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Join WhyHunger's 50th Anniversary Chapin Awards Gala on June 4th. LEARN MORE
Join WhyHunger's 50th Anniversary Chapin Awards Gala on June 4th. LEARN MORE
<script src="https://secure.whyhunger.org/page/static/20180423.2/javascript/bsd.js" type="text/javascript"></script> <script src="https://secure.whyhunger.org/modules/spud/js/Spud.js.php" type="text/javascript"></script> <script src="https://secure.whyhunger.org/modules/contribution/javascript/contribution.js" type="text/javascript"></script> <script src="https://secure.whyhunger.org/page/static/20180423.2/utils/locale/javascript/locale.class.js" type="text/javascript"></script> <script src="https://secure.whyhunger.org/page/static/20180501.2/javascript/Core/widget/creditCardTypeSelector.js" type="text/javascript"></script> <script type="text/javascript"> var sum = 0; var states = '<select id="state" required="required" name="state_cd"><option value="" selected="selected"></option><option value="AK">AK</option><option value="AL">AL</option><option value="AR">AR</option><option value="AZ">AZ</option><option value="CA">CA</option><option value="CO">CO</option><option value="CT">CT</option><option value="DC">DC</option><option value="DE">DE</option><option value="FL">FL</option><option value="GA">GA</option><option value="HI">HI</option><option value="IA">IA</option><option value="ID">ID</option><option value="IL">IL</option><option value="IN">IN</option><option value="KS">KS</option><option value="KY">KY</option><option value="LA">LA</option><option value="MA">MA</option><option value="MD">MD</option><option value="ME">ME</option><option value="MI">MI</option><option value="MN">MN</option><option value="MO">MO</option><option value="MS">MS</option><option value="MT">MT</option><option value="NC">NC</option><option value="ND">ND</option><option value="NE">NE</option><option value="NH">NH</option><option value="NJ">NJ</option><option value="NM">NM</option><option value="NV">NV</option><option value="NY">NY</option><option value="OH">OH</option><option value="OK">OK</option><option value="OR">OR</option><option value="PA">PA</option><option value="RI">RI</option><option value="SC">SC</option><option value="SD">SD</option><option value="TN">TN</option><option value="TX">TX</option><option value="UT">UT</option><option value="VA">VA</option><option value="VT">VT</option><option value="WA">WA</option><option value="WI">WI</option><option value="WV">WV</option><option value="WY">WY</option><option disabled="disabled" value="---">--</option><option value="AA">AA</option><option value="AE">AE</option><option value="AP">AP</option><option value="AS">AS</option><option value="FM">FM</option><option value="GU">GU</option><option value="MH">MH</option><option value="MP">MP</option><option value="PR">PR</option><option value="PW">PW</option><option value="VI">VI</option></select>'; 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} input.legal_confirm_checkbox[type=checkbox] { border: 2px solid black; vertical-align: top; margin-top: 0; } #contribution label[for="legal_confirm"] { text-transform: none; width: calc(100% - 20px); } #pg-w59f1318459cc0-0> .panel-row-style { background-color: #eeecea; padding: 25px 0px 0px 0px; } footer { background: #eeecea; } /* CreditCardTypeSelector widget */ tr.bsd-tableRow td.label { width: 30%; } .creditCardTypeSelector ul { padding: 0px; margin: 0px; } .creditCardTypeSelector li.card { display: box; float: left; list-style-type: none; height: 25px; width: 39px; margin: 2px; text-indent: -9999px; } /* The individual card styles */ .creditCardTypeSelector li.vs { background: url('https://secure.whyhunger.org/page/static/20180501.2/images/Contribution/Cards/cc-sprites.gif') no-repeat; background-position: 0px 0px; } .creditCardTypeSelector li.vs.deselected { background-position: 0px -25px; } .creditCardTypeSelector li.mc { background: url('https://secure.whyhunger.org/page/static/20180501.2/images/Contribution/Cards/cc-sprites.gif') no-repeat; background-position: -49px 0px; } .creditCardTypeSelector li.mc.deselected { background-position: -49px -25px; } .creditCardTypeSelector li.ax { background: