{"id":4087,"date":"2023-06-28T03:05:02","date_gmt":"2023-06-28T02:05:02","guid":{"rendered":"https:\/\/revitalizemin.org\/?page_id=4087"},"modified":"2023-07-01T23:04:00","modified_gmt":"2023-07-01T22:04:00","slug":"give-now","status":"publish","type":"page","link":"https:\/\/revitalizemin.org\/?page_id=4087","title":{"rendered":"Give Now!"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4087\" class=\"elementor elementor-4087\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-be3a1ca elementor-section-boxed elementor-section-height-default elementor-section-height-default exad-glass-effect-no exad-sticky-section-no\" data-id=\"be3a1ca\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5cfa804 exad-glass-effect-no exad-sticky-section-no\" data-id=\"5cfa804\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b774ee5 exad-sticky-section-no exad-glass-effect-no elementor-invisible elementor-widget elementor-widget-image\" data-id=\"b774ee5\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/revitalizemin.org\/wp-content\/uploads\/2023\/04\/cropped-cropped-RM-Mark-Orange-300x300.png\" class=\"attachment-medium size-medium wp-image-16\" alt=\"\" srcset=\"https:\/\/revitalizemin.org\/wp-content\/uploads\/2023\/04\/cropped-cropped-RM-Mark-Orange-300x300.png 300w, https:\/\/revitalizemin.org\/wp-content\/uploads\/2023\/04\/cropped-cropped-RM-Mark-Orange-150x150.png 150w, https:\/\/revitalizemin.org\/wp-content\/uploads\/2023\/04\/cropped-cropped-RM-Mark-Orange.png 512w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0e78388 elementor-section-boxed elementor-section-height-default elementor-section-height-default exad-glass-effect-no exad-sticky-section-no\" data-id=\"0e78388\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-44fff0f exad-glass-effect-no exad-sticky-section-no\" data-id=\"44fff0f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-eec200e exad-sticky-section-no exad-glass-effect-no elementor-invisible elementor-widget elementor-widget-shortcode\" data-id=\"eec200e\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\t<div id=\"give-form-4051-wrap\" class=\"give-form-wrap give-display-onpage give-recurring-form-wrap give-recurring-form-donor\">\n\t\t\t\t\t<form id=\"give-form-4051-1\" class=\"give-form give-form-4051 give-form-type-multi give-recurring-form\" action=\"https:\/\/revitalizemin.org\/?payment-mode=stripe&form-id=4051\" data-id=\"4051-1\" data-currency_symbol=\"&#36;\" data-currency_code=\"USD\" data-currency_position=\"before\" data-thousands_separator=\",\" data-decimal_separator=\".\" data-number_decimals=\"2\" data-publishable-key=\"pk_live_51NMzjcBm3B82za7rTbbQNlYRsMYtwY4No5trHFGuD0iXPrbxnVVXSPTiwXkrRRzVyuSJ1TwLlIq8sRBkMme4cK6R00bDwnWcAI\" data-account=\"acct_1NMzjcBm3B82za7r\" data-give_cs_base_amounts=\"{&quot;0&quot;:&quot;10.00&quot;,&quot;1&quot;:&quot;25.00&quot;,&quot;2&quot;:&quot;50.00&quot;,&quot;3&quot;:&quot;100.00&quot;,&quot;5&quot;:&quot;250.00&quot;,&quot;custom&quot;:0}\" data-stripe-checkout-type=\"modal\" method=\"post\">\n\t\t\t\t<!-- The following field is for robots only, invisible to humans: -->\n\t\t\t\t<span class=\"give-hidden\" style=\"display: none !important;\">\n\t\t\t\t\t<label for=\"give-form-honeypot-4051\"><\/label>\n\t\t\t\t\t<input id=\"give-form-honeypot-4051\" type=\"text\" name=\"give-honeypot\"\n\t\t\t\t\t\t   class=\"give-honeypot give-hidden\"\/>\n\t\t\t\t<\/span>\n\n\t\t\t\t\t<input type=\"hidden\" name=\"give-form-id-prefix\" value=\"4051-1\"\/>\n\t<input type=\"hidden\" name=\"give-form-id\" value=\"4051\"\/>\n\t<input type=\"hidden\" name=\"give-form-title\" value=\"Give Now!