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<h1 id="header_1" class="form-header" data-component="header">Sponsor/Donor Information Form</h1>
<div id="subHeader_1" class="form-subHeader">Thank you for your support! Please fill out the following information to help us understand our sponsors and donors better.</div>
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<li class="form-line" data-type="control_textbox" id="id_5"><label class="form-label form-label-top form-label-auto" id="label_5" for="input_5" aria-hidden="false"> Company/Organization Name </label>
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</li>
<li class="form-line" data-type="control_address" id="id_6" data-compound-hint=",,,,Please Select,,Please Select,"><label class="form-label form-label-top form-label-auto" id="label_6" for="input_6_addr_line1" aria-hidden="false"> Address </label>
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<option value="">Please Select</option>
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<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote d'Ivoire">Cote d'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Democratic Republic of the Congo">Democratic Republic of the Congo</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Polynesia">French Polynesia</option>
<option value="Gabon">Gabon</option>
<option value="The Gambia">The Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="North Korea">North Korea</option>
<option value="South Korea">South Korea</option>
<option value="Kosovo">Kosovo</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Nagorno-Karabakh">Nagorno-Karabakh</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Turkish Republic of Northern Cyprus">Turkish Republic of Northern Cyprus</option>
<option value="Northern Mariana">Northern Mariana</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine">Palestine</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn Islands">Pitcairn Islands</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Republic of the Congo">Republic of the Congo</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Barthelemy">Saint Barthelemy</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="Somaliland">Somaliland</option>
<option value="South Africa">South Africa</option>
<option value="South Ossetia">South Ossetia</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard">Svalbard</option>
<option value="eSwatini">eSwatini</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Transnistria Pridnestrovie">Transnistria Pridnestrovie</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tristan da Cunha">Tristan da Cunha</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City">Vatican City</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="British Virgin Islands">British Virgin Islands</option>
<option value="Isle of Man">Isle of Man</option>
<option value="US Virgin Islands">US Virgin Islands</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
<option value="other">Other</option>
</select><label class="form-sub-label" for="input_6_country" id="sublabel_6_country" style="min-height:13px">Country</label></span></span>
</div>
</div>
</li>
<li class="form-line jf-required" data-type="control_number" id="id_8"><label class="form-label form-label-top form-label-auto" id="label_8" for="input_8" aria-hidden="false"> Donation Amount<span class="form-required">*</span> </label>
<div id="cid_8" class="form-input-wide jf-required" data-layout="half"> <input type="number" id="input_8" name="q8_donationAmount" data-type="input-number" class=" form-number-input form-textbox validate[required, ]" data-defaultvalue="" style="width:310px" size="310" placeholder="e.g., 23" data-component="number" aria-labelledby="label_8" required="" step="any" value="" /> </div>
</li>
<li class="form-line jf-required" data-type="control_checkbox" id="id_9"><label class="form-label form-label-top form-label-auto" id="label_9" aria-hidden="false"> Type of Support<span class="form-required">*</span> </label>
<div id="cid_9" class="form-input-wide jf-required" data-layout="full">
<div class="form-single-column" role="group" aria-labelledby="label_9" data-component="checkbox"><span class="form-checkbox-item" style="clear:left"><span class="dragger-item"></span><input aria-describedby="label_9" type="checkbox" class="form-checkbox validate[required]" id="input_9_0" name="q9_typeOf[]" required="" value="Monetary" /><label id="label_input_9_0" for="input_9_0">Monetary</label></span><span class="form-checkbox-item" style="clear:left"><span class="dragger-item"></span><input aria-describedby="label_9" type="checkbox" class="form-checkbox validate[required]" id="input_9_1" name="q9_typeOf[]" required="" value="In-Kind" /><label id="label_input_9_1" for="input_9_1">In-Kind</label></span><span class="form-checkbox-item" style="clear:left"><span class="dragger-item"></span><input aria-describedby="label_9" type="checkbox" class="form-checkbox validate[required]" id="input_9_2" name="q9_typeOf[]" required="" value="Volunteer Support" /><label id="label_input_9_2" for="input_9_2">Volunteer Support</label></span><span class="form-checkbox-item" style="clear:left"><span class="dragger-item"></span><input aria-describedby="label_9" type="checkbox" class="form-checkbox validate[required]" id="input_9_3" name="q9_typeOf[]" required="" value="Sponsorship" /><label id="label_input_9_3" for="input_9_3">Sponsorship</label></span><span class="form-checkbox-item formCheckboxOther" style="clear:left"><input type="checkbox" class="form-checkbox-other form-checkbox validate[required]" name="q9_typeOf[other]" id="other_9" tabindex="0" aria-label="Other" value="other" /><label id="label_other_9" style="text-indent:0" for="other_9">Other</label><span id="other_9_input" class="other-input-container" style="display:none"><input type="text" class="form-checkbox-other-input form-textbox" name="q9_typeOf[other]" data-otherhint="Other" size="15" id="input_9" data-placeholder="Please type another option here" placeholder="Please type another option here" /></span></span></div>
