
<form action="https://www.half-shekel.org/nl/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="nl_NL" 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;">Hoeveel zou u willen bijdragen?</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>Persoonlijke gegevens en verzendadres geschenk</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="Voornaam" id="field-fname" name="fname" style="width:208px"></dt>
                </div>
                <div class="clear"></div>
                <div class="span6">
                	<dt><input class="required lnamecheck" placeholder="Achternaam" 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="Phone" 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="Adres regel 1" id="field-state" name="address"></dt>
            </div>
            <div class="clear"></div>
            <div class="span6">
                <dt><input placeholder="Adres regel 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="Plaats" type="text" value="" id="field-city" name="city"></dt>
            </div>
            <div class="clear"></div>
            <div class="span6">
                <dt><input type="text" placeholder="Provincie" value="" id="field-state" name="state"></dt>
            </div>
            <div class="clear"></div>
            <div class="span6">
                <dt><input type="text" placeholder="Postcode" 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="">Kies een land</option>
                    <option  value="AF">Afghanistan (Afghanistan)</option><option  value="AX">Alandeilanden (Åland Islands)</option><option  value="AL">Albanië (Albania)</option><option  value="DZ">Algerije (Algeria)</option><option  value="AS">Amerikaans Samoa (American Samoa)</option><option  value="VI">Amerikaanse Maagdeneilanden (U.S. Virgin Islands)</option><option  value="AD">Andorra (Andorra)</option><option  value="AO">Angola (Angola)</option><option  value="AI">Anguilla (Anguilla)</option><option  value="AQ">Antarctica (Antarctica)</option><option  value="AG">Antigua en Barbuda (Antigua and Barbuda)</option><option  value="AR">Argentinië (Argentina)</option><option  value="AM">Armenië (Armenia)</option><option  value="AW">Aruba (Aruba)</option><option  value="AU">Australië (Australia)</option><option  value="AZ">Azerbeidzjan (Azerbaijan)</option><option  value="BS">Bahama’s (Bahamas)</option><option  value="BH">Bahrein (Bahrain)</option><option  value="BD">Bangladesh (Bangladesh)</option><option  value="BB">Barbados (Barbados)</option><option  value="BE">België (Belgium)</option><option  value="BZ">Belize (Belize)</option><option  value="BJ">Benin (Benin)</option><option  value="BM">Bermuda (Bermuda)</option><option  value="BT">Bhutan (Bhutan)</option><option  value="BO">Bolivia (Bolivia)</option><option  value="BA">Bosnië en Herzegovina (Bosnia and Herzegovina)</option><option  value="BW">Botswana (Botswana)</option><option  value="BV">Bouveteiland (Bouvet Island)</option><option  value="BR">Brazilië (Brazil)</option><option  value="BN">Brunei (Brunei)</option><option  value="BG">Bulgarije (Bulgaria)</option><option  value="BF">Burkina Faso (Burkina Faso)</option><option  value="BI">Burundi (Burundi)</option><option  value="KH">Cambodja (Cambodia)</option><option  value="CA">Canada (Canada)</option><option  value="CF">Centraal-Afrikaanse Republiek (Central African Republic)</option><option  value="CL">Chili (Chile)</option><option  value="CN">China (China)</option><option  value="CO">Colombia (Colombia)</option><option  value="KM">Comoren (Comoros)</option><option  value="CG">Congo (Congo - Brazzaville)</option><option  value="CD">Congo-Kinshasa (Congo - Kinshasa)</option><option  value="CK">Cookeilanden (Cook Islands)</option><option  value="CR">Costa Rica (Costa Rica)</option><option  value="CU">Cuba (Cuba)</option><option  value="CY">Cyprus (Cyprus)</option><option  value="DK">Denemarken (Denmark)</option><option  value="DJ">Djibouti (Djibouti)</option><option  value="DM">Dominica (Dominica)</option><option  value="DO">Dominicaanse Republiek (Dominican Republic)</option><option  value="DE">Duitsland (Germany)</option><option  value="EC">Ecuador (Ecuador)</option><option  value="EG">Egypte (Egypt)</option><option  value="SV">El Salvador (El Salvador)</option><option  value="GQ">Equatoriaal-Guinea (Equatorial Guinea)</option><option  value="ER">Eritrea (Eritrea)</option><option  value="EE">Estland (Estonia)</option><option  value="ET">Ethiopië (Ethiopia)</option><option  value="FJ">Fiji (Fiji)</option><option  value="PH">Filipijnen (Philippines)</option><option  value="FI">Finland (Finland)</option><option  value="FR">Frankrijk (France)</option><option  value="GF">Frans-Guyana (French Guiana)</option><option  value="PF">Frans-Polynesië (French Polynesia)</option><option  value="GA">Gabon (Gabon)</option><option  value="GM">Gambia (Gambia)</option><option  value="GE">Georgië (Georgia)</option><option  value="GH">Ghana (Ghana)</option><option  value="GI">Gibraltar (Gibraltar)</option><option  value="GD">Grenada (Grenada)</option><option  value="GR">Griekenland (Greece)</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">Guernsey (Guernsey)</option><option  value="GN">Guinee (Guinea)</option><option  value="GW">Guinee-Bissau (Guinea-Bissau)</option><option  value="GY">Guyana (Guyana)</option><option  value="HT">Haïti (Haiti)</option><option  value="HN">Honduras (Honduras)</option><option  value="HU">Hongarije (Hungary)</option><option  value="HK">Hongkong SAR van China (Hong Kong SAR China)</option><option  value="IE">Ierland (Ireland)</option><option  value="IS">IJsland (Iceland)</option><option  value="IN">India (India)</option><option  value="ID">Indonesië (Indonesia)</option><option  value="IQ">Irak (Iraq)</option><option  value="IR">Iran (Iran)</option><option  value="IM">Isle of Man (Isle of Man)</option><option  value="IL">Israël (Israel)</option><option  value="IT">Italië (Italy)</option><option  value="CI">Ivoorkust (Côte d’Ivoire)</option><option  value="JM">Jamaica (Jamaica)</option><option  value="JP">Japan (Japan)</option><option  value="YE">Jemen (Yemen)</option><option  value="JE">Jersey (Jersey)</option><option  value="JO">Jordanië (Jordan)</option><option  value="CV">Kaapverdië (Cape Verde)</option><option  value="CM">Kameroen (Cameroon)</option><option  value="KZ">Kazachstan (Kazakhstan)</option><option  value="KE">Kenia (Kenya)</option><option  value="KG">Kirgizië (Kyrgyzstan)</option><option  value="KI">Kiribati (Kiribati)</option><option  value="KW">Koeweit (Kuwait)</option><option  value="HR">Kroatië (Croatia)</option><option  value="LA">Laos (Laos)</option><option  value="LS">Lesotho (Lesotho)</option><option  value="LV">Letland (Latvia)</option><option  value="LB">Libanon (Lebanon)</option><option  value="LR">Liberia (Liberia)</option><option  value="LY">Libië (Libya)</option><option  value="LI">Liechtenstein (Liechtenstein)</option><option  value="LT">Litouwen (Lithuania)</option><option  value="LU">Luxemburg (Luxembourg)</option><option  value="MO">Macao SAR van China (Macau SAR China)</option><option  value="MK">Macedonië (Macedonia)</option><option  value="MG">Madagaskar (Madagascar)</option><option  value="MW">Malawi (Malawi)</option><option  value="MV">Maldiven (Maldives)</option><option  value="MY">Maleisië (Malaysia)</option><option  value="ML">Mali (Mali)</option><option  value="MT">Malta (Malta)</option><option  value="MA">Marokko (Morocco)</option><option  value="MQ">Martinique (Martinique)</option><option  value="MR">Mauritanië (Mauritania)</option><option  value="MU">Mauritius (Mauritius)</option><option  value="YT">Mayotte (Mayotte)</option><option  value="MX">Mexico (Mexico)</option><option  value="FM">Micronesië (Micronesia)</option><option  value="MD">Moldavië (Moldova)</option><option  value="MC">Monaco (Monaco)</option><option  value="MN">Mongolië (Mongolia)</option><option  value="ME">Montenegro (Montenegro)</option><option  value="MS">Montserrat (Montserrat)</option><option  value="MZ">Mozambique (Mozambique)</option><option  value="MM">Myanmar (Myanmar [Burma])</option><option  value="NA">Namibië (Namibia)</option><option  value="NR">Nauru (Nauru)</option><option selected="selected" value="NL">Nederland (Netherlands)</option><option  value="AN">Nederlandse Antillen (Netherlands Antilles)</option><option  value="NP">Nepal (Nepal)</option><option  value="NI">Nicaragua (Nicaragua)</option><option  value="NC">Nieuw-Caledonië (New Caledonia)</option><option  value="NZ">Nieuw-Zeeland (New Zealand)</option><option  value="NE">Niger (Niger)</option><option  value="NG">Nigeria (Nigeria)</option><option  value="NU">Niue (Niue)</option><option  value="KP">Noord-Korea (North Korea)</option><option  value="NO">Noorwegen (Norway)</option><option  value="UG">Oeganda (Uganda)</option><option  value="UA">Oekraïne (Ukraine)</option><option  value="UZ">Oezbekistan (Uzbekistan)</option><option  value="OM">Oman (Oman)</option><option  value="TL">Oost-Timor (Timor-Leste)</option><option  value="AT">Oostenrijk (Austria)</option><option  value="PK">Pakistan (Pakistan)</option><option  value="PW">Palau (Palau)</option><option  value="PA">Panama (Panama)</option><option  value="PG">Papoea-Nieuw-Guinea (Papua New Guinea)</option><option  value="PY">Paraguay (Paraguay)</option><option  