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2017-10-22 00:35:37 EDT
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<body class="html front not-logged-in no-sidebars page-node page-node- page-node-3 node-type-donation-form front not-logged-in node-type-donation-form page-node-view" >
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</div>
<header class="clearfix container">
<a href="/"><img src="https://loadtest410.gospringboard.com/sites/all/themes/springboard_themes/springboard_frontend/logo.png" alt="" id="logo" /></a> </header>
<div id="main" class="container clearfix">
<h1 class="page-title">Single and Recurring Donation Form</h1>
<h2 class="element-invisible">Primary tabs</h2><ul class="tabs primary"><li class="active"><a href="/secure/single-and-recurring-donation-form" class="active">View<span class="element-invisible">(active tab)</span></a></li>
<li><a href="/node/3/devel">Devel</a></li>
</ul> <div class="element-invisible"><a id="main-content"></a></div>
<div class="region region-content">
<div id="block-system-main" class="block block-system">
<div class="content">
<div id="node-3" class="node node-donation-form node-promoted clearfix" about="/secure/single-and-recurring-donation-form" typeof="sioc:Item foaf:Document">
<span property="dc:title" content="Single and Recurring Donation Form" class="rdf-meta element-hidden"></span>
<div class="content">
<div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even" property="content:encoded"><p><img alt="" src="/files/loadtest410/412_monkey.jpg" style="width: 319px; height: 280px;" />This is a test donation page for pages where donors can choose either a single or recurring gift.</p>
</div></div></div><form class="webform-client-form form-layouts one-column fundraiser-donation-form" enctype="multipart/form-data" action="/?ls_origin=1" method="post" id="webform-client-form-3" accept-charset="UTF-8"><fieldset class="webform-component-fieldset form-wrapper" id="webform-component-donation"><legend><span class="fieldset-legend">Donation</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--amount">
<label for="edit-submitted-donation-amount">Please select your tax-deductible gift amount below <span class="form-required" title="This field is required.">*</span></label>
<div id="edit-submitted-donation-amount"><div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
<input type="radio" id="edit-submitted-donation-amount-1" name="submitted[donation][amount]" value="10" /> <label class="option" for="edit-submitted-donation-amount-1">$10 </label>
</div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
<input type="radio" id="edit-submitted-donation-amount-2" name="submitted[donation][amount]" value="20" /> <label class="option" for="edit-submitted-donation-amount-2">$20 </label>
</div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
<input type="radio" id="edit-submitted-donation-amount-3" name="submitted[donation][amount]" value="50" /> <label class="option" for="edit-submitted-donation-amount-3">$50 </label>
</div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
<input type="radio" id="edit-submitted-donation-amount-4" name="submitted[donation][amount]" value="100" /> <label class="option" for="edit-submitted-donation-amount-4">$100 </label>
</div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
<input type="radio" id="edit-submitted-donation-amount-5" name="submitted[donation][amount]" value="other" /> <label class="option" for="edit-submitted-donation-amount-5">Other </label>
</div></div>
</div><div style="display:none;"><div class="form-item webform-component webform-component-hidden control-group" id="webform-component-donation--recurring-amount">
<label for="edit-submitted-donation-recurring-amount">Please select your tax-deductible gift amount below </label>
<div id="edit-submitted-donation-recurring-amount"><input type="hidden" name="submitted[donation][recurring_amount]" value="10" />
</div>
</div></div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donation--other-amount">
<label for="edit-submitted-donation-other-amount">Other </label>
<div class="field-prefix">$</div><input class="input-medium form-text" type="text" id="edit-submitted-donation-other-amount" name="submitted[donation][other_amount]" value="" size="10" maxlength="128" />
<div class="description">Minimum payment $10.00.</div>
</div><div style="display:none;"><div class="form-item webform-component webform-component-hidden control-group" id="webform-component-donation--recurring-other-amount">
<label for="edit-submitted-donation-recurring-other-amount">Other </label>
<div class="field-prefix">$</div><input class="input-medium" type="hidden" name="submitted[donation][recurring_other_amount]" value="" />
<div class="description">Minimum payment $10.00.</div>
</div></div></div></fieldset>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-donor-information"><legend><span class="fieldset-legend">Your Information</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--first-name">
<label for="edit-submitted-donor-information-first-name">First Name <span class="form-required" title="This field is required.">*</span></label>
<input type="text" id="edit-submitted-donor-information-first-name" name="submitted[donor_information][first_name]" value="" size="60" maxlength="128" class="form-text required" />
</div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--last-name">
<label for="edit-submitted-donor-information-last-name">Last Name <span class="form-required" title="This field is required.">*</span></label>
<input type="text" id="edit-submitted-donor-information-last-name" name="submitted[donor_information][last_name]" value="" size="60" maxlength="128" class="form-text required" />