</div>
</li>
<li class="form-line" data-type="control_textarea" id="id_10"><label class="form-label form-label-top form-label-auto" id="label_10" for="input_10" aria-hidden="false"> Comments or Special Instructions </label>
<div id="cid_10" class="form-input-wide" data-layout="full"> <textarea id="input_10" class="form-textarea" name="q10_commentsOr" style="width:648px;height:163px" data-component="textarea" aria-labelledby="label_10"></textarea> </div>
</li>
<li class="form-line" data-type="control_radio" id="id_7"><label class="form-label form-label-top form-label-auto" id="label_7" aria-hidden="false"> How did you hear about us? </label>
<div id="cid_7" class="form-input-wide" data-layout="full">
<div class="form-single-column" role="group" aria-labelledby="label_7" data-component="radio"><span class="form-radio-item" style="clear:left"><span class="dragger-item"></span><input aria-describedby="label_7" type="radio" class="form-radio" id="input_7_0" name="q7_howDid" value="Social Media" /><label id="label_input_7_0" for="input_7_0">Social Media</label></span><span class="form-radio-item" style="clear:left"><span class="dragger-item"></span><input aria-describedby="label_7" type="radio" class="form-radio" id="input_7_1" name="q7_howDid" value="Website" /><label id="label_input_7_1" for="input_7_1">Website</label></span><span class="form-radio-item" style="clear:left"><span class="dragger-item"></span><input aria-describedby="label_7" type="radio" class="form-radio" id="input_7_2" name="q7_howDid" value="Friend/Colleague" /><label id="label_input_7_2" for="input_7_2">Friend/Colleague</label></span><span class="form-radio-item" style="clear:left"><span class="dragger-item"></span><input aria-describedby="label_7" type="radio" class="form-radio" id="input_7_3" name="q7_howDid" value="Event" /><label id="label_input_7_3" for="input_7_3">Event</label></span><span class="form-radio-item" style="clear:left"><span class="dragger-item"></span><input aria-describedby="label_7" type="radio" class="form-radio" id="input_7_4" name="q7_howDid" value="Other" /><label id="label_input_7_4" for="input_7_4">Other</label></span></div>
</div>
</li>
<li class="form-line jf-required" data-type="control_radio" id="id_11"><label class="form-label form-label-top form-label-auto" id="label_11" aria-hidden="false"> Would you like to receive updates about our organization and future events?<span class="form-required">*</span> </label>
<div id="cid_11" class="form-input-wide jf-required" data-layout="full">
<div class="form-single-column" role="group" aria-labelledby="label_11" data-component="radio"><span class="form-radio-item" style="clear:left"><span class="dragger-item"></span><input aria-describedby="label_11" type="radio" class="form-radio validate[required]" id="input_11_0" name="q11_wouldYou" required="" value="Yes" /><label id="label_input_11_0" for="input_11_0">Yes</label></span><span class="form-radio-item" style="clear:left"><span class="dragger-item"></span><input aria-describedby="label_11" type="radio" class="form-radio validate[required]" id="input_11_1" name="q11_wouldYou" required="" value="No" /><label id="label_input_11_1" for="input_11_1">No</label></span></div>
</div>
</li>
<li class="form-line" data-type="control_fileupload" id="id_15"><label class="form-label form-label-top form-label-auto" id="label_15" for="input_15" aria-hidden="false"> File Upload </label>
<div id="cid_15" class="form-input-wide" data-layout="full">
<div class="jfQuestion-fields" data-wrapper-react="true">
<div class="jfField isFilled">
<div class="jfUpload-wrapper">
<div class="jfUpload-container">
<div class="jfUpload-button-container">
<div class="jfUpload-button" aria-hidden="true" tabindex="0" style="display:none" data-version="v2">Browse Files<div class="jfUpload-heading forDesktop">Drag and drop files here</div>
<div class="jfUpload-heading forMobile">Choose a file</div>
</div>
</div>
</div>
<div class="jfUpload-files-container">
<div class="validate[multipleUpload]"><input type="file" id="input_15" name="q15_fileUpload[]" multiple="" class="form-upload-multiple" data-imagevalidate="yes" data-file-accept="pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif" data-limit-file-size="Yes" data-file-maxsize="10854" data-file-minsize="0" data-file-limit="" data-component="fileupload" aria-label="Browse Files" /></div>
</div>
</div>
<div data-wrapper-react="true"></div>
</div><span style="display:none" class="cancelText">Cancel</span><span style="display:none" class="ofText">of</span>
</div>
</div>
</li>
<li class="form-line" data-type="control_button" id="id_12">
<div id="cid_12" class="form-input-wide" data-layout="full">
<div data-align="auto" class="form-buttons-wrapper form-buttons-auto jsTest-button-wrapperField"><button id="input_12" type="submit" class="form-submit-button submit-button jf-form-buttons jsTest-submitField legacy-submit" data-component="button" data-content="">Submit</button></div>
</div>
</li>
<li style="display:none">Should be Empty: <input type="text" name="website" value="" type="hidden" /></li>
</ul>
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