{"id":2853,"date":"2025-05-08T10:02:08","date_gmt":"2025-05-08T17:02:08","guid":{"rendered":"https:\/\/yfc.ca\/victoria\/?page_id=2853"},"modified":"2026-03-03T11:43:19","modified_gmt":"2026-03-03T19:43:19","slug":"45-box-fundraiser","status":"publish","type":"page","link":"https:\/\/yfc.ca\/south-island\/45-box-fundraiser\/","title":{"rendered":"45 Box Fundraiser"},"content":{"rendered":"\r\n<section class=\"y-intro guten-block yfcvic45\">\r\n\t<div class=\"y-intro--upper\">\r\n\t\t<div class=\"grid-narrow\">\r\n\t\t\t<div class=\"y-intro--upper--row\">\r\n\t\t\t\t<div class=\"y-intro--upper--left\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h2 class=\"y-intro--title\">45 Box Fundraiser<\/h2>\r\n\t\t\t\t\t\t\t\t\t\t\n\n\n\n\n\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"y-intro--content\"><p>In celebration of our 45 years of ministry in Victoria this year, we would like to <strong>invite you<\/strong> to become part of the story by <strong>joining us as partners<\/strong> in the ministry through a <strong><span style=\"text-decoration: underline;\">monthly<\/span> financial donation of $45<\/strong>.<\/p>\n<p>We are looking to fill the boxes! Pick any of the available boxes (you can pick more than one!), provide your details below, and submit the form.<\/p>\n<p><em><b>Note<\/b>: Through this campaign, we are looking for monthly donations. If you would prefer to give a one-time gift to the ministry, you can do so through <a href=\"https:\/\/yfc.ca\/south-island\/donate\/?category=General&amp;general_des=YFC%20Victoria%20(General)&amp;comments=45%20Campaign\">our main donation form here.<\/a><\/em><\/p>\n<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t<div class=\"y-intro--upper--right\">\r\n\t\t\t\t\t\t\t<div class=\"y-c-img contain\">\n\t\t<div class=\"y-c-img--extend \" style=\"background-image: url(https:\/\/yfc.ca\/south-island\/wp-content\/uploads\/sites\/38\/2025\/05\/YFC-45logo_web-screen-e1761247740265.png);\">\n\t\t\t\t\t<\/div>\n\t\t<div class=\"y-c-img--contain\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/yfc.ca\/south-island\/wp-content\/uploads\/sites\/38\/2025\/05\/YFC-45logo_web-screen-e1761247740265.png\" alt=\"\" \/>\n\t\t\t\t\t<\/div>\n\t\t\n\t<\/div>\n\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\r\n\t<div class=\"y-intro--lower\">\r\n\t\t<div class=\"grid-narrow\">\r\n\t\t\t<div class=\"y-intro--lower--left\">\r\n\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\r\n<\/section>\r\n\r\n\r\n\r\n\n\n\t<section class=\"y-gravity-form white  guten-block\" >\r\n\t\t<div class=\"grid-narrow\">\r\n\t\t\t\t\t\t\t<h3 class=\"y-accordion--title y-color-responsive-text\">Become a monthly $45 supporter!<\/h3>\r\n\t\t\t\t\t\t<div class=\"y-gravity-form--inner\">\r\n\t\t\t\t<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper 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gform-field-label' for='input_15_15'>Designation<\/label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_15_15' class='large gfield_select'     aria-invalid=\"false\" ><option value='45 Box Fundraiser Campaign' >45 Box Fundraiser Campaign<\/option><\/select><\/div><\/li><li id=\"field_15_14\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full yfcvic45100 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please select as many available boxes as you like!<\/label><div class='gfield_description' id='gfield_description_15_14'>Each box represents $45<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_15_14'><li class='gchoice gchoice_15_14_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' 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type='checkbox'  value='10'  id='choice_15_14_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_11' id='label_15_14_11' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.12' type='checkbox'  value='11'  id='choice_15_14_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_12' id='label_15_14_12' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.13' type='checkbox'  value='12'  id='choice_15_14_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_13' id='label_15_14_13' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.14' type='checkbox'  value='13'  id='choice_15_14_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_14' id='label_15_14_14' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.15' type='checkbox'  value='14'  id='choice_15_14_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_15' id='label_15_14_15' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.16' type='checkbox'  value='15'  id='choice_15_14_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_16' id='label_15_14_16' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.17' type='checkbox'  value='16'  id='choice_15_14_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_17' id='label_15_14_17' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.18' type='checkbox'  value='17'  id='choice_15_14_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_18' id='label_15_14_18' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.19' type='checkbox'  value='18'  id='choice_15_14_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_19' id='label_15_14_19' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.21' type='checkbox'  value='19'  id='choice_15_14_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_21' id='label_15_14_21' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.22' type='checkbox'  value='20'  id='choice_15_14_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_22' id='label_15_14_22' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.23' type='checkbox'  value='21'  id='choice_15_14_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_23' id='label_15_14_23' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.24' type='checkbox'  value='22'  id='choice_15_14_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_24' id='label_15_14_24' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.25' type='checkbox'  value='23'  id='choice_15_14_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_25' id='label_15_14_25' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_26'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.26' type='checkbox'  value='24'  id='choice_15_14_26'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_26' id='label_15_14_26' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_27'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.27' type='checkbox'  value='25'  id='choice_15_14_27'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_27' id='label_15_14_27' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_28'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.28' type='checkbox'  value='26'  id='choice_15_14_28'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_28' id='label_15_14_28' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_29'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.29' type='checkbox'  value='27'  id='choice_15_14_29'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_29' id='label_15_14_29' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_31'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.31' type='checkbox'  