</div><div class="form-item webform-component webform-component-email control-group" id="webform-component-donor-information--mail">
<label for="edit-submitted-donor-information-mail">E-mail address <span class="form-required" title="This field is required.">*</span></label>
<input class="email form-text form-email required" type="email" id="edit-submitted-donor-information-mail" name="submitted[donor_information][mail]" size="60" />
</div></div></fieldset>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-billing-information"><legend><span class="fieldset-legend">Billing Information</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--address">
<label for="edit-submitted-billing-information-address">Address <span class="form-required" title="This field is required.">*</span></label>
<input type="text" id="edit-submitted-billing-information-address" name="submitted[billing_information][address]" value="" size="60" maxlength="128" class="form-text required" />
</div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--address-line-2">
<label for="edit-submitted-billing-information-address-line-2">Address Line 2 </label>
<input type="text" id="edit-submitted-billing-information-address-line-2" name="submitted[billing_information][address_line_2]" value="" size="60" maxlength="128" class="form-text" />
</div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--city">
<label for="edit-submitted-billing-information-city">City <span class="form-required" title="This field is required.">*</span></label>
<input type="text" id="edit-submitted-billing-information-city" name="submitted[billing_information][city]" value="" size="60" maxlength="128" class="form-text required" />
</div><div id="zone-select-wrapper"><div class="form-item webform-component webform-component-select control-group" id="webform-component-billing-information--state">
<label for="edit-submitted-billing-information-state">State/Province <span class="form-required" title="This field is required.">*</span></label>
<select id="edit-submitted-billing-information-state" name="submitted[billing_information][state]" class="form-select required"><option value="" selected="selected">- Select -</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option><option value=" ">--</option><option value="AA">Armed Forces (Americas)</option><option value="AE">Armed Forces (Europe, Canada, Middle East, Africa)</option><option value="AP">Armed Forces (Pacific)</option><option value="AS">American Samoa</option><option value="FM">Federated States of Micronesia</option><option value="GU">Guam</option><option value="MH">Marshall Islands</option><option value="MP">Northern Mariana Islands</option><option value="PW">Palau</option><option value="PR">Puerto Rico</option><option value="VI">Virgin Islands</option></select>
</div></div><div class="form-item webform-component webform-component-select control-group" id="webform-component-billing-information--country">
<label for="edit-submitted-billing-information-country">Country <span class="form-required" title="This field is required.">*</span></label>
<select id="edit-submitted-billing-information-country" name="submitted[billing_information][country]" class="form-select required"><option value="CA">Canada</option><option value="US" selected="selected">United States</option></select>
</div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--zip">
<label for="edit-submitted-billing-information-zip">ZIP/Postal Code <span class="form-required" title="This field is required.">*</span></label>
<input class="input-medium form-text required" type="text" id="edit-submitted-billing-information-zip" name="submitted[billing_information][zip]" value="" size="10" maxlength="10" />
</div></div></fieldset>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-payment-information"><legend><span class="fieldset-legend">Payment Information</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-radios control-group" id="webform-component-payment-information--payment-method">
<label for="edit-submitted-payment-information-payment-method">Payment Method <span class="form-required" title="This field is required.">*</span></label>
<div id="edit-submitted-payment-information-payment-method"><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group">
<input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-2" name="submitted[payment_information][payment_method]" value="credit" checked="checked" /> <label class="option" for="edit-submitted-payment-information-payment-method-2">Credit Card </label>
</div><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group">
<input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-1" name="submitted[payment_information][payment_method]" value="paypal" /> <label class="option" for="edit-submitted-payment-information-payment-method-1">Paypal </label>
</div></div>
</div><div class="webform-component-fieldset form-wrapper" id="webform-component-payment-information--payment-fields"><fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-paypal"><div class="fieldset-wrapper"></div></fieldset>
<fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-credit"><div class="fieldset-wrapper"><div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-number control-group">
<label for="edit-submitted-payment-information-payment-fields-credit-card-number">Credit card number </label>
<input class="input-large form-text" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-number" name="submitted[payment_information][payment_fields][credit][card_number]" value="" size="20" maxlength="128" />
