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<form class="userform-form" action="" method="post" name="form_3121980" id="3121980" accept-charset="utf-8"><input type="hidden" name="formID" value="3121980" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_22"><div id="cid_22" class="form-input-wide"> <img alt="" class="form-image" border="0" src="https://w2.chabad.org/media/images/1262/oobf12626575.png" height="385.7" width="665" /> </div></li><li class="form-line" id="id_12"><div id="cid_12" class="form-input-wide"> <div id="text_12" class="form-html"><p>Thanks for being a part of Chabad and sharing in our vision. Your donation enables us to offer an array of local programming throughout the year!</p></div> </div></li><li class="form-line" id="id_3"><div class="form-label-left" id="label_3"><label for="input_3"> Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_3"> </label></div><div id="cid_3" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q3_fullName3[first]" id="first_3" autocomplete="given-name" />  <label class="form-sub-label" for="first_3" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q3_fullName3[last]" id="last_3" autocomplete="family-name" />  <label class="form-sub-label" for="last_3" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_4"><div class="form-label-left" id="label_4"><label for="input_4"> E-mail<span class="form-required">*</span> </label><label class="label-message" for="input_4"> </label></div><div id="cid_4" class="form-input"> <input type="email" class=" form-textbox validate[required, Email]" id="input_4" name="q4_email4" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_6"><div class="form-label-left" id="label_6"><label for="input_6"> Phone Number<span class="form-required">*</span> </label><label class="label-message" for="input_6"> </label></div><div id="cid_6" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q6_phoneNumber6[area]" id="input_6_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_6_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q6_phoneNumber6[phone]" id="input_6_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_6_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_8"><div class="form-label-left" id="label_8"><label for="input_8"> Amount<span class="form-required">*</span> </label><label class="label-message" for="input_8"> </label></div><div id="cid_8" class="form-input"> <div class="form-multiple-column" data-columns="2"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_8_0" name="q8_amount" value="100" /><label for="input_8_0"><span>$100</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_8_1" name="q8_amount" value="180" /><label for="input_8_1"><span>$180</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_8_2" name="q8_amount" value="360" /><label for="input_8_2"><span>$360</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_8_3" name="q8_amount" value="770" /><label for="input_8_3"><span>$770</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_8_4" name="q8_amount" value="1018" /><label for="input_8_4"><span>$1018</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_8_5" name="q8_amount" value="1800" /><label for="input_8_5"><span>$1800</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio-other form-radio validate[required]" name="q8_amount" id="other_8" value="" /><span><input type="number" min="1" class="form-radio-other-input form-textbox" onkeypress="validateNumber(event)" name="q8_amount[other]" data-otherhint="Other" size="15" id="input_8" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_13"><div class="form-label-left" id="label_13"><label for="input_13"> In Honor/memory of </label><label class="label-message" for="input_13"> </label></div><div id="cid_13" class="form-input"> <div class="form-textarea-limit"><span><textarea id="input_13" class="form-textarea" name="q13_inHonormemory" cols="46" rows="3"></textarea><div class="form-textarea-limit-indicator"><span type="Letters" limit="100" id="input_13-limit">0/100</span></div></span></div> </div></li><li class="form-line" id="id_20"><div class="form-label-left" id="label_20"><label for="input_20"> Please check the type of donataion </label><label class="label-message" for="input_20"> </label></div><div id="cid_20" class="form-input"> <div class="form-multiple-column"><span class="form-checkbox-item"><input type="checkbox" class="form-checkbox" id="input_20_0" name="q20_input20[]" value="General" /><label id="label_input_20_0" for="input_20_0"><span>General</span></label></span><span class="clearfix"></span><span class="form-checkbox-item"><input type="checkbox" class="form-checkbox" id="input_20_1" name="q20_input20[]" value="Aliya" /><label id="label_input_20_1" for="input_20_1"><span>Aliya</span></label></span><span class="clearfix"></span><span class="form-checkbox-item"><input type="checkbox" class="form-checkbox" id="input_20_2" name="q20_input20[]" value="Kiddush" /><label id="label_input_20_2" for="input_20_2"><span>Kiddush</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_20_3" name="q20_input20[]" value="Maftir Yona" /><label id="label_input_20_3" for="input_20_3"><span>Maftir Yona</span></label></span><span class="clearfix"></span><span class="form-checkbox-item"><input type="checkbox" class="form-checkbox" id="input_20_4" name="q20_input20[]" value="Neila" /><label id="label_input_20_4" for="input_20_4"><span>Neila</span></label></span><span class="clearfix"></span><span class="form-checkbox-item"><input