for cf in custom_fields.donation %} {% assign custom_field = cf[1] %} {% assign custom_field_id = 'custom_values.' | append: custom_field.slug %}

{% if custom_field.is_text? %}

{{ custom_field.name }} {% text_field custom_field_id, class:"form-control text" %}

{% elsif custom_field.is_number? %}

{{ custom_field.name }} {% number_field custom_field_id, class:"form-control text" %}

{% elsif custom_field.is_boolean? %}

{% check_box custom_field_id, class:"custom-control-input checkbox" %} {{ custom_field.name }}

{% elsif custom_field.is_multiple_choice? %}

{{ custom_field.name }} {% select_field custom_field_id, custom_fields.donation[custom_field.slug].multiple_choice_options, class:"custom-select" %}

{% endif %}

{% endfor %} {% if page.donation_v2.merchant_account.is_employer_and_occupation_required? %}

Employer Information

Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

Employer* {% text_field "employer", class:"text form-control", required:"required" %}

Occupation* {% text_field "occupation", class:"text form-control", required:"required" %}

{% if page.donation_v2.merchant_account.is_employer_address_required? or page.donation_v2.merchant_account.is_employer_city_required? %} {% if page.donation_v2.merchant_account.is_employer_address_required? %}

Employer address line 1* {% text_field "work_address.address1", class:"text form-control", required:"required" %}

Employer address line 2 {% text_field "work_address.address2", class:"text form-control" %}

{% endif %}

Employer Country* {% select_field "work_address.country_code", page.donation_v2.countries, "code", "name", class:"custom-select", required:"required" %}

Employer City* {% text_field "work_address.city", class:"text form-control", required:"required" %}

State/Province* {% text_field "work_address.state", class:"text form-control", required:"required" %}

Zip* {% text_field "work_address.zip", class:"text form-control", required:"required" %}

{% endif %} {% endif %} {% if page.donation_v2.merchant_account.is_corporate_contribution_required? %}

{% check_box "is_corporate_contribution", class:"custom-control-input checkbox" %} This is a contribution from a business.

{% endif %} {% if page.donation_v2.merchant_account.is_taxable? %}

Contributions are not tax deductible.

{% else %}

Contributions are tax deductible.

{% endif %}

{% if page.donation_v2.merchant_account.has_contribution_rules? %}

Contribution rules:

{% check_box "is_confirmed", class:"custom-control-input checkbox" %} I confirm that the above statements are true and accurate

{% endif %}

{% if request.current_order %} {{ page.donation_v2.ticket_purchase_total }} {% else %} {% if page.donation_v2.confirmation_amount %} {{ page.donation_v2.currency_symbol }}{{ page.donation_v2.confirmation_amount }} {% else %} Please select an amount {% endif %} {% if page.donation_v2.donation_frequency == "one-time" %} {% elsif page.donation_v2.donation_frequency == "monthly" %} paid monthly {% elsif page.donation_v2.donation_frequency == "annual" %} paid annually {% else %} {% if page.donation_v2.interval_monthly? %}paid monthly{% endif %} {% endif %} {% endif %}

{% if site.ask_to_publish_to_stream? %}

{% check_box "is_private", class:"custom-control-input" %} Don't publish my donation on the website {% include "private_tooltip" %}

{% endif %} {% if page.show_consent_form? %}

{% include "consent_form" headline_class:"h6" %}

{% endif %}

{% submit_tag "Process Payment", class:"btn btn-lg btn-block btn-primary submit-button" %}

{% endform_for %}

{% if page.show_stream? and page.public_activities_count > 0 %}

Recent Activity

{% unless forloop.last %}
{% endunless %}

{% include "avatar_with_activity" signup: activity.signup, size: 72, activity_name: activity.type_name %}

{{ activity.show }}

{% include "pagination" source: page.activities %}

{% endif %}

{{ page.headline }}

Select an amount

Your order

Pay With

Your Information

Employer Information

Recent Activity