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279 <a href="/chapters" data-drupal-link-system-path="node/12">All Chapters</a> 280 </li> 281 <li> 282 <a href="/chapters/affiliate-membership" data-drupal-link-system-path="node/13">Affiliate Membership</a> 283 </li> 284 <li> 285 <a href="/chapters/central-jersey-chapter" data-drupal-link-system-path="node/108">Central Jersey Chapter (Middlesex and surrounding counties)</a> 286 </li> 287 <li> 288 <a href="/chapters/garden-state-chapter" data-drupal-link-system-path="node/14">Garden State Chapter (Camden and surrounding counties)</a> 289 </li> 290 <li> 291 <a href="/chapters/northeast-chapter" data-drupal-link-system-path="node/104">Northeast Chapter (Bergen and surrounding counties)</a> 292 </li> 293 <li> 294 <a href="/chapters/northern-chapter" data-drupal-link-system-path="node/105">Northern Chapter (Essex and surrounding counties)</a> 295 </li> 296 <li> 297 <a href="/chapters/south-jersey-shore-chapter" data-drupal-link-system-path="node/167">South Jersey Shore Chapter (Atlantic 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309Ways to Give</a> 310 </li> 311 <li> 312 <a href="/state-convention" data-drupal-link-system-path="node/119">State Convention</a> 313 </li> 314 <li> 315 <a href="/national-convention" data-drupal-link-system-path="node/74">National Convention</a> 316 </li> 317 <li> 318 <a href="/legislative-issues" data-drupal-link-system-path="node/120">Legislative Issues</a> 319 </li> 320 <li> 321 <a href="/volunteering-opportunities" data-drupal-link-system-path="node/121">Volunteering</a> 322 </li> 323 <li> 324 <a href="/events-calendar" data-drupal-link-system-path="node/53">Events Calendar</a> 325 </li> 326 </ul> 327 328 </li> 329 <li> 330 <a href="/" data-drupal-link-system-path="<front>">Programs & Resources</a> 331 <ul> 332 <li> 333 <a href="/sounding-board" data-drupal-link-system-path="node/176">The Sounding Board</a> 334 </li> 335 <li> 336 <a href="/nfb-newsline" data-drupal-link-system-path="node/75">NFB-NEWSLINE®</a> 337 </li> 338 <li> 339 <a href="/scholarship-program" data-drupal-link-system-path="node/76">Scholarship Programs</a> 340 </li> 341 <li> 342 <a href="/educational-initiatives" data-drupal-link-system-path="node/190">Educational Initiatives</a> 343 </li> 344 <li> 345 <a href="/technology-seminars-workshops" data-drupal-link-system-path="node/123">Technology Seminars</a> 346 </li> 347 <li> 348 <a href="/overcoming-challenges-stories-nfb-kernel-books" data-drupal-link-system-path="node/124">Blindness & Independence</a> 349 </li> 350 <li> 351 <a href="/mobility-and-cane-travel" data-drupal-link-system-path="node/125">Mobility & Cane Travel</a> 352 </li> 353 <li> 354 <a href="/state-resources" data-drupal-link-system-path="node/67">State Resources</a> 355 </li> 356 </ul> 357 358 </li> 359 </ul> 360 361 362 363 </nav> 364 365 </div> 366 367 </div> 368 <div class="clear"></div> 369 <div class="topbar topbar-mob"> 370 </div> 371 </div> 372 </div> 373</header> 374<main role="main" id="main-content"> 375 376 <div class="highlighted"> 377 <aside class="container section clearfix" role="complementary"> 378 <div data-drupal-messages-fallback class="hidden"></div> 379 380 381 </aside> 382 </div> 383 384 <div id="block-nfbaff-template1-guidestarseal" class="block-content-basic block block-block-content block-block-content87539647-9f21-47c2-9aa0-9b24f56d5e7f"> 385 386 387 <div class="content"> 388 389 <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><a href="https://app.candid.org/profile/7071797/national-federation-of-the-blind-of-new-jersey-22-2716500/?pkId=5c322cd5-2913-421f-85a7-fcf6e1cf7583"><br /> 3902026 GuideStar Platinum Seal of Transparency</a></p> 391</div> 392 393 </div> 394 </div> 395<div id="block-nfbaff-template1-pagetitle" class="block block-core block-page-title-block"> 396 397 398 <div class="content"> 399 400 <h1 class="title"><span class="field field--name-title field--type-string field--label-hidden">Support Us</span> 401</h1> 402 403 404 </div> 405 </div> 406<div id="block-nfbaff-template1-content" class="block block-system block-system-main-block"> 407 408 409 <div class="content"> 410 411 412<section class="inner-page-banner-section banner-bottom-margin has-banner-img" data-history-node-id="57"> 413 414 <div class="field field--name-field-page-banner field--type-image field--label-hidden field__item"> <img loading="lazy" src="/sites/nfbnj.org/files/2024-05/hands-form-a-heart.jpg" width="1920" height="472" alt="Hands form the shape of a heart." /> 415 416</div> 417 418 <div role="img" aria-label="" class="overlay-banner-img"></div> 419 <div class="inner-banner-text"> 420 <div class="container"> 421 <h1><span class="field field--name-title field--type-string field--label-hidden">Support Us</span> 422</h1> 423 </div> 424 </div> 425</section> 426 427<div class="container"> 428 <div class="block block-system block-system-breadcrumb-block"> 429 430 431 <div class="content"> 432 433 434 435 436 <nav role="navigation" aria-label="breadcrumb"> 437 <ol class="breadcrumb"> 438 <li class="breadcrumb-item"> 439 <a href="/">Home</a> 440 </li> 441 <li class="breadcrumb-item active" aria-current="page"> 442 Support Us 443 </li> 444 </ol> 445 </nav> 446 447 </div> 448 </div> 449 450 <div class="donate-content-wrapper"> 451 452 453 454 <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p class="text-center">
