{"id":603,"date":"2012-04-26T14:20:07","date_gmt":"2012-04-26T14:20:07","guid":{"rendered":"http:\/\/www.jaderiderjourneys.com\/2endslavery\/?page_id=603"},"modified":"2012-05-01T22:27:31","modified_gmt":"2012-05-01T22:27:31","slug":"donation-form","status":"publish","type":"page","link":"https:\/\/www.jaderiderjourneys.com\/2endslavery\/donation-form\/","title":{"rendered":"Donation form"},"content":{"rendered":"<div id=\"vfb-form-1\" class=\"visual-form-builder-container\"><form id=\"2013-donation-form-1\" class=\"visual-form-builder vfb-form-1 \" method=\"post\" enctype=\"multipart\/form-data\">\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"1\" \/><fieldset class=\"vfb-fieldset vfb-fieldset-1 donation-form \" id=\"item-vfb-1\"><div class=\"vfb-legend\"><h3>Donation Form<\/h3><\/div><ul class=\"vfb-section vfb-section-1\"><li class=\"vfb-item vfb-item-instructions  \" id=\"item-vfb-9\"><label class=\"vfb-desc\">2013 5,000 miles 2EndSlavery <\/label><img loading=\"lazy\" decoding=\"async\" width=\"175\" height=\"77\" alt=\"\" src=\"http:\/\/www.jaderiderjourneys.com\/pegs\/small_Abramz_Stop_Alaska.jpg\">\r\n<p>\r\nThank you for considering becoming a sponsor for the 2013 2EndSlavery fund raising ride.  \r\n<p>\r\nThrough this form, you are pledging to become a ride supporter.  No funds will be collected through this site.  You are only committing to send a donation to the Polaris Project, Redeemed Ministries in Houston , or IJM, to fight slavery and human trafficking, and\/or to become a prayer supporter for this event.  \r\n<br clear=all>\r\nOnce you submit your contact information, you will be directed a page with links to the <b>Polaris Project donation web site, the Redeemed Ministries web site, International Justice Mission Site<\/b>  to fulfill your pledge.\r\n<p>\r\n<b>Help Blast the Goal: $8,100.00 for the 27,000,000 enslaved\r\n<p>\r\nThanks again!<\/b>\r\n<hr><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-10\"><label for=\"vfb-10\" class=\"vfb-desc\">Name  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-10\" id=\"vfb-10\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-address  \" id=\"item-vfb-7\"><label class=\"vfb-desc\">Address <\/label><div><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-7[address]\" id=\"vfb-7-address\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-7-address\">Street Address<\/label><\/span><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-7[address-2]\" id=\"vfb-7-address-2\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-7-address-2\">Apt, Suite, Bldg. (optional)<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-7[city]\" id=\"vfb-7-city\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-7-city\">City<\/label><\/span><span class=\"vfb-right\"><input type=\"text\" name=\"vfb-7[state]\" id=\"vfb-7-state\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-7-state\">State \/ Province \/ Region<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-7[zip]\" id=\"vfb-7-zip\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-7-zip\">Postal \/ Zip Code<\/label><\/span><span class=\"vfb-right\"><select name=\"vfb-7[country]\" class=\"vfb-select  \" id=\"vfb-7-country\"><option value=\"\"><\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Belize\">Belize<\/option><option value=\"Benin\">Benin<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"Brunei\">Brunei<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Canada\">Canada<\/option><option value=\"Cape Verde\">Cape Verde<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo (Brazzaville)\">Congo (Brazzaville)<\/option><option value=\"Congo\">Congo<\/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=\"Cyprus\">Cyprus<\/option><option value=\"Czech Republic\">Czech Republic<\/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=\"East Timor (Timor Timur)\">East Timor (Timor Timur)<\/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=\"Fiji\">Fiji<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia, The\">Gambia, The<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Greece\">Greece<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/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=\"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=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Korea, North\">Korea, North<\/option><option value=\"Korea, South\">Korea, South<\/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=\"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=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/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=\"Morocco\">Morocco<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Netherlands\">Netherlands<\/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=\"Norway\">Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palestinian Territory\">Palestinian Territory<\/option><option value=\"Palau\">Palau<\/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=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russia\">Russia<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Saint Vincent\">Saint Vincent<\/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=\"South Africa\">South Africa<\/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=\"Swaziland\">Swaziland<\/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=\"Togo\">Togo<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Turkmenistan\">Turkmenistan<\/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 of America\" selected='selected'>United States of America<\/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=\"Western Sahara\">Western Sahara<\/option><option value=\"Western Samoa\">Western Samoa<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><label for=\"vfb-7-country\">Country<\/label><\/span><\/div><\/li><li class=\"vfb-item vfb-item-phone  \" id=\"item-vfb-8\"><label for=\"vfb-8\" class=\"vfb-desc\">Phone <\/label><input type=\"tel\" name=\"vfb-8\" id=\"vfb-8\" value=\"\" class=\"vfb-text  vfb-medium   phone \" \/><\/li><li class=\"vfb-item vfb-item-email   vfb-left-half\" id=\"item-vfb-6\"><label for=\"vfb-6\" class=\"vfb-desc\">Email  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"email\" name=\"vfb-6\" id=\"vfb-6\" value=\"\" class=\"vfb-text  vfb-medium  required  email \" \/><\/li><li class=\"vfb-item vfb-item-checkbox  vfb-auto-column \" id=\"item-vfb-18\"><label class=\"vfb-desc\">I would like to support the 2EndSlavery effort this way:  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span><label>Please choose <b>one or more options below<\/b><\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-18[]\" id=\"vfb-18-0\" value=\"by pledging an amount per mile upon the completion of the trip (see field below to specify amount):\" class=\"vfb-checkbox  required \" \/><label for=\"vfb-18-0\" class=\"vfb-choice\">by pledging an amount per mile upon the completion of the trip (see field below to specify amount):<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-18[]\" id=\"vfb-18-1\" value=\"by contributing a fixed amount (see field below to specify amount):\" class=\"vfb-checkbox  required \" \/><label for=\"vfb-18-1\" class=\"vfb-choice\">by contributing a fixed amount (see field below to specify amount):<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-18[]\" id=\"vfb-18-2\" value=\"$27.00 as a symbol of the 27 million people who are enslaved today\" class=\"vfb-checkbox  required \" \/><label for=\"vfb-18-2\" class=\"vfb-choice\">$27.00 as a symbol of the 27 million people who are enslaved today<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-18[]\" id=\"vfb-18-3\" value=\"by pledging to pray for the captives and this effort during the trip\" class=\"vfb-checkbox  required \" checked='checked' \/><label for=\"vfb-18-3\" class=\"vfb-choice\">by pledging to pray for the captives and this effort during the trip<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-currency  \" id=\"item-vfb-15\"><label for=\"vfb-15\" class=\"vfb-desc\">I am pledging an amount per mile! Here is my pledged amount: <\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-15\" id=\"vfb-15\" value=\"\" class=\"vfb-text  vfb-medium   number \" \/><label>Orange Level Sponsors contribute $1.00\/mile or more<\/label><\/span><\/li><li class=\"vfb-item vfb-item-currency  \" id=\"item-vfb-19\"><label for=\"vfb-19\" class=\"vfb-desc\">I am pledging a fixed amount: <\/label><input type=\"text\" name=\"vfb-19\" id=\"vfb-19\" value=\"\" class=\"vfb-text  vfb-medium   number \" \/><\/li><li class=\"vfb-item vfb-item-checkbox  vfb-auto-column \" id=\"item-vfb-12\"><label class=\"vfb-desc\">My donation will go to:  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-12[]\" id=\"vfb-12-0\" value=\"Polaris Project\" class=\"vfb-checkbox  required \" \/><label for=\"vfb-12-0\" class=\"vfb-choice\">Polaris Project<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-12[]\" id=\"vfb-12-1\" value=\"International Justice Mission\" class=\"vfb-checkbox  required \" \/><label for=\"vfb-12-1\" class=\"vfb-choice\">International Justice Mission<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-13\"><label for=\"vfb-13\" class=\"vfb-desc\">Please feel free to leave a comment <\/label><div><textarea name=\"vfb-13\" id=\"vfb-13\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-2 verification \" id=\"item-vfb-2\" style=\"display:block\"><div class=\"vfb-legend\"><h3>Verification<\/h3><\/div><ul class=\"vfb-section vfb-section-2\"><li class=\"vfb-item vfb-item-secret\"  style=\"display:block\"><label for=\"vfb-3\" class=\"vfb-desc\">Just to know that you are human, please enter ANY TWO NUMBERS with no spaces (Example: 12) <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"hidden\" name=\"_vfb-secret\" value=\"vfb-3\" \/><input type=\"text\" name=\"vfb-3\" id=\"vfb-3\" value=\"\" class=\"vfb-text  vfb-medium  required {digits:true,maxlength:2,minlength:2} \" style=\"display:block\" \/><li style=\"display:none;\"><label>This box is for spam protection - <strong>please leave it blank<\/strong>:<\/label><div><input name=\"vfb-spam\" \/><\/div><\/li>\n\t\t\t<li class=\"vfb-item vfb-item-submit\" id=\"item-vfb-4\">\n\t\t\t\t\t\t<input type=\"submit\" name=\"vfb-submit\" id=\"vfb-4\" value=\"Submit\" class=\"vfb-submit \" \/>\n\t\t\t\t\t\t<\/li><\/ul>\n\t\t\t<\/fieldset><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/2endslavery\/wp-json\/wp\/v2\/pages\/603\" \/><\/form><\/div> <!-- .visual-form-builder-container -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"_s2mail":"","jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-603","page","type-page","status-publish","hentry"],"jetpack_shortlink":"https:\/\/wp.me\/P2o6Hc-9J","jetpack_sharing_enabled":true,"jetpack_likes_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/www.jaderiderjourneys.com\/2endslavery\/wp-json\/wp\/v2\/pages\/603","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.jaderiderjourneys.com\/2endslavery\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.jaderiderjourneys.com\/2endslavery\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.jaderiderjourneys.com\/2endslavery\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.jaderiderjourneys.com\/2endslavery\/wp-json\/wp\/v2\/comments?post=603"}],"version-history":[{"count":4,"href":"https:\/\/www.jaderiderjourneys.com\/2endslavery\/wp-json\/wp\/v2\/pages\/603\/revisions"}],"predecessor-version":[{"id":613,"href":"https:\/\/www.jaderiderjourneys.com\/2endslavery\/wp-json\/wp\/v2\/pages\/603\/revisions\/613"}],"wp:attachment":[{"href":"https:\/\/www.jaderiderjourneys.com\/2endslavery\/wp-json\/wp\/v2\/media?parent=603"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}