{"id":133,"date":"2016-03-10T10:17:27","date_gmt":"2016-03-10T10:17:27","guid":{"rendered":"https:\/\/ieanyc.org\/the-sunshine-fund\/"},"modified":"2017-01-13T07:09:24","modified_gmt":"2017-01-13T07:09:24","slug":"the-sunshine-fund","status":"publish","type":"page","link":"https:\/\/ieanyc.org\/?page_id=133","title":{"rendered":"Donations to IEA"},"content":{"rendered":"<p>If you&#8217;d like to make a tax deductible donation to IEA, please complete the following form.  All fields marked with * are required.  IEA is dedicated to offering classes and programs that demonstrate the integration of expressive arts and psychoanalytic processes. Your contributions would help expand our offerings and promote our unique mission.<\/p>\n\t\t\t\t<form name=\"form_donation\"  method=\"post\" role=\"form\" class=\"form-horizontal\">  \t\t\t<fieldset><h4>Donate Now<\/h4><div class=\"form-group\">\t\t\t\t<label class=\"col-sm-3 control-label\" for=\"donor-email\">Your email address *<\/label>\t\t\t\t<div class=\"col-sm-9\"> \t\t\t\t\t  <input type=\"email\" required=\"\" class=\"form-control\" name=\"donor_email\" id=\"donor-email\"> \t\t\t\t<\/div>\t\t\t  <\/div> \t\t\t  <div class=\"form-group\"><label class=\"col-sm-3 control-label\" for=\"donation-amount\">Amount *<\/label>\t\t\t\t<div class=\"col-sm-9\"> \t\t\t\t\t  <select required=\"\" class=\"form-control\" name=\"donation_amount\" id=\"donation-amount\"><option value=\"\">Select amount<\/option><option value=\"15\">$15<\/option><option value=\"30\">$30<\/option><option value=\"35\">$35<\/option><option value=\"50\">$50<\/option><option value=\"75\">$75<\/option><option value=\"100\">$100<\/option><\/select> \t\t\t\t<\/div><\/div>  \t\t\t\t<h4>Credit Card Billing Information<\/h4>\t\t\t  \t<p>Please provide the billing address associated with the credit card.<\/p>\t\t\t   \t\t\t  <div class=\"form-group\">\t\t\t\t<label class=\"col-sm-3 control-label\" for=\"card-holder-name\">Name on Card *<\/label>\t\t\t\t<div class=\"col-sm-9\">\t\t\t\t  <input type=\"text\" class=\"form-control\" name=\"card_holder_name\" id=\"card-holder-name\" placeholder=\"Card Holder's Name\"  required=\"\">\t\t\t\t<\/div>\t\t\t  <\/div>\t\t\t  <div class=\"form-group\">\t\t\t\t<label class=\"col-sm-3 control-label\" for=\"card-holder-street-address-1\">Street address 1 * <\/label>\t\t\t\t<div class=\"col-sm-9\">\t\t\t\t  <input type=\"text\" class=\"form-control\" name=\"card_holder_street_address_1\" id=\"card-holder-street-address-1\" placeholder=\"Card Holder's Street address\"  required=\"\">\t\t\t\t<\/div>\t\t\t  <\/div>\t\t\t  <div class=\"form-group\">\t\t\t\t<label class=\"col-sm-3 control-label\" for=\"card-holder-street-address-2\">Street address 2 <\/label>\t\t\t\t<div class=\"col-sm-9\">\t\t\t\t  <input type=\"text\" class=\"form-control\" name=\"card_holder_street_address_2\" id=\"card-holder-street-address-2\" placeholder=\"Card Holder's Street address\">\t\t\t\t<\/div>\t\t\t  <\/div>\t\t\t  <div class=\"form-group\">\t\t\t\t<label class=\"col-sm-3 control-label\" for=\"card-holder-city\">City * <\/label>\t\t\t\t<div class=\"col-sm-9\">\t\t\t\t  <input type=\"text\" class=\"form-control\" name=\"card_holder_city\" id=\"card-holder-city\" placeholder=\"Card Holder's City\" required=\"\">\t\t\t\t<\/div>\t\t\t  <\/div>\t\t\t   <div class=\"form-group\">\t\t\t\t<label class=\"col-sm-3 control-label\" for=\"card-holder-state\">State * <\/label>\t\t\t\t<div class=\"col-sm-9\">\t\t\t\t  <input type=\"text\" class=\"form-control\" name=\"card_holder_state\" id=\"card-holder-state\" placeholder=\"Card Holder's state\" required=\"\">\t\t\t\t<\/div>\t\t\t  <\/div>\t\t\t  <div class=\"form-group\">\t\t\t\t<label class=\"col-sm-3 control-label\" for=\"card-holder-zip\">Zip * <\/label>\t\t\t\t<div class=\"col-sm-9\">\t\t\t\t  <input type=\"text\" class=\"form-control\" name=\"card_holder_zip\" id=\"card-holder-zip\" placeholder=\"Card Holder's Zip\" required=\"\">\t\t\t\t<\/div>\t\t\t  <\/div>\t\t\t \t\t\t  <div class=\"form-group\">\t\t\t\t<label class=\"col-sm-3 