url('https://secure.whyhunger.org/page/static/20180501.2/images/Contribution/Cards/cc-sprites.gif') no-repeat; background-position: -98px 0px; } .creditCardTypeSelector li.ax.deselected { background-position: -98px -25px; } .creditCardTypeSelector li.ds { background: url('https://secure.whyhunger.org/page/static/20180501.2/images/Contribution/Cards/cc-sprites.gif') no-repeat; background-position: -147px 0px; } .creditCardTypeSelector li.ds.deselected { background-position: -147px -25px; } @media (max-width: 767px) { #contribution td td td, #signup td td td { max-width: 100%; width: 100%; display: block; padding-left: 0; } .bsd-other-amount-input { width: 100px; } } </style> <div class="bsd-contribForm-aboveContent"> <h2>HELP SUPPORT FARMERS IN PUERTO RICO!</h2> In the aftermath of the hurricane Maria, help WhyHunger provide immediate support to the Boricuá Organization for Ecologic Agriculture of Puerto Rico, a 28-year old farmer-led organization dedicated to rebuilding the island’s food sovereignty and supporting farmers. These farmers and their work represent a critical piece of food production, health and livelihood in Puerto Rico. Rebuilding is essential to their ability to build a resilient source of nutritious food now and into the future. <br><br> Your support will go directly to help provide small scale farmers with seeds, tools, food, transportation and other expenses as Boricuá’s brigades – a farmer-to-farmer solidarity practice – travel around the island rebuilding farms and Puerto Rico’s food system from the ground up. <br><br> One hundred percent of the donations made through this page will go to support Boricuá Organization for Ecologic Agriculture efforts. <br><br> Boricuá is a member of La Via Campesina International and a close ally of the US Food Sovereignty Alliance and WhyHunger. <br><br><h4>Choose your donation amount below.</h4> </div> <form name="contribution" class="bsd-contribution-6" action="https://secure.whyhunger.org/page/cde/Contribution/Charge" method="post" id="contribution"> <input name="slug" type="hidden" value="puerto-rico"> <input autocomplete="off" name="submission_key" type="hidden" value=""> <input name="http_referer" type="hidden" value=""> <input name="http_host" type="hidden" value="secure.whyhunger.org"> <input name="ip_addr" type="hidden" value=""> <input name="request_uri" type="hidden" value="/page/contribute/puerto-rico"> <input name="event_attendee_id" type="hidden" value=""> <input name="outreach_page_id" type="hidden" value=""> <input name="stg_signup_id" type="hidden" value=""> <input name="mailing_link_id" type="hidden" value=""> <input name="mailing_recipient_id" type="hidden" value=""> <input name="match_campaign_id" type="hidden" value=""> <input name="match_is_pledge" type="hidden" value=""> <input name="pledge_is_convert" type="hidden" value=""> <input name="contributor_key" type="hidden" value=""> <input name="guid" type="hidden" value=""> <input id="BSDForm-quick_donate_populated" name="quick_donate_populated" type="hidden" value="0"> <input id="BSDForm-device_fingerprint" name="device_fingerprint" type="hidden" value="0"> <input id="intl_currency_symbol" name="intl_currency_symbol" type="hidden" value="USD"> <input id="default_country" name="default_country" type="hidden" value="US"> <input name="signup_optin_required" type="hidden" value="1"> <input id="max_contribution" name="max_contribution" type="hidden" value="0"> <input id="cc_number_ack" name="cc_number_ack" type="hidden" value=""> <input name="ach_account_number_ack" type="hidden" value=""> <input name="ach_canada_account_number_ack" type="hidden" value=""> <input name="page_title" type="hidden" value="Puerto Rico"> <input name="organization_name" type="hidden" value="WhyHunger"> <input name="client_slug" type="hidden" value="whyhunger"> <input name="chapter_id" type="hidden" value="1"> <table> <tr><script>var quickformErrors = []; if(!BSD.errors){BSD.errors = quickformErrors;} else {BSD.errors = BSD.errors.concat(quickformErrors);}</script><td class="contribcolumn"><table> <tr class="bsd-contribution-section-header" id="bsd-contribution-section-header-amount" data-bsdformsectionname="amount"><td class="contribheader"> Donation Amount </td> </tr> <tr id="bsd-amounts-cont"><td><table