454The National Federation of the Blind relies on the generosity of our supporters to help us raise the expectations of blind people, because low expectations create obstacles between blind people and our dreams. Your support helps us live the lives we want.</p> 455<p class="text-center">The National Federation of the Blind is a nonprofit, tax-exempt organization (EIN: 22-2716500) under section 501(c)(3) of the Internal Revenue Code. Contributions are tax-deductible as allowed by law.</p> 456<p class="text-center"><em>Note: All fields with an asterisk (*) are required.</em></p> 457</div> 458 459 <div class="field field--name-webform field--type-webform field--label-hidden field__item"> 460<form class="webform-submission-form webform-submission-add-form webform-submission-donate-form webform-submission-donate-add-form webform-submission-donate-node-57-form webform-submission-donate-node-57-add-form js-webform-disable-autosubmit js-webform-details-toggle webform-details-toggle" data-form-defaults="[]" data-drupal-selector="webform-submission-donate-node-57-add-form" action="/contribute" method="post" id="webform-submission-donate-node-57-add-form" accept-charset="UTF-8"> 461 462 <div data-webform-key="contact_pagebreak" data-drupal-selector="edit-contact-pagebreak" id="edit-contact-pagebreak" class="js-form-wrapper form-wrapper mb-3"> 463 464 465 466<div class="js-webform-type-select webform-type-select js-form-item js-form-type-select form-type-select js-form-item--anonymous-donation form-item--anonymous-donation form-group"> 467 468<legend>I want my donation acknowledged anonymously </legend> 469 470<label for="edit-anonymous-donation" class="js-form-required form-required">I want my donation acknowledged anonymously </label> 471 472<select data-drupal-selector="edit-anonymous-donation" data-msg-required="I want my donation acknowledged anonymously field is required." id="edit-anonymous-donation" name="_anonymous_donation" class="form-select required" required="required"><option value="" selected="selected">- Select -</option><option value="Yes">Yes</option><option value="No">No</option></select> 473 </div> 474 475 476 477 478<div class="js-webform-type-textfield webform-type-textfield js-form-item js-form-type-textfield form-type-textfield js-form-item-civicrm-1-contact-1-contact-first-name form-item-civicrm-1-contact-1-contact-first-name form-group"> 479 480<legend>First Name</legend> 481 482<label for="edit-civicrm-1-contact-1-contact-first-name" class="js-form-required form-required">First Name</label> 483 <input class="civicrm-enabled required form-control" data-civicrm-field-key="civicrm_1_contact_1_contact_first_name" data-drupal-selector="edit-civicrm-1-contact-1-contact-first-name" data-msg-maxlength="First Name field has a maximum length of 255." data-msg-required="First Name field is required." type="text" id="edit-civicrm-1-contact-1-contact-first-name" name="civicrm_1_contact_1_contact_first_name" value="" size="60" maxlength="255" required="required" /> 484 485 </div> 486 487 488 489 490<div class="js-webform-type-textfield webform-type-textfield js-form-item js-form-type-textfield form-type-textfield js-form-item-civicrm-1-contact-1-contact-last-name form-item-civicrm-1-contact-1-contact-last-name form-group"> 491 492<legend>Last Name</legend> 493 494<label for="edit-civicrm-1-contact-1-contact-last-name" class="js-form-required form-required">Last Name</label> 495 <input class="civicrm-enabled required form-control" data-civicrm-field-key="civicrm_1_contact_1_contact_last_name" data-drupal-selector="edit-civicrm-1-contact-1-contact-last-name" data-msg-maxlength="Last Name field has a maximum length of 255." data-msg-required="Last Name field is required." type="text" id="edit-civicrm-1-contact-1-contact-last-name" name="civicrm_1_contact_1_contact_last_name" value="" size="60" maxlength="255" required="required" /> 496 497 </div> 498 499 500 501 502<div class="js-webform-type-textfield webform-type-textfield js-form-item js-form-type-textfield form-type-textfield js-form-item-civicrm-1-contact-1-address-street
502-address form-item-civicrm-1-contact-1-address-street-address form-group"> 503 504<legend>Street Address</legend> 505 506<label for="edit-civicrm-1-contact-1-address-street-address" class="js-form-required form-required">Street Address</label> 507 <input class="civicrm-enabled required form-control" data-civicrm-field-key="civicrm_1_contact_1_address_street_address" data-drupal-selector="edit-civicrm-1-contact-1-address-street-address" data-msg-maxlength="Street Address field has a maximum length of 255." data-msg-required="Street Address field is required." type="text" id="edit-civicrm-1-contact-1-address-street-address" name="civicrm_1_contact_1_address_street_address" value="" size="60" maxlength="255" required="required" /> 508 509 </div> 510 511 512 513 514<div class="js-webform-type-textfield webform-type-textfield js-form-item js-form-type-textfield form-type-textfield js-form-item-civicrm-1-contact-1-address-supplemental-address-1 form-item-civicrm-1-contact-1-address-supplemental-address-1 form-group"> 