\"\/>\n\t<input type=\"hidden\" name=\"give-current-url\" value=\"https:\/\/revitalizemin.org\/\"\/>\n\t<input type=\"hidden\" name=\"give-form-url\" value=\"https:\/\/revitalizemin.org\/\"\/>\n\t\t\t<input type=\"hidden\" name=\"give-form-minimum\"\n\t\t\t   value=\"5.00\"\/>\n\t\t<input type=\"hidden\" name=\"give-form-maximum\"\n\t\t\t   value=\"999999.99\"\/>\n\t\t<input type=\"hidden\"  name=\"give-form-hash\" value=\"6a24a69f24\" data-time=\"1775472881\" data-nonce-life=\"86400\" data-donor-session=\"0\"\/><input type=\"hidden\" name=\"give-price-id\" value=\"1\"\/>\t<input type=\"hidden\" name=\"give-recurring-logged-in-only\"\n\t\t   class=\"give-recurring-logged-in-only\"\n\t\t   value=\"\"\/>\n\n\t<input type=\"hidden\" name=\"give-logged-in-only\"\n\t\t   class=\"give-logged-in-only\"\n\t\t   value=\"1\"\/>\n<input\n\t\t\t\t\ttype=\"hidden\"\n\t\t\t\t\tname=\"_give_is_donation_recurring\"\n\t\t\t\t\tclass=\"_give_is_donation_recurring\"\n\t\t\t\t\tid=\"_give_is_donation_recurring\"\n\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\tdata-_give_recurring=\"yes_donor\"\n\t\t\t\t\tdata-_give_checkbox_default=\"no\"\n                    data-_give_price_option=\"\"\n                \/><input\n\t\t\t\t\ttype=\"hidden\"\n\t\t\t\t\tname=\"give_recurring_donation_details\"\n\t\t\t\t\tclass=\"give_recurring_donation_details\"\n\t\t\t\t\tid=\"give_recurring_donation_details\"\n\t\t\t\t\tvalue=\"{&quot;give_recurring_option&quot;:&quot;yes_donor&quot;}\"\n                \/>\t\t<div class=\"give-total-wrap\">\n\t\t\t<div class=\"give-donation-amount form-row-wide\">\n\t\t\t\t<span class=\"give-currency-symbol give-currency-position-before\">&#036;<\/span>\t\t\t\t<label class=\"give-hidden\" for=\"give-amount\">Donation Amount:<\/label>\n\t\t\t\t<input class=\"give-text-input give-amount-top\" id=\"give-amount\" name=\"give-amount\" type=\"text\" inputmode=\"decimal\"\n\t\t\t\t\t   placeholder=\"\" value=\"25.00\" autocomplete=\"off\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<fieldset\n\t\t\tclass=\"give-currency-switcher-wrap form-row form-row-wide\"\n\t\t\tdata-give_form_id=\"4051\">\n\t\t\t<legend class=\"give-cs-msg-legend give-hidden\">&nbsp;<\/legend>\n\t\t\t<select name=\"give-cs-currency\" class=\"give-cs-select-currency give-hidden\">\n\t\t\t\t\t\t\t\t\t<option\n\t\t\t\t\t\tvalue=\"USD\"  selected='selected'>\n\t\t\t\t\t\tUS Dollars\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<input type=\"hidden\" name=\"give-cs-base-currency\" value=\"USD\"\/>\n\t\t\t<input type=\"hidden\" name=\"give-cs-exchange-rate\" value=\"0\"\/>\n\t\t\t<input type=\"hidden\" name=\"give-cs-form-currency\" value=\"USD\"\/>\n\t\t\t\t\t\t<div\n\t\t\t\tclass=\"give-currency-switcher-msg-wrap give-hidden\">\n\t\t\t\t<span\n\t\t\t\t\tclass=\"give-currency-switcher-msg \"\n\t\t\t\t\tdata-rawtext=\"The current exchange rate is 1.00 {base_currency} equals {new_currency_rate} {new_currency}.\">\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t<\/fieldset>\n\t\t<ul id=\"give-donation-level-button-wrap\" class=\"give-donation-levels-wrap give-list-inline\"><li><button type=\"button\" data-price-id=\"0\" class=\"give-donation-level-btn give-btn give-btn-level-0 \" value=\"10.00\" data-default=\"0\">&#036;10.00<\/button><\/li><li><button type=\"button\" data-price-id=\"1\" class=\"give-donation-level-btn give-btn give-btn-level-1 give-default-level give-recurring-level\" value=\"25.00\" data-default=\"1\">&#036;25.00<\/button><\/li><li><button type=\"button\" data-price-id=\"2\" class=\"give-donation-level-btn give-btn give-btn-level-2  give-recurring-level\" value=\"50.00\" data-default=\"0\">&#036;50.00<\/button><\/li><li><button type=\"button\" data-price-id=\"3\" class=\"give-donation-level-btn give-btn give-btn-level-3  give-recurring-level\" value=\"100.00\" data-default=\"0\">&#036;100.00<\/button><\/li><li><button type=\"button\" data-price-id=\"5\" class=\"give-donation-level-btn give-btn give-btn-level-5  give-recurring-level\" value=\"250.00\" data-default=\"0\">&#036;250.00<\/button><\/li><li><button