class="amounts"><tr><td> <label class="fieldlabel"></label><nobr><input onclick="BSD.contribution.clearother();" id="amt_preset_7" name="amount" value="50" type="radio"><label for="amt_preset_7"><span class="radio">$50</span></label></nobr></td><td> <label class="fieldlabel"></label><nobr><input onclick="BSD.contribution.clearother();" id="amt_preset_6" name="amount" value="100" type="radio"><label for="amt_preset_6"><span class="radio">$100</span></label></nobr></td><td> <label class="fieldlabel"></label><nobr><input onclick="BSD.contribution.clearother();" id="amt_preset_5" name="amount" value="250" type="radio"><label for="amt_preset_5"><span class="radio">$250</span></label></nobr></td><td> <label class="fieldlabel"></label><nobr><input onclick="BSD.contribution.clearother();" id="amt_preset_4" name="amount" value="500" type="radio"><label for="amt_preset_4"><span class="radio">$500</span></label></nobr></td></tr><tr><td> <label class="fieldlabel"></label><nobr><input onclick="BSD.contribution.clearother();" id="amt_preset_3" name="amount" value="1000" type="radio"><label for="amt_preset_3"><span class="radio">$1,000</span></label></nobr></td><td> <label class="fieldlabel"></label><nobr><input onclick="BSD.contribution.clearother();" id="amt_preset_2" name="amount" value="1500" type="radio"><label for="amt_preset_2"><span class="radio">$1,500</span></label></nobr></td><td> <label class="fieldlabel"></label><nobr><input onclick="BSD.contribution.clearother();" id="amt_preset_1" name="amount" value="2000" type="radio"><label for="amt_preset_1"><span class="radio">$2,000</span></label></nobr></td><td> <label class="fieldlabel"></label><nobr><input id="amt_other" name="amount" value="other" type="radio"><label for="amt_other"><span class="radio">Other:</span></label> <input id="amt_other_text" size="4" onkeyup="if (!(this.value == '')) document.contribution.amount[7].checked=true;" intl_currency_symbol="USD" class="bsd-other-amount-input" pattern="^\d*[\.]?\d*$" title="Must be a number" name="amount_other" type="text"> (USD)</nobr></td></tr></table> <table id="full-gift-container" class=""> <tr><td> <label class="fieldlabel"></label><input id="full-gift-checkbox" data-fee-text="My grand total will be" data-label-text="I'd like to help cover the transaction fees on my donation." data-int-currency-symbol="USD" data-currency-symbol="$" data-max-contribution="0" data-min-contribution="1" data-contribution-range-error="total amount must be at least $1" name="full_gift" type="checkbox" value="1" checked="checked"><label for="full-gift-checkbox"><span id="full-gift-label" class="checkbox">I'd like to help cover the transaction fees on my donation.</span></label> </td></tr> </table> </td> </tr> <tr class="bsd-contribution-section-header" id="bsd-contribution-section-header-contributor" data-bsdformsectionname="contributor"><td class="contribheader" id="bsd-contribution-header-contributor"> Billing Address </td> </tr><tr><td class="nested_table"><table><tr></tr> <td> <label class="fieldlabel">first name<br></label><input size="14" id="firstname" pattern="[\S\s]+" title="required field" required="required" name="firstname" type="text"></td> <td> <label class="fieldlabel">last name<br></label><input size="22" id="lastname" pattern="[\S\s]+" title="required field" required="required" name="lastname" type="text"></td></table></td></tr><tr><td><table><tr><td> <label class="fieldlabel">address<br></label><input size="40" id="addr1" pattern="[\S\s]+" title="required field" required="required" name="addr1" type="text"></td></tr><tr><td> <label class="fieldlabel"></label><input size="40" id="addr2" pattern="[\S\s]+" title="required field" name="addr2" type="text"></td></tr></table></td></tr><tr><td><table><tr><td> <label class="fieldlabel">city<br></label><input size="20" id="city" pattern="[\S\s]+" title="required field" required="required" name="city" type="text"></td></tr></table></td></tr><tr><td><table><tr><td> <label class="fieldlabel">state/region/province<br></label><input type="text" name="state_cd" id="state"></td></tr></table></td></tr><tr><td><table><tr><td> <label class="fieldlabel">zip<br></label><input size="10" id="zip" required="required" name="zip" type="text"></td></tr></table></td></tr> <tr><td