value="PE">Peru (Peru)</option><option  value="PL">Polen (Poland)</option><option  value="PT">Portugal (Portugal)</option><option  value="PR">Puerto Rico (Puerto Rico)</option><option  value="QA">Qatar (Qatar)</option><option  value="RO">Roemenië (Romania)</option><option  value="RU">Rusland (Russia)</option><option  value="RW">Rwanda (Rwanda)</option><option  value="BL">Saint Barthélemy (Saint Barthélemy)</option><option  value="KN">Saint Kitts en Nevis (Saint Kitts and Nevis)</option><option  value="LC">Saint Lucia (Saint Lucia)</option><option  value="PM">Saint Pierre en Miquelon (Saint Pierre and Miquelon)</option><option  value="VC">Saint Vincent en de Grenadines (Saint Vincent and the Grenadines)</option><option  value="WS">Samoa (Samoa)</option><option  value="SM">San Marino (San Marino)</option><option  value="ST">Sao Tomé en Principe (São Tomé and Príncipe)</option><option  value="SA">Saoedi-Arabië (Saudi Arabia)</option><option  value="SN">Senegal (Senegal)</option><option  value="RS">Servië (Serbia)</option><option  value="CS">Servië en Montenegro (Serbia and Montenegro)</option><option  value="SC">Seychellen (Seychelles)</option><option  value="SL">Sierra Leone (Sierra Leone)</option><option  value="SG">Singapore (Singapore)</option><option  value="SH">Sint-Helena (Saint Helena)</option><option  value="MF">Sint-Maarten (Saint Martin)</option><option  value="SI">Slovenië (Slovenia)</option><option  value="SK">Slowakije (Slovakia)</option><option  value="SD">Soedan (Sudan)</option><option  value="SO">Somalië (Somalia)</option><option  value="ES">Spanje (Spain)</option><option  value="LK">Sri Lanka (Sri Lanka)</option><option  value="SR">Suriname (Suriname)</option><option  value="SJ">Svalbard en Jan Mayen (Svalbard and Jan Mayen)</option><option  value="SZ">Swaziland (Swaziland)</option><option  value="SY">Syrië (Syria)</option><option  value="TJ">Tadzjikistan (Tajikistan)</option><option  value="TW">Taiwan (Taiwan)</option><option  value="TZ">Tanzania (Tanzania)</option><option  value="TH">Thailand (Thailand)</option><option  value="TG">Togo (Togo)</option><option  value="TK">Tokelau (Tokelau)</option><option  value="TO">Tonga (Tonga)</option><option  value="TT">Trinidad en Tobago (Trinidad and Tobago)</option><option  value="TD">Tsjaad (Chad)</option><option  value="CZ">Tsjechië (Czech Republic)</option><option  value="TN">Tunesië (Tunisia)</option><option  value="TR">Turkije (Turkey)</option><option  value="TM">Turkmenistan (Turkmenistan)</option><option  value="TV">Tuvalu (Tuvalu)</option><option  value="UY">Uruguay (Uruguay)</option><option  value="VU">Vanuatu (Vanuatu)</option><option  value="VA">Vaticaanstad (Vatican City)</option><option  value="VE">Venezuela (Venezuela)</option><option  value="GB">Verenigd Koninkrijk (United Kingdom)</option><option  value="AE">Verenigde Arabische Emiraten (United Arab Emirates)</option><option  value="US">Verenigde Staten (United States)</option><option  value="VN">Vietnam (Vietnam)</option><option  value="WF">Wallis en Futuna (Wallis and Futuna)</option><option  value="EH">Westelijke Sahara (Western Sahara)</option><option  value="BY">Wit-Rusland (Belarus)</option><option  value="ZM">Zambia (Zambia)</option><option  value="ZW">Zimbabwe (Zimbabwe)</option><option  value="ZA">Zuid-Afrika (South Africa)</option><option  value="KR">Zuid-Korea (South Korea)</option><option  value="SE">Zweden (Sweden)</option><option  value="CH">Zwitserland (Switzerland)</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;Verberg mijn naam op lijst van donateurs</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;ik wil notificaties ontvangen</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; ik accepteer de algemene <a href="http://half-shekel.org/nl/terms/" target="_blank">voorwaarden en condities</a></a></dt>
        </div>
        <div class="funding-method">
            <h2>Kies een betalingsmethode</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">Recurring monthly payment (PayPal)</label>
            </dl>
            <dl>
                <input type="radio" id="funding-cc" value="cc" name="fundingmethod" checked>
                <label class="funding-cc" for="funding-cc">creditcard</label>
            </dl>
            <dl>
                <lh></lh>
                <input type="radio" id="tax_method" value="tax_method" name="fundingmethod">
                <span>
                	Send a 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">Opmerkingen</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="Ga Verder" 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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