515 516<legend>Street Address Line 2</legend> 517 518<label for="edit-civicrm-1-contact-1-address-supplemental-address-1">Street Address Line 2</label> 519 <input data-counter-type="character" data-counter-maximum="96" data-counter-maximum-message=" " class="js-webform-counter webform-counter civicrm-enabled form-control" data-civicrm-field-key="civicrm_1_contact_1_address_supplemental_address_1" data-drupal-selector="edit-civicrm-1-contact-1-address-supplemental-address-1" data-msg-maxlength="Street Address Line 2 field has a maximum length of 96." type="text" id="edit-civicrm-1-contact-1-address-supplemental-address-1" name="civicrm_1_contact_1_address_supplemental_address_1" value="" size="60" maxlength="96" /> 520 521 </div> 522 523 524 525 526<div class="js-webform-type-textfield webform-type-textfield js-form-item js-form-type-textfield form-type-textfield js-form-item-civicrm-1-contact-1-address-city form-item-civicrm-1-contact-1-address-city form-group"> 527 528<legend>City</legend> 529 530<label for="edit-civicrm-1-contact-1-address-city" class="js-form-required form-required">City</label> 531 <input class="civicrm-enabled required form-control" data-civicrm-field-key="civicrm_1_contact_1_address_city" data-drupal-selector="edit-civicrm-1-contact-1-address-city" data-msg-maxlength="City field has a maximum length of 255." data-msg-required="City field is required." type="text" id="edit-civicrm-1-contact-1-address-city" name="civicrm_1_contact_1_address_city" value="" size="60" maxlength="255" required="required" /> 532 533 </div> 534 535 536 537 538<div class="js-webform-type-select webform-type-select js-form-item js-form-type-select form-type-select js-form-item-civicrm-1-contact-1-address-state-province-id form-item-civicrm-1-contact-1-address-state-province-id form-group"> 539 540<legend>State/Province</legend> 541 542<label for="edit-civicrm-1-contact-1-address-state-province-id" class="js-form-required form-required">State/Province</label> 543 544<select class="civicrm-enabled form-select required" data-civicrm-field-key="civicrm_1_contact_1_address_state_province_id" data-drupal-selector="edit-civicrm-1-contact-1-address-state-province-id" data-msg-required="State/Province field is required." id="edit-civicrm-1-contact-1-address-state-province-id" name="civicrm_1_contact_1_address_state_province_id" required="required"><option value="" selected="selected">- None -</option><option value="1000">Alabama</option><option value="1001">Alaska</option><option value="1052">American Samoa</option><option value="1002">Arizona</option><option value="1003">Arkansas</option><option value="1060">Armed Forces Americas</option><option value="1059">Armed Forces Europe</option><option value="1061">Armed Forces Pacific</option><option value="1004">California</option><option value="1005">Colorado</option><option value="1006">Connecticut</option><option value="1007">Delaware</option><option value="1050">District of Columbia</option><option value="1008">Florida</option><option value="1009">Georgia</option><option value="1053">Guam</option><option value="1010">Hawaii</option><option value="1011">Idaho</option><option value="1012">Illinois</option><option value="1013">Indiana</option><option value="1014">Iowa</option><option value="1015">Kansas</option><option value="1016">Kentucky</option><option value="1017">Louisiana</option><option value="1018">Maine</option><option value="1019">Maryland</option><option value="1020">Massachusetts</option><option value="1021">Michigan</option><option value="1022">Minnesota</option><option value="1023">Mississippi</option><option value="1024">Missouri</option><option value="1025">Montana</option><option value="1026">Nebraska</option><option value="1027">Nevada</option><option value="1028">New Hampshire</option><option value="1029">New Jersey</option><option value="1030">New Mexico</option><option value="1031">New York</option><option value="1032">North Carolina</option><option value="1033">North Dakota</option><option value="1055">Northern Mariana Islands</option><option value="1034">Ohio</option><option value="1035">Oklahoma</option><option value="1036">Oregon</option><option value="1037">Pennsylvania</option><option value="1056">Puerto Rico</option><option value="1038">Rhode Island</option><option value="1039">South Carolina</option><option value="1040">South Dakota</option><option value="1041">Tennessee</option><option value="1042">Texas</option><option value="1058">United States Minor Outlying Islands</option><option value="1043">Utah</option><option value="1044">Vermont</option><option value="1057">Virgin Islands</option><option value="1045">Virginia</option><option value="1046">Washington</option><option value="1047">West Virginia</option><option value="1048">Wisconsin</option><option value="1049">Wyoming</option></select> 545 </div> 546 547 548 549 550<div class="js-webform-type-textfield webform-type-textfield js-form-item js-form-type-textfield form-type-textfield js-form-item-civicrm-1-contact-1-address-postal-code form-item-civicrm-1-contact-1-address-postal-code form-group"> 551 552<legend>Postal Code</legend> 553 554<label for="edit-civicrm-1-contact-1-address-postal-code" class="js-form-required form-required">Postal Code</label> 555 <input pattern="^\d{5}