colspan="2" class="nested_table"><table id="country_table"><tr><td> <label class="fieldlabel">country<br></label><select id="country" name="country"><option value=""></option><option value="AF">Afghanistan</option><option value="AL">Albania</option><option value="DZ">Algeria</option><option value="AS">American Samoa</option><option value="AD">Andorra</option><option value="AO">Angola</option><option value="AI">Anguilla</option><option value="AG">Antigua and Barbuda</option><option value="AR">Argentina</option><option value="AM">Armenia</option><option value="AW">Aruba</option><option value="AU">Australia</option><option value="AT">Austria</option><option value="AZ">Azerbaijan</option><option value="BS">Bahamas</option><option value="BH">Bahrain</option><option value="BD">Bangladesh</option><option value="BB">Barbados</option><option value="BY">Belarus</option><option value="BE">Belgium</option><option value="BZ">Belize</option><option value="BJ">Benin</option><option value="BM">Bermuda</option><option value="BT">Bhutan</option><option value="BO">Bolivia</option><option value="BA">Bosnia and Herzegovina</option><option value="BW">Botswana</option><option value="BR">Brazil</option><option value="VG">British Virgin Islands</option><option value="IO">British Indian Ocean Territory</option><option value="BN">Brunei</option><option value="BG">Bulgaria</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="KH">Cambodia</option><option value="CM">Cameroon</option><option value="CA">Canada</option><option value="CV">Cape Verde</option><option value="KY">Cayman Islands</option><option value="CF">Central African Republic</option><option value="TD">Chad</option><option value="CL">Chile</option><option value="CN">China</option><option value="CX">Christmas Island</option><option value="CO">Colombia</option><option value="KM">Comoros Islands</option><option value="CD">Congo, Democratic Republic of the</option><option value="CG">Congo, Republic of the</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="CI">Cote D'ivoire</option><option value="HR">Croatia</option><option value="CY">Cyprus</option><option value="CZ">Czech Republic</option><option value="DK">Denmark</option><option value="DJ">Djibouti</option><option value="DM">Dominica</option><option value="DO">Dominican Republic</option><option value="TP">East Timor</option><option value="EC">Ecuador</option><option value="EG">Egypt</option><option value="SV">El Salvador</option><option value="GQ">Equatorial Guinea</option><option value="ER">Eritrea</option><option value="EE">Estonia</option><option value="ET">Ethiopia</option><option value="FK">Falkland Islands (Malvinas)</option><option value="FO">Faroe Islands</option><option value="FJ">Fiji</option><option value="FI">Finland</option><option value="FR">France</option><option value="GF">French Guiana</option><option value="PF">French Polynesia</option><option value="TF">French Southern Territories</option><option value="GA">Gabon</option><option value="GM">Gambia</option><option value="GE">Georgia</option><option value="DE">Germany</option><option value="GH">Ghana</option><option value="GI">Gibraltar</option><option value="GR">Greece</option><option value="GL">Greenland</option><option value="GD">Grenada</option><option value="GP">Guadeloupe</option><option value="GU">Guam</option><option value="GT">Guatemala</option><option value="GN">Guinea</option><option value="GW">Guinea-Bissau</option><option value="GY">Guyana</option><option value="HT">Haiti</option><option value="VA">Holy See (Vatican City State)</option><option value="HN">Honduras</option><option value="HK">Hong Kong</option><option value="HU">Hungary</option><option value="IS">Iceland</option><option value="IN">India</option><option value="ID">Indonesia</option><option value="IQ">Iraq</option><option value="IE">Republic of Ireland</option><option value="IL">Israel</option><option value="IT">Italy</option><option value="JM">Jamaica</option><option value="JP">Japan</option><option value="JO">Jordan</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KI">Kiribati</option><option value="KR">South Korea</option><option value="XK">Kosovo</option><option value="KW">Kuwait</option><option