value='28'  id='choice_15_14_31'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_31' id='label_15_14_31' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_32'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.32' type='checkbox'  value='29'  id='choice_15_14_32'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_32' id='label_15_14_32' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_33'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.33' type='checkbox'  value='30'  id='choice_15_14_33'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_33' id='label_15_14_33' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_34'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.34' type='checkbox'  value='31'  id='choice_15_14_34'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_34' id='label_15_14_34' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_35'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.35' type='checkbox'  value='32'  id='choice_15_14_35'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_35' id='label_15_14_35' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_36'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.36' type='checkbox'  value='33'  id='choice_15_14_36'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_36' id='label_15_14_36' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_37'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.37' type='checkbox'  value='34'  id='choice_15_14_37'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_37' id='label_15_14_37' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_38'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.38' type='checkbox'  value='35'  id='choice_15_14_38'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_38' id='label_15_14_38' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_39'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.39' type='checkbox'  value='36'  id='choice_15_14_39'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_39' id='label_15_14_39' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_41'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.41' type='checkbox'  value='37'  id='choice_15_14_41'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_41' id='label_15_14_41' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_42'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.42' type='checkbox'  value='38'  id='choice_15_14_42'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_42' id='label_15_14_42' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_43'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.43' type='checkbox'  value='39'  id='choice_15_14_43'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_43' id='label_15_14_43' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_44'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.44' type='checkbox'  value='40'  id='choice_15_14_44'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_44' id='label_15_14_44' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_45'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.45' type='checkbox'  value='41'  id='choice_15_14_45'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_45' id='label_15_14_45' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_46'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.46' type='checkbox'  value='42'  id='choice_15_14_46'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_46' id='label_15_14_46' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_47'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.47' type='checkbox'  value='43'  id='choice_15_14_47'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_47' id='label_15_14_47' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_48'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.48' type='checkbox'  value='44'  id='choice_15_14_48'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_48' id='label_15_14_48' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_49'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.49' type='checkbox'  value='45'  id='choice_15_14_49'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_49' id='label_15_14_49' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_51'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.51' type='checkbox'  value='46'  id='choice_15_14_51'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_51' id='label_15_14_51' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_52'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.52' type='checkbox'  value='47'  id='choice_15_14_52'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_52' id='label_15_14_52' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_53'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.53' type='checkbox'  value='48'  id='choice_15_14_53'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_53' id='label_15_14_53' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_54'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.54' type='checkbox'  value='49'  id='choice_15_14_54'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_54' id='label_15_14_54' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_55'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.55' type='checkbox'  value='50'  id='choice_15_14_55'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_55' id='label_15_14_55' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_56'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.56' type='checkbox'  value='51'  id='choice_15_14_56'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_56' id='label_15_14_56' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_57'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.57' type='checkbox'  value='52'  id='choice_15_14_57'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_57' id='label_15_14_57' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_58'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.58' type='checkbox'  value='53'  id='choice_15_14_58'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_58' id='label_15_14_58' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_59'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.59' type='checkbox'  value='54'  id='choice_15_14_59'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_59' id='label_15_14_59' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_61'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.61' type='checkbox'  value='55'  id='choice_15_14_61'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_61' id='label_15_14_61' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_62'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.62' type='checkbox'  value='56'  id='choice_15_14_62'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_62' id='label_15_14_62' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_63'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.63' type='checkbox'  value='57'  