555(?:[-\s]\d{4})?$" data-webform-pattern-error="Enter valid postal code" class="civicrm-enabled required form-control" data-civicrm-field-key="civicrm_1_contact_1_address_postal_code" data-drupal-selector="edit-civicrm-1-contact-1-address-postal-code" data-msg-maxlength="Postal Code field has a maximum length of 255." data-msg-required="Postal Code field is required." data-msg-pattern="Enter valid postal code" type="text" id="edit-civicrm-1-contact-1-address-postal-code" name="civicrm_1_contact_1_address_postal_code" value="" size="60" maxlength="255" required="required" /> 556 557 </div> 558 559 560 561 562<div class="js-webform-type-textfield webform-type-textfield js-form-item js-form-type-textfield form-type-textfield js-form-item-civicrm-1-contact-1-phone-phone form-item-civicrm-1-contact-1-phone-phone form-group"> 563 564<legend>Phone Number</legend> 565 566<label for="edit-civicrm-1-contact-1-phone-phone" class="js-form-required form-required">Phone Number</label> 567 <input pattern="\(?\d{3}\)?-? *\d{3}-? *-?\d{4}" data-webform-pattern-error="Enter valid Phone Number" class="civicrm-enabled required form-control" data-civicrm-field-key="civicrm_1_contact_1_phone_phone" data-drupal-selector="edit-civicrm-1-contact-1-phone-phone" data-msg-maxlength="Phone Number field has a maximum length of 255." data-msg-required="Phone Number field is required." data-msg-pattern="Enter valid Phone Number" type="text" id="edit-civicrm-1-contact-1-phone-phone" name="civicrm_1_contact_1_phone_phone" value="" size="60" maxlength="255" required="required" /> 568 569 </div> 570 571 572 573 574<div class="js-webform-type-email webform-type-email js-form-item js-form-type-email form-type-email js-form-item-civicrm-1-contact-1-email-email form-item-civicrm-1-contact-1-email-email form-group"> 575 576<legend>Email</legend> 577 578<label for="edit-civicrm-1-contact-1-email-email" class="js-form-required form-required">Email</label> 579 <input class="civicrm-enabled form-email required form-control" data-civicrm-field-key="civicrm_1_contact_1_email_email" data-drupal-selector="edit-civicrm-1-contact-1-email-email" data-msg-email="Email does not contain a valid email." data-msg-maxlength="Email field has a maximum length of 254." data-msg-required="Email field is required." type="email" id="edit-civicrm-1-contact-1-email-email" name="civicrm_1_contact_1_email_email" value="" size="60" maxlength="254" required="required" /> 580 581 </div> 582 583 584 585 586<div class="js-webform-type-select webform-type-select js-form-item js-form-type-select form-type-select js-form-item-in-honor-memory-of-someone form-item-in-honor-memory-of-someone form-group"> 587 588<legend>Is your donation in honor/memory of someone?</legend> 589 590<label for="edit-in-honor-memory-of-someone" class="js-form-required form-required">Is your donation in honor/memory of someone?</label> 591 592<select data-drupal-selector="edit-in-honor-memory-of-someone" data-msg-required="Is your donation in honor/memory of someone? field is required." id="edit-in-honor-memory-of-someone" name="in_honor_memory_of_someone" class="form-select required" required="required"><option value="" selected="selected">- Select -</option><option value="Yes">Yes</option><option value="No">No</option></select> 593 </div> 594<div class="js-webform-states-hidden js-form-wrapper" data-drupal-states="{"visible":{".webform-submission-donate-node-57-add-form :input[name=\u0022in_honor_memory_of_someone\u0022]":{"value":"Yes"}}}"> 595 596 597 598<div class="js-webform-type-webform-markup webform-type-webform-markup js-form-item js-form-type-webform-markup form-type-webform-markup js-form-item-markup form-item-markup form-no-label form-group" id="edit-markup"> 599 <p><span><strong>Donation is in honor/memory of</strong></span></p> 600 </div> 601</div> 602 603 604 605<div class="js-webform-states-hidden js-webform-type-textfield webform-type-textfield js-form-item js-form-type-textfield form-type-textfield js-form-item-first-name form-item-first-name form-group"> 606 607<legend>First Name</legend> 608 609<label for="edit-first-name">First Name</label> 610 <input data-drupal-selector="edit-first-name" data-msg-maxlength="First Name field has a maximum length of 255." data-msg-required="First Name field is required." type="text" id="edit-first-name" name="first_name" value="" size="60" maxlength="255" class="form-control" data-drupal-states="{"visible":{".webform-submission-donate-node-57-add-form :input[name=\u0022in_honor_memory_of_someone\u0022]":{"value":"Yes"}},"required":{".webform-submission-donate-node-57-add-form :input[name=\u0022in_honor_memory_of_someone\u0022]":{"value":"Yes"}}}" /> 611 612 </div> 613 614 615 616 617<div class="js-webform-states-hidden js-webform-type-textfield webform-type-textfield js-form-item js-form-type-textfield form-type-textfield js-form-item-last-name form-item-last-name form-group"> 618 619<legend>Last Name</legend> 620 621<label for="edit-last-name">Last Name</label> 622 <input data-drupal-selector="edit-last-name" data-msg-maxlength="Last Name field has a maximum length of 255." data-msg-required="Last Name field is required." type="text" id="edit-last-name" name="last_name" value="" size="60" maxlength="255" class="form-control" data-drupal-states="{"visible":{".webform-submission-donate-node-57-add-form :input[name=\u0022in_honor_memory_of_someone\u0022]":{"value":"Yes"}},"required":{".webform-submission-donate-node-57-add-form :input[name=\u0022in_honor_memory_of_someone\u0022]":{"value":"Yes"}}}" /> 623 624 </div> 625 626 627 628 629<div class="js-webform-states-hidden js-webform-type-select webform-type-select js-form-item js-form-type-select form-type-select js-form-item-acknowledgement-sent-to-the-family form-item-acknowledgement-sent-to-the-family form-group"> 630 631<legend>