type=\"button\" data-price-id=\"custom\" class=\"give-donation-level-btn give-btn give-btn-level-custom\" value=\"custom\">Custom Amount<\/button><\/li><\/ul>\t<div class=\"give-recurring-donors-choice\">\n\t\t<input id=\"give-donors_choice-4051\" class=\"give-recurring-period\" name=\"give-recurring-period\" type=\"checkbox\" data-period-label=\"Monthly\" data-period=\"month\" data-interval=\"1\"  \/> <label for=\"give-donors_choice-4051\">Make this donation every <select class=\"give-recurring-donors-choice-period\" name=\"give-recurring-period-donors-choice\"><option value=\"day\" >day<\/option><option value=\"week\" >week<\/option><option value=\"month\"  selected >month<\/option><option value=\"quarter\" >quarter<\/option><option value=\"year\" >year<\/option><\/select><\/label>\t<\/div>\n\t<div class=\"form-row form-row-wide\">\n\t<div class=\"give-select-fund-row\">\n\t\t<label for=\"give-funds-select\">\n\t\t\tWhere can we designate your gift?\t\t<\/label>\n\t\t<select class=\"give-funds-select give-select\" name=\"give-selected-fund\">\n\t\t\t\t\t\t\t<option value=\"4\" data-description=\"\">\n\t\t\t\t\tGeneral Missions - Revitalize Ministries\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<option value=\"2\" data-description=\"\">\n\t\t\t\t\tMiguel &amp; Debbie Mendoza\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<option value=\"3\" data-description=\"\">\n\t\t\t\t\tHoracio &amp; Silvy Mendoza\t\t\t\t<\/option>\n\t\t\t\t\t<\/select>\n\t\t<div class=\"give-funds-fund-description\">\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<input id=\"give-stripe-payment-method-4051-1\" type=\"hidden\" name=\"give_stripe_payment_method\" value=\"\">\n\t<fieldset id=\"give-payment-mode-select\">\n\t\t\t\t<legend\n\t\t\tclass=\"give-payment-mode-label\">Select Payment Method\t\t\t<span class=\"give-loading-text\"><span\n\t\t\t\t\tclass=\"give-loading-animation\"><\/span>\n\t\t\t<\/span>\n\t\t<\/legend>\n\n\t\t<div id=\"give-payment-mode-wrap\">\n\t\t\t\t\t\t<ul id=\"give-gateway-radio-list\">\n\t\t\t\t\t\t\t\t\t\t<li class=\"give-gateway-option-selected\">\n\t\t\t\t\t\t\t<input type=\"radio\" name=\"payment-mode\" class=\"give-gateway\"\n\t\t\t\t\t\t\t\t   id=\"give-gateway-stripe-4051-1\"\n\t\t\t\t\t\t\t\t   value=\"stripe\" checked='checked'>\n\t\t\t\t\t\t\t<label for=\"give-gateway-stripe-4051-1\"\n\t\t\t\t\t\t\t\t   class=\"give-gateway-option\"\n\t\t\t\t\t\t\t\t   id=\"give-gateway-option-stripe\"> Stripe - Credit Card<\/label>\n\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t<li>\n\t\t\t\t\t\t\t<input type=\"radio\" name=\"payment-mode\" class=\"give-gateway\"\n\t\t\t\t\t\t\t\t   id=\"give-gateway-stripe_checkout-4051-1\"\n\t\t\t\t\t\t\t\t   value=\"stripe_checkout\">\n\t\t\t\t\t\t\t<label for=\"give-gateway-stripe_checkout-4051-1\"\n\t\t\t\t\t\t\t\t   class=\"give-gateway-option\"\n\t\t\t\t\t\t\t\t   id=\"give-gateway-option-stripe_checkout\"> Stripe - Checkout<\/label>\n\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t<li>\n\t\t\t\t\t\t\t<input type=\"radio\" name=\"payment-mode\" class=\"give-gateway\"\n\t\t\t\t\t\t\t\t   id=\"give-gateway-stripe_sepa-4051-1\"\n\t\t\t\t\t\t\t\t   value=\"stripe_sepa\">\n\t\t\t\t\t\t\t<label for=\"give-gateway-stripe_sepa-4051-1\"\n\t\t\t\t\t\t\t\t   class=\"give-gateway-option\"\n\t\t\t\t\t\t\t\t   id=\"give-gateway-option-stripe_sepa\"> Stripe - SEPA Direct Debit<\/label>\n\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t<li>\n\t\t\t\t\t\t\t<input type=\"radio\" name=\"payment-mode\" class=\"give-gateway\"\n\t\t\t\t\t\t\t\t   id=\"give-gateway-stripe_ach-4051-1\"\n\t\t\t\t\t\t\t\t   value=\"stripe_ach\">\n\t\t\t\t\t\t\t<label for=\"give-gateway-stripe_ach-4051-1\"\n\t\t\t\t\t\t\t\t   class=\"give-gateway-option\"\n\t\t\t\t\t\t\t\t   id=\"give-gateway-option-stripe_ach\"> Bank Account<\/label>\n\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t<li>\n\t\t\t\t\t\t\t<input