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78
79    <title>Support Us | National Federation of the Blind of New Jersey</title>
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139    
140  </head>
141  <body class="layout-one-sidebar layout-sidebar-first page-node-57 path-node node--type-webform">
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143      <div class="dialog-off-canvas-main-canvas" data-off-canvas-main-canvas>
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146    <a href="#main-content" class="visually-hidden focusable skip-link">
147      Skip to main content
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151            <div class="col-9 col-sm-9 col-md-4 col-lg-2 col-xl-3">
152                  <div class="row region region-top-header">
153    
154  <a href="/" rel="home" class="navbar-brand">
155        <img src="/sites/nfbnj.org/themes/custom/nfbaff_template1/logo.svg" alt="National Federation of the Blind of New Jersey, Live the life you want." class="img-fluid d-inline-block align-top">
156          
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158
159
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161
162            </div>
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178  
179  
180
181        
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183                    <li class="nav-item active">
184                <a href="/contribute" class="topbar-button nav-link--donate nav-link active topbar-button nav-link--donate topbar-button nav-link--donate topbar-button nav-link--donate nav-link--contribute is-active" data-drupal-link-system-path="node/57" aria-current="page">Support Us</a>
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186                <li class="nav-item">
187                <a href="/contact-us" class="topbar-plain-button nav-link--contact-us nav-link topbar-plain-button nav-link--contact-us topbar-plain-button nav-link--contact-us topbar-plain-button nav-link--contact-us" data-drupal-link-system-path="node/8">Contact Us</a>
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190  
191
192
193
194  </div>
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197    
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201  
202
203
204
205<div class="js-form-item js-form-type-search form-type-search js-form-item-keys form-item-keys form-no-label form-group">
206          
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208
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210                    <input title="Search" placeholder="Search" aria-label="Search." data-drupal-selector="edit-keys" data-msg-maxlength="Search field has a maximum length of 128." type="search" id="edit-keys" name="keys" value="" size="15" maxlength="128" class="form-search form-control" />
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212                    </div>
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223  </div>
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225                </div>
226                <div class="clear"></div>
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229    
230
231  <nav  id="block-nfbaff-template1-mainnavigation" class="block block-menu navigation menu--main">
232                      
233   
234    
235
236              
237
238              <ul id="main-menu" class="sm sm-menu">
239              <li>
240                  <a href="/" data-drupal-link-system-path="&lt;front&gt;">About Us</a>
241                        <ul>
242              <li>
243                  <a href="/who-we-are" data-drupal-link-system-path="node/71">Who We Are</a>
244              </li>
245          <li>
246                  <a href="/board-of-directors" data-drupal-link-system-path="node/23">Board of Directors</a>
247              </li>
248          <li>
249                  <a href="/committees-and-groups" data-drupal-link-system-path="node/188">Committees and Groups</a>
250              </li>
251          <li>
252                  <a href="https://nfb.org/about-us/divisions-committees-and-groups">National Divisions, Committees, &amp; Groups</a>
253              </li>
254          <li>
255                  <a href="/projects-programs" data-drupal-link-system-path="node/116">Projects and Programs</a>
256              </li>
257          <li>
258                  <a href="/governance" data-drupal-link-system-path="node/117">Governance</a>
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260          <li>
261                  <a href="/courtesy-rules-blindness" data-drupal-link-system-path="node/118">Courtesy Rules of Blindness</a>
262              </li>
263          <li>
264                  <a href="/gallery" data-drupal-link-system-path="node/20">Photo Gallery</a>
265              </li>
266          <li>
267                  <a href="/audiovideo-recordings" data-drupal-link-system-path="node/250">Audio/Video Recordings</a>
268              </li>
269          <li>
270                  <a href="/contact-us" data-drupal-link-system-path="node/8">Contact Us</a>
271              </li>
272        </ul>
273  
274              </li>
275          <li>
276                  <a href="/" data-drupal-link-system-path="&lt;front&gt;">Chapters</a>
277                        <ul>
278              <li>
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 and surrounding counties)</a>
298              </li>
299        </ul>
300  
301              </li>
302          <li>
303                  <a href="/" data-drupal-link-system-path="&lt;front&gt;">Get Involved</a>
304                        <ul>
305              <li>
306                  <a href="/membership" data-drupal-link-system-path="node/65">Membership</a>
307              </li>
308          <li>
309                  <a href="/ways-to-give" data-drupal-link-system-path="node/87">
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="&lt;front&gt;">Programs &amp; 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 &amp; Independence</a>
349              </li>
350          <li>
351                  <a href="/mobility-and-cane-travel" data-drupal-link-system-path="node/125">Mobility &amp; 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="{&quot;visible&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022in_honor_memory_of_someone\u0022]&quot;:{&quot;value&quot;:&quot;Yes&quot;}}}">