631Do you want an acknowledgement sent to the family?</legend> 632 633<label for="edit-acknowledgement-sent-to-the-family">Do you want an acknowledgement sent to the family?</label> 634 635<select data-drupal-selector="edit-acknowledgement-sent-to-the-family" data-msg-required="Do you want an acknowledgement sent to the family? field is required." id="edit-acknowledgement-sent-to-the-family" name="acknowledgement_sent_to_the_family" class="form-select" data-drupal-states="{"visible":{".webform-submission-donate-node-57-add-form :input[name=\u0022in_honor_memory_of_someone\u0022]":{"value":"Yes"}},"required":{".webform-submission-donate-node-57-add-form :input[name=\u0022in_honor_memory_of_someone\u0022]":{"value":"Yes"}}}"><option value="" selected="selected">- Select -</option><option value="Yes">Yes</option><option value="No">No</option></select> 636 </div> 637 638 639 640 641<div class="js-webform-states-hidden js-webform-type-textfield webform-type-textfield js-form-item js-form-type-textfield form-type-textfield js-form-item-name-of-family form-item-name-of-family form-group"> 642 643<legend>Name of Family</legend> 644 645<label for="edit-name-of-family">Name of Family</label> 646 <input data-drupal-selector="edit-name-of-family" data-msg-maxlength="Name of Family field has a maximum length of 255." data-msg-required="Name of Family field is required." type="text" id="edit-name-of-family" name="name_of_family" value="" size="60" maxlength="255" class="form-control" data-drupal-states="{"visible":{".webform-submission-donate-node-57-add-form :input[name=\u0022acknowledgement_sent_to_the_family\u0022]":{"value":"Yes"}},"required":{".webform-submission-donate-node-57-add-form :input[name=\u0022acknowledgement_sent_to_the_family\u0022]":{"value":"Yes"}}}" /> 647 648 </div> 649<div class="js-webform-states-hidden js-form-wrapper" data-drupal-states="{"visible":{".webform-submission-donate-node-57-add-form :input[name=\u0022acknowledgement_sent_to_the_family\u0022]":{"":""}}}"><fieldset data-drupal-selector="edit-address" class="webform-address--wrapper fieldgroup form-composite webform-composite-hidden-title js-webform-type-webform-address webform-type-webform-address js-form-item form-item js-form-wrapper form-wrapper mb-3" id="edit-address--wrapper"> 650 <legend> 651 <span class="visually-hidden fieldset-legend">Address</span> 652 </legend> 653 <div class="fieldset-wrapper"> 654 655 656 657 658<div class="js-webform-type-textfield webform-type-textfield js-form-item js-form-type-textfield form-type-textfield js-form-item-address-address form-item-address-address form-group"> 659 660<legend>Street Address</legend> 661 662<label for="edit-address-address">Street Address</label> 663 <input data-drupal-selector="edit-address-address" data-msg-maxlength="Street Address field has a maximum length of 255." data-msg-required="Street Address field is required." type="text" id="edit-address-address" name="address[address]" value="" size="60" maxlength="255" class="form-control" data-drupal-states="{"required":{".webform-submission-donate-node-57-add-form :input[name=\u0022acknowledgement_sent_to_the_family\u0022]":{"":""}}}" /> 664 665 </div> 666 667 668 669 670<div class="js-webform-type-textfield webform-type-textfield js-form-item js-form-type-textfield form-type-textfield js-form-item-address-address-2 form-item-address-address-2 form-group"> 671 672<legend>Address 2</legend> 673 674<label for="edit-address-address-2">Address 2</label> 675 <input data-drupal-selector="edit-address-address-2" data-msg-maxlength="Address 2 field has a maximum length of 255." type="text" id="edit-address-address-2" name="address[address_2]" value="" size="60" maxlength="255" class="form-control" /> 676 677 </div> 678 679 680 681 682<div class="js-webform-type-textfield webform-type-textfield js-form-item js-form-type-textfield form-type-textfield js-form-item-address-city form-item-address-city form-group"> 683 684<legend>City</legend> 685 686<label for="edit-address-city">City</label> 687 <input data-drupal-selector="edit-address-city" data-msg-maxlength="City field has a maximum length of 255." data-msg-required="City field is required." type="text" id="edit-address-city" name="address[city]" value="" size="60" maxlength="255" class="form-control" data-drupal-states="{"required":{".webform-submission-donate-node-57-add-form :input[name=\u0022acknowledgement_sent_to_the_family\u0022]":{"":""}}}" /> 688 689 </div> 690 691 692 693 694<div class="js-webform-type-select webform-type-select js-form-item js-form-type-select form-type-select js-form-item-address-state-province form-item-address-state-province form-group"> 695 696<legend>State</legend> 697 698<label for="edit-address-state-province">State</label> 699 700<select data-drupal-selector="edit-address-state-province" data-msg-required="State field is required." id="edit-address-state-province" name="address[state_province]" class="form-select" data-drupal-states="{"required":{".webform-submission-donate-node-57-add-form :input[name=\u0022acknowledgement_sent_to_the_family\u0022]":{"":""}}}"><option value="" selected="selected">- Select -</option><option value="Alabama">Alabama</option><option value="Alaska">Alaska</option><option value="American Samoa">American Samoa</option><option value="Arizona">Arizona</option><option value="Arkansas">Arkansas</option>