type=\"radio\" name=\"payment-mode\" class=\"give-gateway\"\n\t\t\t\t\t\t\t\t   id=\"give-gateway-paypal-commerce-4051-1\"\n\t\t\t\t\t\t\t\t   value=\"paypal-commerce\">\n\t\t\t\t\t\t\t<label for=\"give-gateway-paypal-commerce-4051-1\"\n\t\t\t\t\t\t\t\t   class=\"give-gateway-option\"\n\t\t\t\t\t\t\t\t   id=\"give-gateway-option-paypal-commerce\"> PayPal<\/label>\n\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\t\t\t<\/fieldset>\n\n\t\n\t<div id=\"give_purchase_form_wrap\">\n\n\t\t\t<fieldset id=\"give_checkout_user_info\" class=\"\">\n\t\t<legend>\n\t\t\tPersonal Info\t\t<\/legend>\n\n\t\t\n        <p id=\"give-first-name-wrap\" class=\"form-row form-row-first form-row-responsive\">\n            <label class=\"give-label\" for=\"give-first\">\n                First Name                                    <span class=\"give-required-indicator\">*<\/span>\n                                <span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"First Name is used to personalize your donation record.\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>            <\/label>\n            <input\n                class=\"give-input required\"\n                type=\"text\"\n                name=\"give_first\"\n                autocomplete=\"given-name\"\n                placeholder=\"First Name\"\n                id=\"give-first\"\n                value=\"\"\n                 required aria-required=\"true\"             \/>\n        <\/p>\n\n        <p id=\"give-last-name-wrap\" class=\"form-row form-row-last form-row-responsive\">\n            <label class=\"give-label\" for=\"give-last\">\n                Last Name                                <span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"Last Name is used to personalize your donation record.\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>            <\/label>\n\n            <input\n                class=\"give-input\"\n                type=\"text\"\n                name=\"give_last\"\n                autocomplete=\"family-name\"\n                id=\"give-last\"\n                placeholder=\"Last Name\"\n                value=\"\"\n                            \/>\n        <\/p>\n\n                        <div id=\"give-company-radio-list-wrap\" class=\"form-row form-row-wide\">\n                    <label>Is this donation on behalf of a company?<\/label>\n                    <ul id=\"give-company-name-radio-list\" class=\"give-company-radio-list\">\n                        <li>\n                            <input\n                                checked\n                                type=\"radio\"\n                                id=\"give-no-company\"\n                                class=\"give_company_option\"\n                                name=\"give_company_option\"\n                                value=\"no\"\n                            \/>\n                            <label for=\"give-no-company\" class=\"give-company-option\"\n                                   id=\"give-no-company\">\n                                No                            <\/label>\n                        <\/li>\n                        <li>\n                            <input\n                                type=\"radio\"\n                                id=\"give-has-company\"\n                                class=\"give_company_option\"\n                                name=\"give_company_option\"\n                                value=\"yes\"\n                            \/>\n                            <label for=\"give-has-company\" class=\"give-company-option\"\n                                   id=\"give-has-company\">\n                                Yes                            <\/label>\n                        <\/li>\n                    <\/ul>\n                <\/div>\n                        <p id=\"give-company-wrap\" class=\"form-row form-row-wide\">\n                <label class=\"give-label\" for=\"give-company\">\n                    Company Name                                        <span class=\"give-tooltip hint--top hint--bounce\" aria-label=\"Donate on behalf of Company\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>                <\/label>\n                <input\n                    class=\"give-input\"\n                    type=\"text\"\n                    name=\"give_company_name\"\n                    placeholder=\"Company Name\"\n                    id=\"give-company\"\n                    value=\"\"\n                                    \/>\n            <\/p>\n        \n                <p id=\"give-email-wrap\" class=\"form-row form-row-wide\">\n            <label class=\"give-label\" for=\"give-email\">\n                Email Address                                    <span class=\"give-required-indicator\">*<\/span>\n                                    <span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"We will send the donation receipt to this address.\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>            <\/label>\n            <input\n                class=\"give-input required\"\n                type=\"email\"\n                name=\"give_email\"\n                autocomplete=\"email\"\n                placeholder=\"Email Address\"\n                id=\"give-email\"\n                value=\"\"\n                 required aria-required=\"true\"             \/>\n\n        <\/p>\n\n        \n\t\t\t\t\t<p id=\"give-comment-wrap\" class=\"form-row form-row-wide\">\n\t\t\t\t<label class=\"give-label\" for=\"give-comment\">\n\t\t\t\t\tComment\t\t\t\t\t\t\t\t\t\t<span class=\"give-tooltip hint--top hint--medium hint--bounce\" aria-label=\"Would you like to add a comment to this donation?\" rel=\"tooltip\"><i class=\"give-icon give-icon-question\"><\/i><\/span>\t\t\t\t<\/label>\n\n\t\t\t\t<textarea\n\t\t\t\t\tclass=\"give-input\"\n\t\t\t\t\tname=\"give_comment\"\n\t\t\t\t\tplaceholder=\"Leave a comment\"\n\t\t\t\t\tid=\"give-comment\"\n\t\t\t\t\t\t\t\t\t><\/textarea>\n\n\t\t\t<\/p>\n\t\t\t\t\t<\/fieldset>\n\t\n        <fieldset id=\"give_cc_fields\" class=\"give-do-validate\">\n            <legend>\n                Credit Card Info            <\/legend>\n\n                            <div id=\"give_secure_site_wrapper\">\n                    <span class=\"give-icon padlock\"><\/span>\n                    <span>\n\t\t\t\t\tThis is a secure SSL encrypted payment.\t\t\t\t<\/span>\n                <\/div>\n                <div id=\"give-stripe-single-cc-fields-4051-1\" class=\"give-stripe-single-cc-field-wrap\"><\/div>        <\/fieldset>\n        <div id=\"give-stripe-payment-errors-4051-1\"><\/div>\t<fieldset id=\"give_purchase_submit\" class=\"give-donation-submit\">\n\t\t\t<p id=\"give-final-total-wrap\" class=\"form-wrap \">\n\t\t\t\t<span class=\"give-donation-total-label\">\n\t\t\tDonation Total:\t\t<\/span>\n\t\t<span class=\"give-final-total-amount\"\n\t\t\t  data-total=\"25.00\">\n\t\t\t&#36;25.00\t\t<\/span>\n\t\t<span id=\"give-recurring-modal-period-wrap\" class=\"give-hidden\"><span id=\"give-recurring-modal-period\">One Time<\/span><\/span>\t<\/p>\n\t\t<input type=\"hidden\" name=\"give_action\" value=\"purchase\"\/>\n\t<input type=\"hidden\" name=\"give-gateway\" value=\"stripe\"\/>\n\t\t<div class=\"give-submit-button-wrap give-clearfix\">\n\t\t<input type=\"submit\" class=\"give-submit give-btn\" id=\"give-purchase-button\" name=\"give-purchase\"\n\t\t\t   value=\"Submit Now\" data-before-validation-label=\"Submit Now\"\/>\n\t\t<span class=\"give-loading-animation\"><\/span>\n\t<\/div>\n\t\t<\/fieldset>\n\t\n\t<\/div>\n\n\t\t\t\t<\/form>\n\n\t\t\t\n\t<\/div><!--end 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