value="KG">Kyrgyzstan</option><option value="LA">Laos</option><option value="LV">Latvia</option><option value="LB">Lebanon</option><option value="LS">Lesotho</option><option value="LR">Liberia</option><option value="LY">Libya</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MO">Macau</option><option value="MK">Macedonia</option><option value="MG">Madagascar</option><option value="MW">Malawi</option><option value="MY">Malaysia</option><option value="MV">Maldives</option><option value="ML">Mali</option><option value="MT">Malta</option><option value="MH">Marshall Islands</option><option value="MQ">Martinique</option><option value="MR">Mauritania</option><option value="MU">Mauritius</option><option value="YT">Mayotte</option><option value="MX">Mexico</option><option value="FM">Micronesia</option><option value="MD">Moldova, Republic of</option><option value="MC">Monaco</option><option value="MN">Mongolia</option><option value="ME">Montenegro</option><option value="MS">Montserrat</option><option value="MA">Morocco</option><option value="MZ">Mozambique</option><option value="MM">Myanmar</option><option value="NA">Namibia</option><option value="NR">Nauru</option><option value="NP">Nepal</option><option value="NL">Netherlands</option><option value="AN">Netherlands Antilles</option><option value="NC">New Caledonia</option><option value="NZ">New Zealand</option><option value="NI">Nicaragua</option><option value="NE">Niger</option><option value="NG">Nigeria</option><option value="NU">Niue</option><option value="NF">Norfolk Island</option><option value="MP">Northern Mariana Islands</option><option value="NO">Norway</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PW">Palau</option><option value="PA">Panama</option><option value="PG">Papua New Guinea</option><option value="PY">Paraguay</option><option value="PE">Peru</option><option value="PH">Philippines</option><option value="PN">Pitcairn Island</option><option value="PL">Poland</option><option value="PT">Portugal</option><option value="PR">Puerto Rico</option><option value="QA">Qatar</option><option value="RE">Reunion</option><option value="RO">Romania</option><option value="RU">Russian Federation</option><option value="RW">Rwanda</option><option value="KN">Saint Kitts and Nevis</option><option value="LC">Saint Lucia</option><option value="VC">Saint Vincent and the Grenadines</option><option value="WS">Samoa</option><option value="SM">San Marino</option><option value="ST">Sao Tome and Principe</option><option value="SA">Saudi Arabia</option><option value="SN">Senegal</option><option value="RS">Serbia</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapore</option><option value="SK">Slovakia</option><option value="SI">Slovenia</option><option value="SB">Solomon Islands</option><option value="SO">Somalia</option><option value="ZA">South Africa</option><option value="SS">South Sudan</option><option value="ES">Spain</option><option value="LK">Sri Lanka</option><option value="SH">St. Helena</option><option value="PM">St. Pierre and Miquelon</option><option value="SR">Suriname</option><option value="SZ">Swaziland</option><option value="SE">Sweden</option><option value="CH">Switzerland</option><option value="TW">Taiwan</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzania</option><option value="TH">Thailand</option><option value="TG">Togo</option><option value="TK">Tokelau</option><option value="TO">Tonga</option><option value="TT">Trinidad and Tobago</option><option value="TN">Tunisia</option><option value="TR">Turkey</option><option value="TM">Turkmenistan</option><option value="TC">Turks and Caicos Islands</option><option value="TV">Tuvalu</option><option value="UG">Uganda</option><option value="UA">Ukraine</option><option value="AE">United Arab Emirates</option><option value="GB">United Kingdom</option><option value="US" 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id="bsd-phone-cont" class="bsd-form-row"><td><table><tr><td> <label class="fieldlabel">phone number<br></label><input type="tel" class="text" size="20" id="phone" required="required" name="phone"></td></tr></table></td></tr> <tr class="bsd-contribution-section-header" id="bsd-contribution-section-header-paymentinfo" data-bsdformsectionname="paymentinfo"><td