700<option value="Armed Forces (Canada, Europe, Africa, or Middle East)">Armed Forces (Canada, Europe, Africa, or Middle East)</option><option value="Armed Forces Americas">Armed Forces Americas</option><option value="Armed Forces Pacific">Armed Forces Pacific</option><option value="California">California</option><option value="Colorado">Colorado</option><option value="Connecticut">Connecticut</option><option value="Delaware">Delaware</option><option value="District of Columbia">District of Columbia</option><option value="Federated States of Micronesia">Federated States of Micronesia</option><option value="Florida">Florida</option><option value="Georgia">Georgia</option><option value="Guam">Guam</option><option value="Hawaii">Hawaii</option><option value="Idaho">Idaho</option><option value="Illinois">Illinois</option><option value="Indiana">Indiana</option><option value="Iowa">Iowa</option><option value="Kansas">Kansas</option><option value="Kentucky">Kentucky</option><option value="Louisiana">Louisiana</option><option value="Maine">Maine</option><option value="Marshall Islands">Marshall Islands</option><option value="Maryland">Maryland</option><option value="Massachusetts">Massachusetts</option><option value="Michigan">Michigan</option><option value="Minnesota">Minnesota</option><option value="Mississippi">Mississippi</option><option value="Missouri">Missouri</option><option value="Montana">Montana</option><option value="Nebraska">Nebraska</option><option value="Nevada">Nevada</option><option value="New Hampshire">New Hampshire</option><option value="New Jersey">New Jersey</option><option value="New Mexico">New Mexico</option><option value="New York">New York</option><option value="North Carolina">North Carolina</option><option value="North Dakota">North Dakota</option><option value="Northern Mariana Islands">Northern Mariana Islands</option><option value="Ohio">Ohio</option><option value="Oklahoma">Oklahoma</option><option value="Oregon">Oregon</option><option value="Palau">Palau</option><option value="Pennsylvania">Pennsylvania</option><option value="Puerto Rico">Puerto Rico</option><option value="Rhode Island">Rhode Island</option><option value="South Carolina">South Carolina</option><option value="South Dakota">South Dakota</option><option value="Tennessee">Tennessee</option><option value="Texas">Texas</option><option value="Utah">Utah</option><option value="Vermont">Vermont</option><option value="Virgin Islands">Virgin Islands</option><option value="Virginia">Virginia</option><option value="Washington">Washington</option><option value="West Virginia">West Virginia</option><option value="Wisconsin">Wisconsin</option><option value="Wyoming">Wyoming</option><option value="Alberta">Alberta</option><option value="British Columbia">British Columbia</option><option value="Manitoba">Manitoba</option><option value="New Brunswick">New Brunswick</option><option value="Newfoundland and Labrador">Newfoundland and Labrador</option><option value="Nova Scotia">Nova Scotia</option><option value="Northwest Territories">Northwest Territories</option><option value="Nunavut">Nunavut</option><option value="Ontario">Ontario</option><option value="Prince Edward Island">Prince Edward Island</option><option value="Quebec">Quebec</option><option value="Saskatchewan">Saskatchewan</option><option value="Yukon">Yukon</option></select> 701 </div> 702 703 704 705 706<div class="js-webform-type-textfield webform-type-textfield js-form-item js-form-type-textfield form-type-textfield js-form-item-address-postal-code form-item-address-postal-code form-group"> 707 708<legend>ZIP Code</legend> 709 710<label for="edit-address-postal-code">ZIP Code</label> 711 <input data-drupal-selector="edit-address-postal-code" data-msg-maxlength="ZIP Code field has a maximum length of 255." data-msg-required="ZIP Code field is required." type="text" id="edit-address-postal-code" name="address[postal_code]" value="" size="60" maxlength="255" class="form-control" data-drupal-states="{"required":{".webform-submission-donate-node-57-add-form :input[name=\u0022acknowledgement_sent_to_the_family\u0022]":{"":""}}}" /> 712 713 </div> 714 715 716 </div> 717</fieldset> 718</div></div> 719<section data-drupal-selector="edit-contribution-pagebreak" id="edit-contribution-pagebreak" class="js-form-item form-item js-form-wrapper form-wrapper webform-section"> 720 <h2 class="webform-section-title">Payment</h2> 721 <div class="webform-section-wrapper"> 722 723 724 725 726<div class="js-webform-type-select webform-type-select js-form-item js-form-type-select form-type-select js-form-item-civicrm-1-contribution-1-cg1-custom-1 form-item-civicrm-1-contribution-1-cg1-custom-1 form-group"> 727 728<legend>
