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	<title>Earle Baum Center</title>
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		<title>Donations</title>
		<link>http://earlebaum.org/donationsplus/</link>
		<comments>http://earlebaum.org/donationsplus/#comments</comments>
		<pubDate>Fri, 27 May 2011 19:59:15 +0000</pubDate>
		<dc:creator>evans</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

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			<input name="action" value="Auth" type="hidden" /><p class="donate_amount"><label for="amount">Please give Donation Amount:</label><br /><input type="text" name="transaction_amount" id="transaction_amount" value="10" /> <small>(Currency: USD) 
				<br>Donate with Visa, Mastercard or Discover.</small></p>
			<div id="wallinfo">
			<p>
			Please direct my gift:<br>
			<input name="gift" type="radio" value="General" checked="checked" />General<br>
			<input name="gift" type="radio" value="Memory_Of" />In Memory Of<br>
			<input name="gift" type="radio" value="Honor_Of" />In Honor Of<br>
			<input type="text" name="donatefor" id="donatefor" />
			<br>
			Please send an acknowledgement to:<br>
			Address:<input type="text" name="donateAddress" id="donateAddress" size="41" /><br>
			City:<input type="text" name="donateCity" id="donateCity" size="10" /> State:<input type="text" name="donateState" id="donateState" size="5" /> Zip:<input type="text" name="donateZip" id="donateZip" size="8" /></p>
			
			<p>Donate with Visa, Mastercard or Discover.<br>
			<input name="payment" type="radio" value="CC" checked="checked"/>Credit Card<br>
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		<tr style="color: red;">
		<td>Credit Card Number *</td>
		<td>
			<input type="text" value="" name="card_number" />
		</td>
	</tr>
	<tr style="color: red;">
		<td>Card Expiry Month *</td>
		<td>
		    <select name="exp_month">
			  <option value="01">Jan</option>
			  <option value="02">Feb</option>
			  <option value="03">Mar</option>
			  <option value="04">Apr</option>
			  <option value="05">May</option>
			  <option value="06">Jun</option>
			  <option value="07">Jul</option>
			  <option value="08">Aug</option>
			  <option value="09">Sep</option>
			  <option value="10">Oct</option>
			  <option value="11">Nov</option>
			  <option value="12">Dec</option>
			</select>
		</td>
	</tr>
	<tr style="color: red;">
		<td>Card Expiry Year *</td>
		<td>
		    <select name="exp_year">
			  <option value="11">2011</option>
			  <option value="12">2012</option>
			  <option value="13">2013</option>
			  <option value="14">2014</option>
			  <option value="15">2015</option>
			  <option value="16">2016</option>
			  <option value="17">2017</option>
			  <option value="18">2018</option>
			  <option value="19">2019</option>
			  <option value="20">2020</option>
			  <option value="21">2021</option>
			</select>
		</td>
	</tr>
	<tr style="color: red;">
		<td>CVV *</td>
		<td><input type="text" size="4" value="" maxlength="4" name="card_code" />
		</td>
	</tr>
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</p>

<table>
<tr>
<th align="left">Billing Info:</th>
<th></th>
</tr>
<tr>
	<td>Company</td>
	<td><input type="text" size="30" value="" name="bill_company" /></td>
</tr>
<tr>
	<td>First name </td>
	<td><input type="text" size="30" value="" name="bill_first_name" /> </td>
</tr>
<tr>
	<td>Last name </td>
	<td><input type="text" size="30" value="" name="bill_last_name" /> </td>
</tr>
<tr>
	<td>Address </td>
	<td><input type="text" size="30" value="" name="cardholder_street_address" /> </td>
</tr>
<tr>
	<td>City </td>
	<td><input type="text" size="30" value="" name="bill_city" /> </td>
</tr>
<tr>
	<td>State </td>
	<td><input type="text" size="30" value="" name="bill_state" /> </td>
</tr>
<tr>
	<td>Zip code </td>
	<td><input type="text" size="30" value="" name="cardholder_zip" /> </td>
</tr>
<tr>
	<td>Phone number </td>
	<td><input type="text" size="30" value="" name="bill_phone" /> </td>
</tr>
<tr>
	<td>Email </td>
	<td><input type="text" size="30" value="" name="bill_email" /> </td>
</tr>
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<p>Additional Opportunities<br>
<input name="add_op1" type="checkbox" value="Bequests" /> Planned Giving and Bequests<br>
<input name="add_op2" type="checkbox" value="Recurring" /> Recurring Donation<br>
<input name="add_op3" type="checkbox" value="Transfer" /> Transfer of assets including stocks or property<br>
Other <input type="text" size="30" value="" name="add_other" /></p>

<p>If Payment is by check, money order or cash please address it check to:<br><br>
Earle Baum Center<br>
4539 Occidental Road<br>
Santa Rosa, CA 95401</p>
<p>Earle Baum Center is tax exempt under secton 501 (3) of the IRS code.  Our tax identification number is 91-1840275</p>
</div><p class="submit"><input type="image" src="https://earlebaum.org/wp-content/uploads/2011/05/EB_MakeAGift_btn.png" border="0" name="submit" alt="" sourceindex="190"></p>
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