class="contribheader" id="bsd-credit-card-header"> Payment Details </td> </tr><tr><td><table id="payment_options"><tr><td id="cc_number_parent"> <label class="fieldlabel">card number<br></label> <div id="credit_card-creditCardTypeSelector" class="bsd-creditCardTypeSelector"> <input class="credit_card-creditCardTypeSelector-text_box_id" value="credit_card-creditCardNumberTextBox" type="hidden"><div class="creditCardTypeSelector"> <div class="creditCardTypeSelector-creditCardList"> <ul name="cc_type_cd" class="bsd-radioButtonList" id="credit_card-creditCardTypeRadioList"><li> <input id="credit_card-creditCardTypeRadioList_0" type="radio" name="cc_type_cd" value="ax"><label for="credit_card-creditCardTypeRadioList_0">American Express</label> </li> <li> <input id="credit_card-creditCardTypeRadioList_1" type="radio" name="cc_type_cd" value="ds"><label for="credit_card-creditCardTypeRadioList_1">Discover</label> </li> <li> <input id="credit_card-creditCardTypeRadioList_2" type="radio" name="cc_type_cd" value="mc"><label for="credit_card-creditCardTypeRadioList_2">MasterCard</label> </li> <li> <input id="credit_card-creditCardTypeRadioList_3" type="radio" name="cc_type_cd" value="vs"><label for="credit_card-creditCardTypeRadioList_3">Visa</label> </li> </ul></div> <div class="creditCardTypeSelector-creditCardTextBox"> <input autocomplete="false" pattern="[0-9Xx]{13,16}" title="invalid card number" required="required" name="cc_number" type="text" class="" id="credit_card-creditCardNumberTextBox" value=""></div> </div> </div> </td> <td class="field"><div></div></td></tr><tr> <td> <label class="fieldlabel">expiration<br></label><select id="cc_expir_month" autocomplete="off" name="cc_expir_month"><option value="">Month</option><option value="01">01</option><option value="02">02</option><option value="03">03</option><option value="04">04</option><option value="05">05</option><option value="06">06</option><option value="07">07</option><option value="08">08</option><option value="09">09</option><option value="10">10</option><option value="11">11</option><option value="12">12</option></select> <select id="cc_expir_year" autocomplete="off" name="cc_expir_year"><option value="">Year</option><option value="2018">2018</option><option value="2019">2019</option><option value="2020">2020</option><option value="2021">2021</option><option value="2022">2022</option><option value="2023">2023</option><option value="2024">2024</option><option value="2025">2025</option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option></select></td></tr></table><table id="ach_payment_info" style="display:none;"><tr><td> <label class="fieldlabel">account type<br></label><input class="ach_account_type" id="ach_account_type_CHECKING" name="ach_account_type" value="CHECKING" type="radio"><label for="ach_account_type_CHECKING"><span class="radio">Checking</span></label> <input class="ach_account_type" id="ach_account_type_SAVINGS" name="ach_account_type" value="SAVINGS" type="radio"><label for="ach_account_type_SAVINGS"><span class="radio">Savings</span></label> </td></tr><tr><td> <label class="fieldlabel">routing number<br></label><input size="9" id="ach_routing_number" autocomplete="off" name="ach_routing_number" type="text"></td></tr><tr><td> <label class="fieldlabel">account number<br></label><input size="20" id="ach_account_number" autocomplete="off" name="ach_account_number" type="text"></td></tr><tr><td> <label class="fieldlabel">name on account<br></label><input size="40" id="ach_account_name" name="ach_account_name" type="text"></td></tr></table><table id="ach_canada_payment_info" style="display:none;"><tr><td> <label class="fieldlabel">account type<br></label><input class="ach_account_type" id="ach_canada_account_type_CHECKING" name="ach_canada_account_type" value="CHECKING" type="radio"><label for="ach_canada_account_type_CHECKING"><span class="radio">Checking</span></label> <input class="ach_account_type" id="ach_canada_account_type_SAVINGS" name="ach_canada_account_type" value="SAVINGS" type="radio"><label for="ach_canada_account_type_SAVINGS"><span class="radio">Savings</span></label> </td></tr><tr><td> <label class="fieldlabel">bank number<br></label><input