728Donation Amount</legend> 729 730<label for="edit-civicrm-1-contribution-1-cg1-custom-1" class="js-form-required form-required">Donation Amount</label> 731 732<select class="civicrm-enabled form-select required" data-civicrm-field-key="civicrm_1_contribution_1_cg1_custom_1" data-drupal-selector="edit-civicrm-1-contribution-1-cg1-custom-1" data-msg-required="Donation Amount field is required." id="edit-civicrm-1-contribution-1-cg1-custom-1" name="civicrm_1_contribution_1_cg1_custom_1" required="required"><option value="10">$10</option><option value="25">$25</option><option value="50">$50</option><option value="100">$100</option><option value="0" selected="selected">Other</option></select> 733 </div> 734 735 736 737 738<div class="webform-has-field-prefix js-webform-type-textfield webform-type-textfield js-form-item js-form-type-textfield form-type-textfield js-form-item-civicrm-1-contribution-1-contribution-total-amount form-item-civicrm-1-contribution-1-contribution-total-amount form-group"> 739 740<legend>Contribution Amount</legend> 741 742<label for="edit-civicrm-1-contribution-1-contribution-total-amount" class="js-form-required form-required">Contribution Amount</label> 743 <div class="input-group"> 744 <div class="input-group-prepend"> 745 <span class="field-prefix input-group-text">$</span> 746 </div> 747 <input class="civicrm-enabled contribution-line-item required form-control" data-civicrm-field-key="civicrm_1_contribution_1_contribution_total_amount" data-drupal-selector="edit-civicrm-1-contribution-1-contribution-total-amount" data-msg-maxlength="Contribution Amount field has a maximum length of 255." data-msg-required="Contribution Amount field is required." type="text" id="edit-civicrm-1-contribution-1-contribution-total-amount" name="civicrm_1_contribution_1_contribution_total_amount" value="" size="60" maxlength="255" required="required" /> 748 749 </div> 750 </div> 751 752 753 754 755<div class="js-webform-type-select webform-type-select js-form-item js-form-type-select form-type-select js-form-item-category form-item-category form-group"> 756 757<legend>Category</legend> 758 759<label for="edit-category" class="js-form-required form-required">Category</label> 760 761<select data-drupal-selector="edit-category" data-msg-required="Category field is required." id="edit-category" name="category" class="form-select required" required="required"><option value="-Select-">-Select-</option><option value="General">General</option><option value="Chapter Contribution">Chapter Contribution</option><option value="Outreach & Educational Initiatives (e.g. BELL, STEM2U, etc.)">Outreach & Educational Initiatives (e.g. BELL, STEM2U, etc.)</option><option value="Legislative Matters">Legislative Matters</option><option value="National Convention">National Convention</option><option value="Ruffalo Memorial Fund">Ruffalo Memorial Fund</option><option value="Scholarship Program">Scholarship Program</option><option value="State Convention">State Convention</option></select> 762 </div> 763 764 765 766 767<div class="js-webform-states-hidden js-webform-type-select webform-type-select js-form-item js-form-type-select form-type-select js-form-item-chapter form-item-chapter form-group"> 768 769<legend>Chapter</legend> 770 771<label for="edit-chapter">Chapter</label> 772 773<select data-drupal-selector="edit-chapter" data-msg-required="Chapter field is required." id="edit-chapter" name="chapter" class="form-select" data-drupal-states="{"visible":{".webform-submission-donate-node-57-add-form :input[name=\u0022category\u0022]":{"value":"Chapter Contribution"}},"required":{".webform-submission-donate-node-57-add-form :input[name=\u0022category\u0022]":{"value":"Chapter Contribution"}}}"><option value="-Select-">-Select-</option><option value="Central Jersey Chapter">Central Jersey Chapter</option><option value="Garden State Chapter">Garden State Chapter</option><option value="Northeast Chapter">Northeast Chapter</option><option value="Northern Chapter">Northern Chapter</option><option value="South Jersey Shore Chapter">South Jersey Shore Chapter</option></select> 774 </div> 775 776 777 778 779<div class="js-webform-type-textarea webform-type-textarea js-form-item js-form-type-textarea form-type-textarea js-form-item-civicrm-1-contribution-1-contribution-note form-item-civicrm-1-contribution-1-contribution-note form-group"> 780 781<legend>Memo</legend> 782 783<label for="edit-civicrm-1-contribution-1-contribution-note" class="js-form-required form-required">Memo</label> 784 <div class="form-textarea-wrapper"> 785 <textarea class="civicrm-enabled form-textarea required resize-vertical form-control" data-civicrm-field-key="civicrm_1_contribution_1_contribution_note" data-drupal-selector="edit-civicrm-1-contribution-1-contribution-note" data-msg-required="Memo field is required." id="edit-civicrm-1-contribution-1-contribution-note" name="civicrm_1_contribution_1_contribution_note" rows="5" cols="60" required="required"></textarea> 786</div> 787 788 </div> 789<input data-drupal-selector="edit-civicrm-1-contribution-1-contribution-contribution-page-id" type="hidden" name="civicrm_1_contribution_1_contribution_contribution_page_id" value="1" class="form-control" /> 790<input class="civicrm-enabled form-control" data-civicrm-field-key="civicrm_1_contribution_1_contribution_is_test" data-drupal-selector="edit-civicrm-1-contribution-1-contribution-is-test" type="hidden" name="civicrm_1_contribution_1_contribution_is_test" value="