control-label\" for=\"card-number\">Card Number *<\/label>\t\t\t\t<div class=\"col-sm-9\">\t\t\t\t  <input type=\"text\" class=\"form-control\" name=\"card_number\" id=\"card-number\" placeholder=\"Debit\/Credit Card Number\" required=\"\">\t\t\t\t<\/div>\t\t\t  <\/div>\t\t\t  <div class=\"form-group\">\t\t\t\t<label class=\"col-sm-3 control-label\" for=\"expiry-month\">Expiration Date *<\/label>\t\t\t\t<div class=\"col-sm-9\">\t\t\t\t  <div class=\"row\">\t\t\t\t\t<div class=\"col-xs-3\">\t\t\t\t\t  <select  required=\"\" class=\"form-control\" name=\"expiry_month\" id=\"expiry-month\"> \t\t\t\t\t\t<option value=\"01\">Jan (01)<\/option>\t\t\t\t\t\t<option value=\"02\">Feb (02)<\/option>\t\t\t\t\t\t<option value=\"03\">Mar (03)<\/option>\t\t\t\t\t\t<option value=\"04\">Apr (04)<\/option>\t\t\t\t\t\t<option value=\"05\">May (05)<\/option>\t\t\t\t\t\t<option value=\"06\">June (06)<\/option>\t\t\t\t\t\t<option value=\"07\">July (07)<\/option>\t\t\t\t\t\t<option value=\"08\">Aug (08)<\/option>\t\t\t\t\t\t<option value=\"09\">Sep (09)<\/option>\t\t\t\t\t\t<option value=\"10\">Oct (10)<\/option>\t\t\t\t\t\t<option value=\"11\">Nov (11)<\/option>\t\t\t\t\t\t<option value=\"12\">Dec (12)<\/option>\t\t\t\t\t  <\/select>\t\t\t\t\t<\/div>\t\t\t\t\t<div class=\"col-xs-3\">\t\t\t\t\t  <select class=\"form-control\" name=\"expiry_year\" id=\"expiry-year\"><option value=\"26\">2026<\/option><option value=\"27\">2027<\/option><option value=\"28\">2028<\/option><option value=\"29\">2029<\/option><option value=\"30\">2030<\/option><option value=\"31\">2031<\/option><option value=\"32\">2032<\/option><option value=\"33\">2033<\/option><option value=\"34\">2034<\/option><option value=\"35\">2035<\/option><option value=\"36\">2036<\/option><\/select>\t\t\t\t\t<\/div>\t\t\t\t  <\/div>\t\t\t\t<\/div>\t\t\t  <\/div>\t\t\t  <div class=\"form-group\">\t\t\t\t<label class=\"col-sm-3 control-label\" for=\"cvv\">Card CVV *<\/label> \t\t\t\t<div class=\"col-sm-3\">\t\t\t\t  <input type=\"text\" class=\"form-control\" name=\"cvv\" id=\"cvv\" placeholder=\"Security Code\"  required=\"\">\t\t\t\t<\/div>\t\t\t  <\/div>  <div class=\"form-group\">\t\t\t\t<div class=\"col-sm-offset-3 col-sm-9\">\t\t\t\t  <button type=\"submit\" class=\"btn btn-success\">Donate<\/submit>\t\t\t\t<\/div>\t\t\t  <\/div>\t\t\t<\/fieldset>\t\t\t<input type=\"hidden\"  name=\"item_name\" value=\"The Sunshine Fund\" \/>\t\t\t<input type=\"hidden\"  name=\"subscription\" value=\"0\" \/>\t\t\t<input type=\"hidden\"  name=\"product_id\" value=\"1679\" \/>\t\t\t<input type=\"hidden\"  name=\"retun_page\" value=\"https:\/\/ieanyc.org\/?page_id=134\" \/>\t\t\t\t\t\t\t\t<\/form> \n","protected":false},"excerpt":{"rendered":"<p>If you&#8217;d like to make a tax deductible donation to IEA, please complete the following form. All fields marked with * are required. IEA is dedicated to offering classes and programs that demonstrate the integration of expressive arts and psychoanalytic processes. Your contributions would help expand our offerings and promote our unique mission.<\/p>\n","protected":false},"author":455,"featured_media":1594,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-133","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/ieanyc.org\/index.php?rest_route=\/wp\/v2\/pages\/133","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ieanyc.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ieanyc.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ieanyc.org\/index.php?rest_route=\/wp\/v2\/users\/455"}],"replies":[{"embeddable":true,"href":"https:\/\/ieanyc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=133"}],"version-history":[{"count":3,"href":"https:\/\/ieanyc.org\/index.php?rest_route=\/wp\/v2\/pages\/133\/revisions"}],"predecessor-version":[{"id":2050,"href":"https:\/\/ieanyc.org\/index.php?rest_route=\/wp\/v2\/pages\/133\/revisions\/2050"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ieanyc.org\/index.php?rest_route=\/wp\/v2\/media\/1594"}],"wp:attachment":[{"href":"https:\/\/ieanyc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}