</div><div class='expiration-date-wrapper clear-block'><div class="form-item form-type-select form-item-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month control-group">
<label for="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month">Expiration date </label>
<select class="input-small form-select" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month" name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_month]"><option value="1">January</option><option value="2">February</option><option value="3">March</option><option value="4">April</option><option value="5">May</option><option value="6">June</option><option value="7">July</option><option value="8">August</option><option value="9">September</option><option value="10" selected="selected">October</option><option value="11">November</option><option value="12">December</option></select><select class="input-small form-select" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-year" name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_year]"><option value="2017" selected="selected">2017</option><option value="2018">2018</option><option value="2019">2019</option><option value="2020">2020</option><option value="2021">2021</option><option value="2022">2022</option><option value="2023">2023</option><option value="2024">2024</option><option value="2025">2025</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></select>
</div></div><div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-cvv control-group">
<label for="edit-submitted-payment-information-payment-fields-credit-card-cvv">CVV </label>
<input class="input-small form-text" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-cvv" name="submitted[payment_information][payment_fields][credit][card_cvv]" value="" size="6" maxlength="128" />
</div><input type="hidden" name="submitted[payment_information][payment_fields][credit][card_type]" value="" />
</div></fieldset>
</div><div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-payment-information--recurs-monthly">
<label for="edit-submitted-payment-information-recurs-monthly">Recurring Payment </label>
<div id="edit-submitted-payment-information-recurs-monthly"><div class="form-item form-type-checkbox form-item-submitted-payment-information-recurs-monthly-recurs control-group">
<input type="checkbox" id="edit-submitted-payment-information-recurs-monthly-1" name="submitted[payment_information][recurs_monthly][recurs]" value="recurs" class="form-checkbox" /> <label class="option" for="edit-submitted-payment-information-recurs-monthly-1">Yes </label>
</div></div>
<div class="description">Selecting "Yes" will cause your credit card to be charged once per month until its expiration date.</div>
</div><div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-payment-information--recent-donors-list-optin">
<div id="edit-submitted-payment-information-recent-donors-list-optin"><div class="form-item form-type-checkbox form-item-submitted-payment-information-recent-donors-list-optin-recent-donors-list-optin control-group">
<input type="checkbox" id="edit-submitted-payment-information-recent-donors-list-optin-1" name="submitted[payment_information][recent_donors_list_optin][recent_donors_list_optin]" value="recent_donors_list_optin" class="form-checkbox" /> <label class="option" for="edit-submitted-payment-information-recent-donors-list-optin-1">You may show my name and donation amount in a list of recent donors. </label>
</div></div>
</div></div></fieldset>
<input type="hidden" name="submitted[ms]" value="default_ms" />
<input type="hidden" name="submitted[cid]" value="701G0000000ysMdIAI" />
<input type="hidden" name="submitted[referrer]" value="" />
<input type="hidden" name="submitted[initial_referrer]" value="" />
<input type="hidden" name="submitted[search_engine]" value="" />
<input type="hidden" name="submitted[search_string]" value="" />
<input type="hidden" name="submitted[user_agent]" value="" />
<input type="hidden" name="submitted[utm_source]" value="" />
<input type="hidden" name="submitted[utm_medium]" value="" />
<input type="hidden" name="submitted[utm_term]" value="" />
<input type="hidden" name="submitted[utm_content]" value="" />
<input type="hidden" name="submitted[utm_campaign]" value="" />
<input type="hidden" name="submitted[eml_name]" value="" />
<input type="hidden" name="submitted[eml_id]" value="" />
<input type="hidden" name="submitted[device_type]" value="" />
<input type="hidden" name="submitted[device_name]" value="" />
<input type="hidden" name="submitted[device_os]" value="" />
<input type="hidden" name="submitted[device_browser]" value="" />
<input type="hidden" name="submitted[social_referer_transaction]" value="" />
<input type="hidden" name="details[sid]" />
<input type="hidden" name="details[page_num]" value="1" />
<input type="hidden" name="details[page_count]" value="1" />
<input type="hidden" name="details[finished]" value="0" />
<input type="hidden" name="form_build_id" value="form-1xDTRkzeTh_9DAeon5M-FGTWUNx0gZo3cso9-7fAOBo" />
<input type="hidden" name="form_id" value="webform_client_form_3" />
<div class="fundraiser_submit_message"><img typeof="foaf:Image" src="https://loadtest410.gospringboard.com/sites/all/modules/springboard/fundraiser/modules/fundraiser_webform/images/padlock.png" alt="" />By clicking PLEASE DONATE NOW your credit card will be securely processed.</div><div class="form-actions form-wrapper" id="edit-actions"><input class="btn" type="submit" id="edit-submit" name="op" value="Please Donate Now" /></div><fieldset class="form-wrapper" id="edit-recent-donations-block"><div class="fieldset-wrapper"></div></fieldset>
</form> </div>
</div>
</div>
</div>
</div>
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