id='choice_15_14_63'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_63' id='label_15_14_63' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_64'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.64' type='checkbox'  value='58'  id='choice_15_14_64'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_64' id='label_15_14_64' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_65'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.65' type='checkbox'  value='59'  id='choice_15_14_65'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_65' id='label_15_14_65' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_66'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.66' type='checkbox'  value='60'  id='choice_15_14_66'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_66' id='label_15_14_66' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_67'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.67' type='checkbox'  value='61'  id='choice_15_14_67'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_67' id='label_15_14_67' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_68'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.68' type='checkbox'  value='62'  id='choice_15_14_68'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_68' id='label_15_14_68' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_69'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.69' type='checkbox'  value='63'  id='choice_15_14_69'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_69' id='label_15_14_69' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_71'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.71' type='checkbox'  value='64'  id='choice_15_14_71'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_71' id='label_15_14_71' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_72'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.72' type='checkbox'  value='65'  id='choice_15_14_72'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_72' id='label_15_14_72' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_73'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.73' type='checkbox'  value='66'  id='choice_15_14_73'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_73' id='label_15_14_73' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_74'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.74' type='checkbox'  value='67'  id='choice_15_14_74'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_74' id='label_15_14_74' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_75'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.75' type='checkbox'  value='68'  id='choice_15_14_75'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_75' id='label_15_14_75' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_76'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.76' type='checkbox'  value='69'  id='choice_15_14_76'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_76' id='label_15_14_76' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_77'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.77' type='checkbox'  value='70'  id='choice_15_14_77'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_77' id='label_15_14_77' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_78'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.78' type='checkbox'  value='71'  id='choice_15_14_78'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_78' id='label_15_14_78' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_79'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.79' type='checkbox'  value='72'  id='choice_15_14_79'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_79' id='label_15_14_79' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_81'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.81' type='checkbox'  value='73'  id='choice_15_14_81'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_81' id='label_15_14_81' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_82'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.82' type='checkbox'  value='74'  id='choice_15_14_82'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_82' id='label_15_14_82' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_83'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.83' type='checkbox'  value='75'  id='choice_15_14_83'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_83' id='label_15_14_83' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_84'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.84' type='checkbox'  value='76'  id='choice_15_14_84'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_84' id='label_15_14_84' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_85'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.85' type='checkbox'  value='77'  id='choice_15_14_85'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_85' id='label_15_14_85' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_86'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.86' type='checkbox'  value='78'  id='choice_15_14_86'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_86' id='label_15_14_86' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_87'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.87' type='checkbox'  value='79'  id='choice_15_14_87'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_87' id='label_15_14_87' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_88'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.88' type='checkbox'  value='80'  id='choice_15_14_88'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_88' id='label_15_14_88' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_89'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.89' type='checkbox'  value='81'  id='choice_15_14_89'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_89' id='label_15_14_89' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_91'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.91' type='checkbox'  value='82'  id='choice_15_14_91'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_91' id='label_15_14_91' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_92'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.92' type='checkbox'  value='83'  id='choice_15_14_92'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_92' id='label_15_14_92' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_93'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.93' type='checkbox'  value='84'  id='choice_15_14_93'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_93' id='label_15_14_93' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_94'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.94' type='checkbox'  value='85'  id='choice_15_14_94'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_94' id='label_15_14_94' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_95'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.95' type='checkbox'  value='86'  id='choice_15_14_95'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_95' id='label_15_14_95' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_96'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.96' type='checkbox'  value='87'  