size="3" id="ach_canada_bank_number" autocomplete="off" name="ach_canada_bank_number" type="text"></td></tr><tr><td> <label class="fieldlabel">transit number<br></label><input size="5" id="ach_canada_transit_number" autocomplete="off" name="ach_canada_transit_number" type="text"></td></tr><tr><td> <label class="fieldlabel">account number<br></label><input size="20" id="ach_canada_account_number" autocomplete="off" name="ach_canada_account_number" type="text"></td></tr><tr><td> <label class="fieldlabel">name on account<br></label><input size="40" id="ach_canada_account_name" name="ach_canada_account_name" type="text"></td></tr></table><div id="paypal_notice" style="display:none;">You will be prompted to provide your PayPal account information upon clicking the Donate button</div></td></tr><tr class="bsd-contribution-section-header" id="bsd-contribution-section-header-honoree" data-bsdformsectionname="honoree"><td class="contribheader"> Honor Someone with Your Contribution <small>(optional)</small> </td> </tr><tr><td><table><tr><td><p> To make your contribution in honor of a friend, loved one or person you admire, fill in the information below and your honoree will be notified of your thoughtfulness and generosity.<br><br> If you would like to make your donation in memory of a friend, loved one or person your admire, fill in the information below with the contact information of the person you would like to be notified.</p></td></tr></table></td></tr><tr><td><table><tr><td> <label class="fieldlabel">This contribution is<br></label><select id="honoree_in_memoriam" name="honoree_in_memoriam"><option value="-1" selected="selected">-- please choose --</option><option value="0">In honor of...</option><option value="1">In memory of...</option></select></td></tr></table></td></tr><tr class="honoree"><td><table><tr><td> <label class="fieldlabel">honoree name<br></label><input size="40" name="honoree_name" type="text"></td></tr></table></td></tr><tr class="honoree honoree_in_memory"><td><table><tr><td> <label class="fieldlabel">recipient name <small>(optional)</small><span id="honoree_recipient_advisory"><br><small>Leave this field blank if making an ‘In Honor of...’ contribution.</small></span><br></label><input size="40" name="honoree_recipient_name" type="text"></td></tr></table></td></tr><tr class="honoree"><td><table><tr><td> <label class="fieldlabel">email address <small>(optional)</small><br></label><input size="40" name="honoree_email" type="text"></td></tr></table></td></tr></table></td></tr><tr><td colspan="2"><table><tr><td class="contribheader"> Recurring Contribution: </td> </tr><tr><td> <label class="fieldlabel"></label><div style="text-align: left;">By checking the box below, I acknowledge that I am making a recurring contribution and that the amount I have selected above will be charged to my credit card on the <strong><span id="day-of-month">1st</span> of every month</strong>. You may cancel at any time. The first charge will be made immediately.</div> </td></tr><tr><td> <label class="fieldlabel"></label><input id="recurring_acknowledge" name="recurring_acknowledge" type="checkbox" value="1"><label for="recurring_acknowledge">Yes, please make this a monthly gift.</label> </td></tr></table></td></tr><tr><td class="contribbutton" colspan="2"><table><tr><div style="display: none"><label for="bestcontacttime">Please leave this field blank:</label> <input id="bestcontacttime" name="bestcontacttime" type="text"></div> <td> <label class="fieldlabel"></label><input id="processbutton" value="Donate" type="submit"></td></tr></table></td> </tr></table></form> <script type="text/javascript" language="javascript"> var submitted_state_cd = "NY"; var module_text = { "total_contribution_label" : "Total Contribution:" } </script><div class="bsd-contribForm-belowContent"> <br> If you would prefer to make your donation by mail, please make your check <strong>payable</strong> to WhyHunger, Inc. and send to: <blockquote> WhyHunger, Inc.<br> 505 8th Ave, Ste 2100<br> New York, NY 10018<br></blockquote> <br> </div> <script type="text/javascript"> function loadSourceCodes() { SourceCodes.additiveChain([SourceCodes.addFromUrl, SourceCodes.addFromForm, SourceCodes.addFromSpud], SourceCodes.setCodesInForm).runChain(); } </script>