
<form action="https://www.half-shekel.org/fr/fund?project_id=98&step=2" method="post" id="funding-form">
	<input type="hidden" value="" id="hidden_reward_id" name="hidden_reward_id">
	<input type="hidden" value="$" id="funding_currency" name="funding_currency">
	<input type="hidden" value="fr_FR" id="taya-locale" name="taya-locale" />
	<div class="span7">
	<dl>Donations are Tax-Deductible in Israel. For Tax-Deductible options from other coutries see below.</dl>	 
	 
			<h2 class="how_much" style="margin-top:0px;">Combien voudriez-vous contribuer?</h2>
		<ul id="project-rewards-list">
			<li>
				<input class="required min18" max="999999" type="text" value="" id="field-amount" name="amount">
				<span>USD</span>

				<div class="clear"></div>
			</li>
		</ul>
	

			<h2>Designation:</h2><div><select id="designation" name="designation"></select></div><br />
		<h2>Identité et information pour expedition</h2>
		<div class="who-are-you">
			<dl>
				<div class="span6 first" id="title-wrapper">
					<dt>
						<input type="radio" name="title" id="field-mr-title" value="Mr" style="width: 30px;"> <label for="field-mr-title">Mr.</label>
					</dt>
					<dt>
						<input type="radio" name="title" id="field-mrs-title" value="Mrs" style="width: 30px;"> <label for="field-mrs-title">Mrs.</label>
					</dt>
					<dt>
						<input type="radio" name="title" id="field-ms-title" value="Ms" style="width: 30px;"> <label for="field-ms-title">Ms.</label>
					</dt>
					<dt>
						<input type="radio" name="title" id="field-other-title" value="other" style="width: 30px;"> <label for="field-other-title">Other</label>
					</dt>
				</div>
				<div class="clear"></div>
				<div class="span6" id="other-title-wrapper" style="display: none;">
					<dt><input type="text" value="" placeholder="Title" id="field-title" name="other-title" style="width:208px;"></dt>
				</div>
				<div class="clear"></div>
				<div class="span6"><lh><label for="field-fname"></label></lh>
                    <dt><input class="required" type="text" value="" placeholder="Prénom" id="field-fname" name="fname" style="width:208px"></dt>
                </div>
                <div class="clear"></div>
                <div class="span6">
                	<dt><input class="required lnamecheck" placeholder="Nom De Famille" type="text" value="" id="field-lname" name="lname" style="width:208px"></dt>
                </div>
                <div class="clear"></div>
                <div class="span6">
                	<dt><input placeholder="Tax ID" type="text" value="" id="field-tax_id" name="tax_id" style="width:208px"></dt>
                </div>
                <div class="clear"></div>
                <div class="span6">
                	<dt><input class="required email" placeholder="Email" type="text" value="" id="field-email" name="email" style="width:208px"></dt>
                </div>
				<div class="clear"></div>
				<div class="span6">
					<dt><input class="phone" placeholder="Téléphone" type="text" value="" id="field-phone" name="phone" style="width:208px"></dt>
				</div>
            </dl>
            <div class="clear"></div>
            <div class="span6 first">
            	<dt><input class="required" type="text" value="" placeholder="Adresse ligne 1" id="field-state" name="address"></dt>
            </div>
            <div class="clear"></div>
            <div class="span6">
                <dt><input placeholder="Adresse ligne 2" type="text" value="" id="field-second_address" name="second_address"></dt>
            </div>
            <div class="clear"></div>
            <div class="span6 first">
                <dt><input class="required" placeholder="Ville" type="text" value="" id="field-city" name="city"></dt>
            </div>
            <div class="clear"></div>
            <div class="span6">