id='choice_15_14_96'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_96' id='label_15_14_96' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_97'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.97' type='checkbox'  value='88'  id='choice_15_14_97'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_97' id='label_15_14_97' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_98'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.98' type='checkbox'  value='89'  id='choice_15_14_98'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_98' id='label_15_14_98' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_99'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.99' type='checkbox'  value='90'  id='choice_15_14_99'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_99' id='label_15_14_99' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_101'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.101' type='checkbox'  value='91'  id='choice_15_14_101'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_101' id='label_15_14_101' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_102'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.102' type='checkbox'  value='92'  id='choice_15_14_102'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_102' id='label_15_14_102' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_103'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.103' type='checkbox'  value='93'  id='choice_15_14_103'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_103' id='label_15_14_103' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_104'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.104' type='checkbox'  value='94'  id='choice_15_14_104'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_104' id='label_15_14_104' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_105'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.105' type='checkbox'  value='95'  id='choice_15_14_105'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_105' id='label_15_14_105' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_106'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.106' type='checkbox'  value='96'  id='choice_15_14_106'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_106' id='label_15_14_106' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_107'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.107' type='checkbox'  value='97'  id='choice_15_14_107'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_107' id='label_15_14_107' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_108'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.108' type='checkbox'  value='98'  id='choice_15_14_108'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_108' id='label_15_14_108' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_109'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.109' type='checkbox'  value='99'  id='choice_15_14_109'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_109' id='label_15_14_109' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_15_14_111'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.111' type='checkbox'  value='100'  id='choice_15_14_111'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_14_111' id='label_15_14_111' class='gform-field-label gform-field-label--type-inline'>$45<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_15_25\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full disabled field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_15_25'>Total boxes<\/label><div class='ginput_container ginput_container_number'><input name='input_25' id='input_15_25' type='number' step='any'   value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_15_12\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full pricelabel gfield_price gfield_price_15_12 gfield_product_15_12 gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_15_12_1'>Box Amount<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_12.1' value='Box Amount' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_15_12'>$ 0.00 CAD<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_12.2' id='ginput_base_price_15_12' class='gform_hidden ginput_calculated_price' value='$ 0.00 CAD'\/>\n\t\t\t\t\t<input type='hidden' name='input_12.3' value='1' class='ginput_quantity_15_12 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_15_13\" class=\"gfield gfield--type-product gfield--input-type-price gfield--width-full gfield_price gfield_price_15_13 gfield_product_15_13 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_15_13'>Or you can specify a custom\/additional amount:<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_13' id='input_15_13' type='text' value='' class='small ginput_amount'    aria-invalid=\"false\"  \/>\n\t\t\t\t<\/div><\/li><li id=\"field_15_24\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_15_24'>Frequency<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_24' id='input_15_24' class='large gfield_select'  aria-describedby=\"gfield_description_15_24\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Monthly' selected='selected'>Monthly<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_15_24'><b>Note<\/b>: Through this campaign, we are raising monthly donations. If you would prefer to give a one-time gift to the ministry, you can do so through our main donation form <a href=\"https:\/\/yfc.ca\/victoria\/donate\/?category=General&#038;general_des=YFC%20Victoria%20(General)&#038;comments=45%20Campaign\" target=\"_blank\">here<\/a>.<\/div><\/li><li id=\"field_15_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_15_1'>\n                            \n                            <span id='input_15_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_15_1_3' value=''   aria-required='true'   placeholder='First'  \/>\n                                                    <label for='input_15_1_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_15_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_15_1_6' value=''   aria-required='true'   placeholder='Last'  \/>\n                                                    <label for='input_15_1_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_15_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_15_3'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_15_3' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_15_20\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Admin Only<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_15_20'><li class='gchoice gchoice_15_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='Skip payment options on this form'  id='choice_15_20_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_20_1' id='label_15_20_1' class='gform-field-label gform-field-label--type-inline'>Skip payment options on this form<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_15_22\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_15_22'>Admin Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_22' id='input_15_22' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_15_19\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_15_4\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_15_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_15_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_15_4_1' value=''    