7900" /> 791<fieldset class="civicrm-enabled radios--wrapper fieldgroup form-composite webform-composite-visible-title required js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper mb-3" data-civicrm-field-key="civicrm_1_contribution_1_contribution_payment_processor_id" data-drupal-selector="edit-civicrm-1-contribution-1-contribution-payment-processor-id" aria-describedby="edit-civicrm-1-contribution-1-contribution-payment-processor-id--wrapper--description" data-msg-required="Payment Method field is required." id="edit-civicrm-1-contribution-1-contribution-payment-processor-id--wrapper"> 792 <legend> 793 <span class="fieldset-legend js-form-required form-required">Payment Method</span> 794 </legend> 795 <div class="fieldset-wrapper"> 796 <div id="edit-civicrm-1-contribution-1-contribution-payment-processor-id" class="js-webform-radios radio"> 797 798 799 800 <div class="js-webform-type-radio webform-type-radio js-form-item js-form-type-radio radio form-check js-form-item-civicrm-1-contribution-1-contribution-payment-processor-id form-item-civicrm-1-contribution-1-contribution-payment-processor-id"> 801 <input class="civicrm-enabled form-radio form-check-input" data-civicrm-field-key="civicrm_1_contribution_1_contribution_payment_processor_id" data-drupal-selector="edit-civicrm-1-contribution-1-contribution-payment-processor-id-1" type="radio" id="edit-civicrm-1-contribution-1-contribution-payment-processor-id-1" name="civicrm_1_contribution_1_contribution_payment_processor_id" value="1"> 802 <label class="form-check-label" for="edit-civicrm-1-contribution-1-contribution-payment-processor-id-1"> 803 PayPal or Credit/Debit Card 804 </label> 805 </div> 806 807 808 809 810 <div class="js-webform-type-radio webform-type-radio js-form-item js-form-type-radio radio form-check js-form-item-civicrm-1-contribution-1-contribution-payment-processor-id form-item-civicrm-1-contribution-1-contribution-payment-processor-id"> 811 <input class="civicrm-enabled form-radio form-check-input" data-civicrm-field-key="civicrm_1_contribution_1_contribution_payment_processor_id" data-drupal-selector="edit-civicrm-1-contribution-1-contribution-payment-processor-id-0" type="radio" id="edit-civicrm-1-contribution-1-contribution-payment-processor-id-0" name="civicrm_1_contribution_1_contribution_payment_processor_id" value="0" checked="checked"> 812 <label class="form-check-label" for="edit-civicrm-1-contribution-1-contribution-payment-processor-id-0"> 813 Check or Money Order 814 </label> 815 </div> 816</div> 817 818 <small class="description text-muted"><div id="edit-civicrm-1-contribution-1-contribution-payment-processor-id--wrapper--description" data-drupal-field-elements="description" class="webform-element-description"><p>You can pay using PayPal, or a credit or debit card.</p><p> </p><p>If paying via check or money order, please make the check or money order payable to NFB of NJ.</p><p> </p><p>Please send to:<br>National Federation of the Blind of New Jersey<br>PO Box 2202<br>Vincentown, NJ 08088</p></div> 819</small> 820 </div> 821</fieldset> 822 823 </div> 824</section> 825<input autocomplete="off" data-drupal-selector="form-n6vhrujaqe7tqthsayrlmzvfapa3zdxxg5ad-jenv5u" type="hidden" name="form_build_id" value="form-n6vhRujAQe7tqtHSaYRLMZvfapA3zdXXG5ad_jeNv5U" class="form-control" /> 826<input data-drupal-selector="edit-webform-submission-donate-node-57-add-form" type="hidden" name="form_id" value="webform_submission_donate_node_57_add_form" class="form-control" /> 827<div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper mb-3" id="edit-actions"><button class="webform-button--submit button button--primary js-form-submit form-submit btn btn-primary" id="donate-button" data-drupal-selector="edit-submit" type="submit" name="op" value="Submit">Submit</button> 828 829</div> 830 831 832 833</form> 834</div> 835 836 </div> 837</div> 838 839 </div> 840 </div> 841 842 843</main> 844<footer role="contentinfo"> 845 846 <!-- Grey background section --> 847 <div class="grey-bg-section"> 848 <div class="container"> 849 <div class="center-content-columns"> 850 <div class="center-content-column"> 851 <div class="row region region-featured-bottom-left"> 852 <div id="block-nfbaff-template1-subscribetonewsletterblock" class="block-content-basic block block-block-content block-block-content0235f59c-5802-4b58-9360-b5b8233d518d"> 853 854 855 <div class="content"> 856 857 <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="center-content-column"> 858<div class="center-content"> 859<p> 860 861 </p> 862<h2><strong>Subscribe to our Email Listserv!</strong></h2> 863<p><a href="https://www.nfbnet.org/mailman/listinfo/nfbnj_nfbnet.org">Subscribe to our email listserv to stay up-to-date with the latest in the National Federation of the Bl
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