                <dt><input type="text" placeholder="Etat" value="" id="field-state" name="state"></dt>
            </div>
            <div class="clear"></div>
            <div class="span6">
                <dt><input type="text" placeholder="Code postal" value="" id="field-state" name="zipcode"></dt>
            </div>
            <div class="clear"></div>
            <div class="span6">
                            <dt><select class="chzn-select" name="funder_country">
                    <option value="">Choisissez un pays</option>
                    <option  value="AF">Afghanistan (Afghanistan)</option><option  value="ZA">Afrique du Sud (South Africa)</option><option  value="AL">Albanie (Albania)</option><option  value="DZ">Algérie (Algeria)</option><option  value="DE">Allemagne (Germany)</option><option  value="AD">Andorre (Andorra)</option><option  value="AO">Angola (Angola)</option><option  value="AI">Anguilla (Anguilla)</option><option  value="AQ">Antarctique (Antarctica)</option><option  value="AG">Antigua-et-Barbuda (Antigua and Barbuda)</option><option  value="AN">Antilles néerlandaises (Netherlands Antilles)</option><option  value="SA">Arabie saoudite (Saudi Arabia)</option><option  value="AR">Argentine (Argentina)</option><option  value="AM">Arménie (Armenia)</option><option  value="AW">Aruba (Aruba)</option><option  value="AU">Australie (Australia)</option><option  value="AT">Autriche (Austria)</option><option  value="AZ">Azerbaïdjan (Azerbaijan)</option><option  value="BS">Bahamas (Bahamas)</option><option  value="BH">Bahreïn (Bahrain)</option><option  value="BD">Bangladesh (Bangladesh)</option><option  value="BB">Barbade (Barbados)</option><option  value="BY">Bélarus (Belarus)</option><option  value="BE">Belgique (Belgium)</option><option  value="BZ">Belize (Belize)</option><option  value="BJ">Bénin (Benin)</option><option  value="BM">Bermudes (Bermuda)</option><option  value="BT">Bhoutan (Bhutan)</option><option  value="BO">Bolivie (Bolivia)</option><option  value="BA">Bosnie-Herzégovine (Bosnia and Herzegovina)</option><option  value="BW">Botswana (Botswana)</option><option  value="BR">Brésil (Brazil)</option><option  value="BN">Brunéi Darussalam (Brunei)</option><option  value="BG">Bulgarie (Bulgaria)</option><option  value="BF">Burkina Faso (Burkina Faso)</option><option  value="BI">Burundi (Burundi)</option><option  value="KH">Cambodge (Cambodia)</option><option  value="CM">Cameroun (Cameroon)</option><option  value="CA">Canada (Canada)</option><option  value="CV">Cap-Vert (Cape Verde)</option><option  value="CL">Chili (Chile)</option><option  value="CN">Chine (China)</option><option  value="CY">Chypre (Cyprus)</option><option  value="CO">Colombie (Colombia)</option><option  value="KM">Comores (Comoros)</option><option  value="CG">Congo (Congo - Brazzaville)</option><option  value="KP">Corée du Nord (North Korea)</option><option  value="KR">Corée du Sud (South Korea)</option><option  value="CR">Costa Rica (Costa Rica)</option><option  value="CI">Côte d’Ivoire (Côte d’Ivoire)</option><option  value="HR">Croatie (Croatia)</option><option  value="CU">Cuba (Cuba)</option><option  value="DK">Danemark (Denmark)</option><option  value="DJ">Djibouti (Djibouti)</option><option  value="DM">Dominique (Dominica)</option><option  value="EG">Égypte (Egypt)</option><option  value="SV">El Salvador (El Salvador)</option><option  value="AE">Émirats arabes unis (United Arab Emirates)</option><option  value="EC">Équateur (Ecuador)</option><option  value="ER">Érythrée (Eritrea)</option><option  value="ES">Espagne (Spain)</option><option  value="EE">Estonie (Estonia)</option><option  value="VA">État de la Cité du Vatican (Vatican City)</option><option  value="FM">États fédérés de Micronésie (Micronesia)</option><option  value="US">États-Unis (United States)</option><option  value="ET">Éthiopie (Ethiopia)</option><option  value="FJ">Fidji (Fiji)</option><option  value="FI">Finlande (Finland)</option><option selected="selected" value="FR">France (France)</option><option  value="GA">Gabon (Gabon)</option><option  value="GM">Gambie (Gambia)</option><option  value="GE">Géorgie (Georgia)</option><option  value="GH">Ghana (Ghana)</option><option  value="GI">Gibraltar (Gibraltar)</option><option  value="GR">Grèce (Greece)</option><option  value="GD">Grenade (Grenada)</option><option  value="GL">Groenland (Greenland)</option><option  value="GP">Guadeloupe (Guadeloupe)</option><option  value="GU">Guam (Guam)</option><option  value="GT">Guatemala (Guatemala)</option><option  value="GG">Guernesey (Guernsey)</option><option  value="GN">Guinée (Guinea)</option><option  value="GQ">Guinée équatoriale (Equatorial Guinea)</option><option  value="GW">Guinée-Bissau (Guinea-Bissau)</option><option  value="GY">Guyana (Guyana)</option><option  value="GF">Guyane française (French Guiana)</option><option  value="HT">Haïti (Haiti)</option><option  value="HN">Honduras (Honduras)</option><option  value="HU">Hongrie (Hungary)</option><option  value="BV">Île Bouvet (Bouvet Island)</option><option  value="IM">Île de Man (Isle of Man)</option><option  value="AX">Îles Åland (Åland Islands)</option><option  value="CK">Îles Cook (Cook Islands)</option><option  value="VI">Îles Vierges des États-Unis (U.S. Virgin Islands)</option><option  value="IN">Inde (India)</option><option  value="ID">Indonésie (Indonesia)</option><option  value="IQ">Irak (Iraq)</option><option  value="IR">Iran (Iran)</option><option  value="IE">Irlande (Ireland)</option><option  value="IS">Islande (Iceland)</option><option  value="IL">Israël (Israel)</option><option  value="IT">Italie (Italy)</option><option  value="JM">Jamaïque (Jamaica)</option><option  value="JP">Japon (Japan)</option><option  value="JE">Jersey (Jersey)</option><option  value="JO">Jordanie (Jordan)</option><option  value="KZ">Kazakhstan (Kazakhstan)</option><option  value="KE">Kenya (Kenya)</option><option  value="KG">Kirghizistan (Kyrgyzstan)</option><option  value="KI">Kiribati (Kiribati)</option><option  value="KW">Koweït (Kuwait)</option><option  value="LA">Laos (Laos)</option><option  value="LS">Lesotho (Lesotho)</option><option  value="LV">Lettonie (Latvia)</option><option  value="LB">Liban (Lebanon)</option><option  value="LR">Libéria (Liberia)</option><option  value="LY">Libye (Libya)</option><option  value="LI">Liechtenstein (Liechtenstein)</option><option  value="LT">Lituanie (Lithuania)</option><option  value="LU">Luxembourg (Luxembourg)</option><option  value="MK">Macédoine (Macedonia)</option><option  value="MG">Madagascar (Madagascar)</option><option  value="MY">Malaisie (Malaysia)</option><option  value="MW">Malawi (Malawi)</option><option  value="MV">Maldives (Maldives)</option><option  value="ML">Mali (Mali)</option><option  value="MT">Malte (Malta)</option><option  value="MA">Maroc (Morocco)</option><option  value="MQ">Martinique (Martinique)</option><option  value="MU">Maurice (Mauritius)</option><option  value="MR">Mauritanie (Mauritania)</option><option  value="YT">Mayotte (Mayotte)</option><option  value="MX">Mexique (Mexico)</option><option  value="MD">Moldavie (Moldova)</option><option  value="MC">Monaco (Monaco)</option><option  value="MN">Mongolie (Mongolia)</option><option  value="ME">Monténégro (Montenegro)</option><option  value="MS">Montserrat (Montserrat)</option><option  value="MZ">Mozambique (Mozambique)</option><option  value="MM">Myanmar (Myanmar [Burma])</option><option  value="NA">Namibie (Namibia)</option><option  value="NR">Nauru (Nauru)</option><option  value="NP">Népal (Nepal)</option><option  value="NI">Nicaragua (Nicaragua)</option><option  value="NE">Niger (Niger)</option><option  value="NG">Nigéria (Nigeria)</option><option  