aria-required='true'    \/>\n                                        <label for='input_15_4_1' id='input_15_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_15_4_2_container' >\n                                        <input type='text' name='input_4.2' id='input_15_4_2' value=''     aria-required='false'   \/>\n                                        <label for='input_15_4_2' id='input_15_4_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_15_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_15_4_3' value=''    aria-required='true'    \/>\n                                    <label for='input_15_4_3' id='input_15_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_15_4_4_container' >\n                                        <input type='text' name='input_4.4' id='input_15_4_4' value=''      aria-required='true'    \/>\n                                        <label for='input_15_4_4' id='input_15_4_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_15_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_15_4_5' value=''    aria-required='true'    \/>\n                                    <label for='input_15_4_5' id='input_15_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_15_4_6_container' >\n                                        <select name='input_4.6' id='input_15_4_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/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='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/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='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' selected='selected'>Canada<\/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 Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/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='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/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' >Holy See<\/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' >Iran<\/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&#039;s Republic of' >Korea, Democratic People&#039;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&#039;s Democratic Republic' >Lao People&#039;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='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/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' >Micronesia<\/option><option value='Moldova' >Moldova<\/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='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='North Macedonia' >North Macedonia<\/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='Palestine, State of' >Palestine, State of<\/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='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/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='Sint Maarten' >Sint Maarten<\/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='South Sudan' >South Sudan<\/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='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the 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='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/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' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/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><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_15_4_6' id='input_15_4_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_15_5\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_15_5'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_15_5' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_15_6\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_15_6'>Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_6' id='input_15_6' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_15_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_15_7'>Donation Method<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_15_7' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Credit Card' >Credit Card<\/option><option value='Direct Debit' >Direct Debit<\/option><\/select><\/div><\/li><li id=\"field_15_8\" class=\"gfield gfield--type-ach gfield--input-type-ach gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gfield_label_before_complex' for='input_15_8_1'>Direct Debit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_ach' id='input_15_8'><span class='ginput_full' id='input_15_8_4_container'>\r\n                                            <input type='text' name='input_8.4' id='input_15_8_4' value=''   \/>\r\n                                            <label for='input_15_8_4' id='input_15_8_4_label' >Account Holder Name<\/label>\r\n                                        <\/span><span class='ginput_left' id='input_15_8_1_container' >\r\n\t\t\t\t\t\t\t\t\t<input type='text' name='input_8.1' id='input_15_8_1' value=''     autocomplete='off' pattern='[0-9]*' title='Only digits are allowed' \/>\r\n\t\t\t\t\t\t\t\t\t<label for='input_15_8_1' id='input_15_8_1_label' >Account Number<\/label>\r\n\t\t\t\t\t\t\t\t <\/span><span class='ginput_right' id='input_15_8_3_container'>\r\n                                    <select name='input_8.3' id='input_15_8_3'   class='ginput_card_expiration'>\r\n\t\t\t\t\t\t\t\t\t\t<option value=''>Select<\/option><option value='S' >Savings<\/option><option value='C' >Checking<\/option>\r\n\t\t\t\t\t\t\t\t\t<\/select>\r\n                                    <label for='input_15_8_3' id='input_15_8_3_label' >Account Type<\/label>\r\n                                 <\/span><span class='ginput_left' id='input_15_8_2_container' >\r\n                                    <input type='text' name='input_8.2' id='input_15_8_2' value=''     autocomplete='off' pattern='[0-9]*' title='Only digits are allowed' \/>\r\n                                    <label for='input_15_8_2' id='input_15_8_2_label' >Institution\/Bank Number<\/label>\r\n                                 <\/span><span class='ginput_right' id='input_15_8_5_container' >\r\n\t\t\t\t\t\t\t\t\t<input type='text' name='input_8.5' id='input_15_8_5' value=''     autocomplete='off' pattern='[0-9]*' title='Only digits are allowed' \/>\r\n\t\t\t\t\t\t\t\t\t<label for='input_15_8_5' id='input_15_8_5_label' >Transit\/Branch Number<\/label>\r\n\t\t\t\t\t\t\t\t <\/span> <\/div><\/li><li id=\"field_15_10\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" src=\"\/wp-content\/uploads\/2020\/12\/cheque_info.jpg\" \/><\/li><li id=\"field_15_9\" class=\"gfield gfield--type-creditcard gfield--input-type-creditcard gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_15_9_1'>Credit Card<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_creditcard gform-grid-row' id='input_15_9'><span class='ginput_full gform-grid-col' id='input_15_9_1_container' >\n                                    <div class='gform_card_icon_container'><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_15_9_supported_creditcards'>Supported Credit Cards: MasterCard, Visa<\/span><\/div>\n                                    <input type='text' name='input_9.1' id='input_15_9_1' value=''   onchange='gformMatchCard(\"input_15_9_1\");' onkeyup='gformMatchCard(\"input_15_9_1\");' autocomplete='off' pattern='[0-9]*' title='Only digits are allowed'  aria-required='true'  \/>\n                                    <label for='input_15_9_1' id='input_15_9_1_label' class='gform-field-label gform-field-label--type-sub '>Card Number<\/label>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_15_9_2_container'>\n                                            <span class='ginput_cardinfo_left' id='input_15_9_2_cardinfo_left'>\n                                                <span class='ginput_card_expiration_container ginput_card_field'>\n                                                    \n                                                       <select name='input_9.2[]' id='input_15_9_2_month'   class='ginput_card_expiration ginput_card_expiration_month' aria-required='true'  >\n                                                           <option value=''>Month<\/option><option value='1' >01<\/option><option value='2' >02<\/option><option value='3' >03<\/option><option value='4' >04<\/option><option value='5' >05<\/option><option value='6' >06<\/option><option value='7' >07<\/option><option value='8' >08<\/option><option value='9' >09<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option>\n                                                       <\/select>\n                                                       \n                                                   \n                                                   \n                                                       <select name='input_9.2[]' id='input_15_9_2_year'   class='ginput_card_expiration ginput_card_expiration_year' aria-required='true'  >\n                                                           <option value=''>Year<\/option><option value='2026' >2026<\/option><option value='2027' >2027<\/option><option value='2028' >2028<\/option><option value='2029' >2029<\/option><option value='2030' >2030<\/option><option value='2031' >2031<\/option><option value='2032' >2032<\/option><option value='2033' >2033<\/option><option value='2034' >2034<\/option><option value='2035' >2035<\/option><option value='2036' >2036<\/option><option value='2037' >2037<\/option><option value='2038' >2038<\/option><option value='2039' >2039<\/option><option value='2040' >2040<\/option><option value='2041' >2041<\/option><option value='2042' >2042<\/option><option value='2043' >2043<\/option><option value='2044' >2044<\/option><option value='2045' >2045<\/option>\n                                                       <\/select>\n                                                       \n                                                       \n                                                <\/span>\n                                                 <label for='input_15_9_2_month' class='gform-field-label gform-field-label--type-sub '>Expiration Date<\/label>\n                                            <\/span><span class='ginput_cardinfo_right gform-grid-col' id='input_15_9_2_cardinfo_right'>\n                                                <input type='text' name='input_9.3' id='input_15_9_3'   class='ginput_card_security_code' value='' autocomplete='off' pattern='[0-9]*' title='Only digits are allowed'  aria-required='true'  \/>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                                <label for='input_15_9_3' class='gform-field-label gform-field-label--type-sub '>Security Code<\/label>\n                                             <\/span>\n                                        <\/span><span class='ginput_full gform-grid-col' id='input_15_9_5_container'>\n                                            <input type='text' name='input_9.5' id='input_15_9_5' value=''    aria-required='false'  \/>\n                                            <label for='input_15_9_5' id='input_15_9_5_label' class='gform-field-label gform-field-label--type-sub '>Cardholder Name<\/label>\n                                        <\/span> <\/div><\/li><li id=\"field_15_18\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Cover processing fee?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_15_18'><li class='gchoice gchoice_15_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Donate the Credit Card Processing Fee'  id='choice_15_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_18_1' id='label_15_18_1' class='gform-field-label gform-field-label--type-inline'>Donate the Credit Card Processing Fee<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_15_17\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full pricelabel gfield_price gfield_price_15_17 gfield_product_15_17 gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_15_17_1'>Processing Fee<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_17.1' value='Processing Fee' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_15_17'>$ 0.00 CAD<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_17.2' id='ginput_base_price_15_17' class='gform_hidden ginput_calculated_price' value='$ 0.00 CAD'\/>\n\t\t\t\t\t<input type='hidden' name='input_17.3' value='1' class='ginput_quantity_15_17 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_15_21\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_15_26\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full disabled gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_15_26'>Total Calculation<\/label><div class='ginput_container ginput_container_number'><input name='input_26' id='input_15_26' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_15_11\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_15_ gfield_total gfield_total_15_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_15_11'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_15'>$ 0.00 CAD<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_11' id='input_15_11' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><li id=\"field_15_27\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><b>Please select a box at the top of this form or type in an amount on the custom\/additional amount option.<\/b><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_15' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> <input type='hidden' name='gform_ajax' value='form_id=15&amp;title=&amp;description=&amp;tabindex=0&amp;theme=legacy&amp;styles=[]&amp;hash=5428e824735f2c45ab754a3c0a6f09af' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_15' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_15' id='gform_theme_15' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_15' id='gform_style_settings_15' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_15' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='15' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='CAD' value='d2AHq9FXNv5VXO3z\/oiruCaeTLXxFpNvDfLILN3xCrZX6X8XtxzM\/bc76PZTRk8BinEb8GkCOFT7epEeccsMtkTM4FnFr6sUOF67qc\/R5cmGGAA=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_15' value='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