type="checkbox" class="form-checkbox" id="input_20_5" name="q20_input20[]" value="Yizkor" /><label id="label_input_20_5" for="input_20_5"><span>Yizkor</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_20_6" name="q20_input20[]" value="In recognition" /><label id="label_input_20_6" for="input_20_6"><span>In recognition</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox-other form-checkbox validate[other]" name="q20_input20[other]" id="other_20" value="" /><span><input type="text" class="form-checkbox-other-input form-textbox form-checkbox validate[other]" name="q20_input20[other][text]" data-otherhint="Other" size="15" id="input_20" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_18"><div class="form-label-left" id="label_18"><label for="input_18"> Total </label></div><div id="cid_18" class="form-input"> <div id="total_amount">$0.00 </div><div class="form-single-column form-checkbox-item" id="div_offset_gift_18" style="padding-top: 10px">		<input type="checkbox" id="input_18" class="form-checkbox" name="q18_offsetGiftPercent" value="3" />		<label id="label_18" for="input_18">Yes, I'd like to donate the cost of processing this transaction by adding 3%</label>		<input type="hidden" id="hidden_18" name="q18_offsetGiftAmount" />		<div class="clearfix"></div>		</div> </div></li><li class="form-line" id="id_17"><div class="form-label-left" id="label_17"><label for="input_17"> Payment<span class="form-required">*</span> </label><label class="label-message" for="input_17"> </label></div><div id="cid_17" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"><span class="form-radio-item"><input class="paymentMethod form-radio validate[required, paymentMethod] form-radio" type="radio" id="input_17_creditCard" name="q17_payment[payment_method]" value="creditCard" onclick="BuildSource.creditCard(this)" /><label for="input_17_creditCard">Credit Card</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[required, paymentMethod] form-radio" type="radio" id="input_17_paypal" name="q17_payment[payment_method]" value="paypal" onclick="BuildSource.paypal(this)" /><label for="input_17_paypal">Paypal</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[required, paymentMethod] form-radio" type="radio" id="input_17_other" name="q17_payment[payment_method]" value="other" onclick="BuildSource.other(this)" /><label for="input_17_other">Zelle: Rabbi@jewishmonterra.com / Venmo: @Chabadatmonterra.com</label> </span></td></tr><tr class="credit_card hide"><th colspan="2">Credit Card</th></tr><tr class="credit_card hide"><td colspan="2" style="padding:0"><table cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container">  <label class="form-sub-label">We accept Visa, MasterCard, American Express, Discover</label></span><div class="cc-icons"><div class="cc-icon visa-icon"></div><div class="cc-icon mastercard-icon"></div><div class="cc-icon amex-icon"></div><div class="cc-icon discover-icon"></div></div><input type="hidden" name="q17_payment[cc_type]" id="input_17_cc_type" value="" /></td></tr><tr><td><div class="cc-field-wrapper"><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[required, visible, creditcard]" type="text" name="q17_payment[cc_number]" 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validate[required, visible]" name="q17_payment[cc_exp_month]" id="input_17_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_17_cc_exp_month" id="sublabel_cc_exp_month">Expiration Month</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q17_payment[cc_exp_year]" id="input_17_cc_exp_year" autocomplete="cc-exp-year"><option></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></select>  <label class="form-sub-label" for="input_17_cc_exp_year" id="sublabel_cc_exp_year">Expiration Year</label></span></td></tr></tbody></table></td></tr><tr class="paypal hide"><td colspan="2">Paypal has been selected. Payment will take place on the next page.</td></tr><tr class="other hide"><td colspan="2"></td></tr><tr class="billing_address hide"><th colspan="2">Billing Address</th></tr><tr class="billing_address hide"><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-line" type="text" name="q17_payment[addr_line1]" id="input_17_addr_line1" autocomplete="billing address-line1" />  <label class="form-sub-label" for="input_17_addr_line1" id="sublabel_17_addr_line1">Street Address</label></span></td></tr><tr class="billing_address hide"><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-city" type="text" name="q17_payment[city]" id="input_17_city" autocomplete="billing address-level2" />  <label class="form-sub-label" for="input_17_city" id="sublabel_17_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-state" type="text" name="q17_payment[state]" id="input_17_state" autocomplete="billing address-level1" />  <label class="form-sub-label" for="input_17_state" id="sublabel_17_state">State / Province</label></span></td></tr><tr class="billing_address hide"><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-postal" type="text" name="q17_payment[postal]" id="input_17_postal" size="10" autocomplete="billing postal-code" />  <label class="form-sub-label" for="input_17_postal" id="sublabel_17_postal">Postal / Zip Code</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown validate[required] form-address-country" name="q17_payment[country]" id="input_17_country" autocomplete="billing country-name"><option value="" selected="selected">Please Select</option><option value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option 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