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="{&quot;visible&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022in_honor_memory_of_someone\u0022]&quot;:{&quot;value&quot;:&quot;Yes&quot;}},&quot;required&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022in_honor_memory_of_someone\u0022]&quot;:{&quot;value&quot;:&quot;Yes&quot;}}}" />
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="{&quot;visible&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022in_honor_memory_of_someone\u0022]&quot;:{&quot;value&quot;:&quot;Yes&quot;}},&quot;required&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022in_honor_memory_of_someone\u0022]&quot;:{&quot;value&quot;:&quot;Yes&quot;}}}" />
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="{&quot;visible&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022in_honor_memory_of_someone\u0022]&quot;:{&quot;value&quot;:&quot;Yes&quot;}},&quot;required&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022in_honor_memory_of_someone\u0022]&quot;:{&quot;value&quot;:&quot;Yes&quot;}}}"><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="{&quot;visible&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022acknowledgement_sent_to_the_family\u0022]&quot;:{&quot;value&quot;:&quot;Yes&quot;}},&quot;required&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022acknowledgement_sent_to_the_family\u0022]&quot;:{&quot;value&quot;:&quot;Yes&quot;}}}" />
647
648                    </div>
649<div class="js-webform-states-hidden js-form-wrapper" data-drupal-states="{&quot;visible&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022acknowledgement_sent_to_the_family\u0022]&quot;:{&quot;&quot;:&quot;&quot;}}}"><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="{&quot;required&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022acknowledgement_sent_to_the_family\u0022]&quot;:{&quot;&quot;:&quot;&quot;}}}" />
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="{&quot;required&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022acknowledgement_sent_to_the_family\u0022]&quot;:{&quot;&quot;:&quot;&quot;}}}" />
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="{&quot;required&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022acknowledgement_sent_to_the_family\u0022]&quot;:{&quot;&quot;:&quot;&quot;}}}"><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="{&quot;required&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022acknowledgement_sent_to_the_family\u0022]&quot;:{&quot;&quot;:&quot;&quot;}}}" />
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 &amp; Educational Initiatives (e.g. BELL, STEM2U, etc.)">Outreach &amp; 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="{&quot;visible&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022category\u0022]&quot;:{&quot;value&quot;:&quot;Chapter Contribution&quot;}},&quot;required&quot;:{&quot;.webform-submission-donate-node-57-add-form :input[name=\u0022category\u0022]&quot;:{&quot;value&quot;:&quot;Chapter Contribution&quot;}}}"><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>&nbsp;</p><p>If paying via check or money order, please make the check or money order payable to NFB of NJ.</p><p>&nbsp;</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            &nbsp;
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
863ind of NJ and the National Federation of the Blind</a></p>
864<p>
865            &nbsp;
866        </p>
867<h2><strong>Sounding Board Subscriptions</strong></h2>
868<p><a href="/sounding-board/subscription-form">Click here to subscribe to the publication of the National Federation of the Blind of New Jersey, <em>The Sounding Board</em>!</a></p>
869</div>
870</div>
871</div>
872      
873    </div>
874  </div>
875
876  </div>
877
878                </div>
879                <div class="grey-bg-right-column center-content-column">
880                     <div class="row region region-featured-bottom-right">
881    <div id="block-nfbaff-template1-affiliatescontactblock" class="block-content-basic block block-block-content block-block-contentb5fc08c9-baba-42f8-a227-e06dc7c0c0a5">
882  
883    
884      <div class="content">
885      
886            <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2 style="margin-bottom:1rem;text-transform:none;">Contact Us</h2>
887<address>
888<p>National Federation of the Blind of New Jersey<br>
889PO Box 2202<br>
890Vincentown, NJ 08088</p>
891</address>
892<p class="footer-greybackgrnd"><strong>Phone</strong> <a href="tel:908-590-1747">908-590-1747</a> &nbsp;|&nbsp; <strong>Email</strong> <a href="mailto:[email protected]">[email protected]</a></p>
893<ul class="button-set">
894<li><a href="/donate-now">Donate</a></li>
895<li><a href="/become-member">Join Us</a></li>
896</ul>
897</div>
898      
899    </div>
900  </div>
901
902  </div>
903
904                </div>
905            </div>
906        </div>
907    </div>
908    <!-- Grey background section -->
909
910    <div class="footer-section">
911        <div class="container">
912            <div class="text-center">
913                    <div aria-labelledby="block-nfbaff-template1-footermenu1-menu" id="block-nfbaff-template1-footermenu1" class="block block-menu navigation menu--footer-menu1">
914            
915  
916  
917
918        
919                  <ul class="clearfix nav" data-component-id="bootstrap_barrio:menu">
920                    <li class="nav-item">
921                <a href="https://www.nfb.org/about-us/history-and-governance/code-conduct" target="_blank" class="nav-link nav-link-https--wwwnfborg-about-us-history-and-governance-code-conduct">Code of Conduct</a>
922              </li>
923                <li class="nav-item">
924                <a href="/accessibility" class="nav-link nav-link--accessibility" data-drupal-link-system-path="node/68">Accessibility</a>
925              </li>
926                <li class="nav-item">
927                <a href="/contact-us" class="nav-link nav-link--contact-us" data-drupal-link-system-path="node/8">Contact Us</a>
928              </li>
929        </ul>
930  
931
932
933
934  </div>
935
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