value="NU">Niue (Niue)</option><option  value="NO">Norvège (Norway)</option><option  value="NC">Nouvelle-Calédonie (New Caledonia)</option><option  value="NZ">Nouvelle-Zélande (New Zealand)</option><option  value="OM">Oman (Oman)</option><option  value="UG">Ouganda (Uganda)</option><option  value="UZ">Ouzbékistan (Uzbekistan)</option><option  value="PK">Pakistan (Pakistan)</option><option  value="PW">Palaos (Palau)</option><option  value="PA">Panama (Panama)</option><option  value="PG">Papouasie-Nouvelle-Guinée (Papua New Guinea)</option><option  value="PY">Paraguay (Paraguay)</option><option  value="NL">Pays-Bas (Netherlands)</option><option  value="PE">Pérou (Peru)</option><option  value="PH">Philippines (Philippines)</option><option  value="PL">Pologne (Poland)</option><option  value="PF">Polynésie française (French Polynesia)</option><option  value="PR">Porto Rico (Puerto Rico)</option><option  value="PT">Portugal (Portugal)</option><option  value="QA">Qatar (Qatar)</option><option  value="HK">R.A.S. chinoise de Hong Kong (Hong Kong SAR China)</option><option  value="MO">R.A.S. chinoise de Macao (Macau SAR China)</option><option  value="CF">République centrafricaine (Central African Republic)</option><option  value="CD">République démocratique du Congo (Congo - Kinshasa)</option><option  value="DO">République dominicaine (Dominican Republic)</option><option  value="CZ">République tchèque (Czech Republic)</option><option  value="RO">Roumanie (Romania)</option><option  value="GB">Royaume-Uni (United Kingdom)</option><option  value="RU">Russie (Russia)</option><option  value="RW">Rwanda (Rwanda)</option><option  value="EH">Sahara occidental (Western Sahara)</option><option  value="BL">Saint-Barthélémy (Saint Barthélemy)</option><option  value="KN">Saint-Kitts-et-Nevis (Saint Kitts and Nevis)</option><option  value="SM">Saint-Marin (San Marino)</option><option  value="MF">Saint-Martin (Saint Martin)</option><option  value="PM">Saint-Pierre-et-Miquelon (Saint Pierre and Miquelon)</option><option  value="VC">Saint-Vincent-et-les Grenadines (Saint Vincent and the Grenadines)</option><option  value="SH">Sainte-Hélène (Saint Helena)</option><option  value="LC">Sainte-Lucie (Saint Lucia)</option><option  value="WS">Samoa (Samoa)</option><option  value="AS">Samoa américaines (American Samoa)</option><option  value="ST">Sao Tomé-et-Principe (São Tomé and Príncipe)</option><option  value="SN">Sénégal (Senegal)</option><option  value="RS">Serbie (Serbia)</option><option  value="CS">Serbie-et-Monténégro (Serbia and Montenegro)</option><option  value="SC">Seychelles (Seychelles)</option><option  value="SL">Sierra Leone (Sierra Leone)</option><option  value="SG">Singapour (Singapore)</option><option  value="SK">Slovaquie (Slovakia)</option><option  value="SI">Slovénie (Slovenia)</option><option  value="SO">Somalie (Somalia)</option><option  value="SD">Soudan (Sudan)</option><option  value="LK">Sri Lanka (Sri Lanka)</option><option  value="SE">Suède (Sweden)</option><option  value="CH">Suisse (Switzerland)</option><option  value="SR">Suriname (Suriname)</option><option  value="SJ">Svalbard et Île Jan Mayen (Svalbard and Jan Mayen)</option><option  value="SZ">Swaziland (Swaziland)</option><option  value="SY">Syrie (Syria)</option><option  value="TJ">Tadjikistan (Tajikistan)</option><option  value="TW">Taïwan (Taiwan)</option><option  value="TZ">Tanzanie (Tanzania)</option><option  value="TD">Tchad (Chad)</option><option  value="TH">Thaïlande (Thailand)</option><option  value="TL">Timor oriental (Timor-Leste)</option><option  value="TG">Togo (Togo)</option><option  value="TK">Tokelau (Tokelau)</option><option  value="TO">Tonga (Tonga)</option><option  value="TT">Trinité-et-Tobago (Trinidad and Tobago)</option><option  value="TN">Tunisie (Tunisia)</option><option  value="TM">Turkménistan (Turkmenistan)</option><option  value="TR">Turquie (Turkey)</option><option  value="TV">Tuvalu (Tuvalu)</option><option  value="UA">Ukraine (Ukraine)</option><option  value="UY">Uruguay (Uruguay)</option><option  value="VU">Vanuatu (Vanuatu)</option><option  value="VE">Venezuela (Venezuela)</option><option  value="VN">Viêt Nam (Vietnam)</option><option  value="WF">Wallis-et-Futuna (Wallis and Futuna)</option><option  value="YE">Yémen (Yemen)</option><option  value="ZM">Zambie (Zambia)</option><option  value="ZW">Zimbabwe (Zimbabwe)</option>                </select>
            </dt>
            </div>
<div class="clear"></div>
            <lh>&nbsp;</lh>
            <dt><input type="checkbox" value="yes" style="margin-top:0!important;" id="field-hide_name" name="hide_name"> &nbsp;Cachez mon nom dans la liste de donnateurs</dt>
            <lh>&nbsp;</lh>
            <dt><input type="checkbox" value="Yes I want to get notifications" style="margin-top:0!important;" id="field-yes_notification" name="yes_notification"> &nbsp;Je voudrais recevoir des informations par e-mail</dt>
            <lh>&nbsp;</lh>
            <dt><input class="required" type="checkbox" value="i_agree" style="margin-top:0!important;" id="field-i_agree" name="i_agree">&nbsp; Je comprends et j'accepte <a href="http://half-shekel.org/fr/terms/" target="_blank">les conditions</a></a></dt>
        </div>
        <div class="funding-method">
            <h2>Choisissez un mode de payement</h2>
            <dl>
                <lh><label for="fundingmethod"></label></lh>
                <input type="radio" id="funding-paypal" value="paypal" name="fundingmethod">
                &nbsp;<img src="/wp-content/themes/funding_press/img/paypal.png" alt="Solution Graphics">
            </dl>
            <dl>
                <input type="radio" id="funding-paypalrecurring" value="paypalrecurring" name="fundingmethod">
                <label class="funding-cc" for="funding-paypalrecurring">Paiement mensuel récurrent (PayPal)</label>
            </dl>
            <dl>
                <input type="radio" id="funding-cc" value="cc" name="fundingmethod" checked>
                <label class="funding-cc" for="funding-cc">Carte de credit</label>
            </dl>
            <dl>
                <lh></lh>
                <input type="radio" id="tax_method" value="tax_method" name="fundingmethod">
                <span>
                	Envoyer un Check                </span>
                <!--<span> For US Tax-Deductible payments and  501 (c)(3) receipt, please contact us for further information.
                 <a href="mailto:siftingtm@gmail.com ">click here</a> </span>-->
            </dl>
        </div>
        <div class="clear"></div>
        <h2 class="funding-comments-title">Commentaires</h2>
        <p class="note">
					</p>

        <ul id="funding-comments" class="funding-textarea">
            <li>
                <textarea name="message" ></textarea>
            </li>
        </ul>
        <br />
		<h2>Dedication: Honor or Memorialize a loved one</h2>
		<ul id="funding-dedication" class="funding-textarea">
            <li>
                <textarea name="dedication"></textarea>
            </li>
        </ul>
    	<br />
		<div class="g-recaptcha" data-sitekey="6LeZsCcUAAAAAFLilFdTlW8PfOSbBHz3ylzszdk7" data-callback="recaptcha_callback"></div>
    	<br />
		<div class="submit datasub">
            <div class="span7">
                <input id="form_submit_button" type="submit" value="Continuer" data-after-submit-value="Please wait..." class="button-green button-medium button-contribute">
            </div>
        </div>
        <div class="span3">&nbsp;</div>
        <div class="clear"></div>
    </div>


<div class="clear"></div>

</form>
<style>
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