{"id":28920,"date":"2022-05-05T13:12:49","date_gmt":"2022-05-05T17:12:49","guid":{"rendered":"https:\/\/jewishpb.org\/fed\/?p=28920"},"modified":"2022-05-11T12:22:35","modified_gmt":"2022-05-11T16:22:35","slug":"volunteer2gether_mission_payment","status":"publish","type":"post","link":"https:\/\/jewishpb.org\/fed\/2022\/05\/05\/volunteer2gether_mission_payment\/","title":{"rendered":"VOLUNTEER2GETHER MISSION TO ISRAEL: PAYMENT FORM"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28294\" src=\"https:\/\/jewishpb.org\/fed\/wp-content\/uploads\/2022\/03\/MissionRegPageTop_1200x630_3.17.jpg\" alt=\"\" width=\"1200\" height=\"630\" srcset=\"https:\/\/jewishpb.org\/fed\/wp-content\/uploads\/2022\/03\/MissionRegPageTop_1200x630_3.17.jpg 1200w, https:\/\/jewishpb.org\/fed\/wp-content\/uploads\/2022\/03\/MissionRegPageTop_1200x630_3.17-768x403.jpg 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/p>\n<p><strong><span style=\"font-family: ITCAvantGardeStd-Bk; font-size: 21px;\">Thank you for registering for the Volunteer2Gether Mission to Israel.\u00a0<\/span><\/strong><\/p>\n<p><strong><span style=\"font-family: ITCAvantGardeStd-Bk; font-size: 16px;\">Complete the below form to pay your balance.<\/span><\/strong><\/p>\n<div class=\"wpforms-container wpforms-container-full wpforms-authnet\" id=\"wpforms-28960\"><form id=\"wpforms-form-28960\" class=\"wpforms-validate wpforms-form\" data-formid=\"28960\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/fed\/wp-json\/wp\/v2\/posts\/28920\" data-token=\"a1073fadeb3e76ca157f16aeb55e682b\" data-token-time=\"1780723440\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-28960-field_63-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"63\"><label class=\"wpforms-field-label\" for=\"wpforms-28960-field_63\">Participant 1 (P1) Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-28960-field_63\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][63]\" required><\/div><div id=\"wpforms-28960-field_6-container\" class=\"wpforms-field wpforms-field-address\" data-field-type=\"address\" data-field-id=\"6\"><label class=\"wpforms-field-label\">(P1) Address <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-28960-field_6\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][6][address1]\" required><label for=\"wpforms-28960-field_6\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-28960-field_6-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][6][address2]\" ><label for=\"wpforms-28960-field_6-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-28960-field_6-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][6][city]\" required><label for=\"wpforms-28960-field_6-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-28960-field_6-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][6][state]\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select state ---<\/option><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-28960-field_6-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-28960-field_6-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][6][postal]\" required><label for=\"wpforms-28960-field_6-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-28960-field_7-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-28960-field_7\">(P1) Cell Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-28960-field_7\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][7]\" aria-label=\"(P1) Cell Phone\" required><\/div><div id=\"wpforms-28960-field_8-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-28960-field_8\">(P1) Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-28960-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-28960-field_80-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"payment-select\" data-field-id=\"80\"><label class=\"wpforms-field-label\" for=\"wpforms-28960-field_80\">I would like to pay: <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-28960-field_80\" class=\"wpforms-payment-price wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][80]\" required=\"required\"><option value=\"1\" data-amount=\"4,700.00\" >Balance for Single - $4,700<\/option><option value=\"4\" data-amount=\"7,400.00\" >Balance for Double - $7,400<\/option><option value=\"2\" data-amount=\"0.00\" >Other Amount<\/option><\/select><\/div><div id=\"wpforms-28960-field_82-container\" class=\"wpforms-field wpforms-field-payment-single wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"payment-single\" data-field-id=\"82\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-28960-field_82\">Custom Amount<\/label><input type=\"text\" id=\"wpforms-28960-field_82\" class=\"wpforms-field-small wpforms-payment-user-input wpforms-payment-price\" data-rule-currency=\"[&quot;$&quot;,false]\" name=\"wpforms[fields][82]\" placeholder=\"enter amount\"><\/div><div id=\"wpforms-28960-field_76-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"76\"><label class=\"wpforms-field-label\" for=\"wpforms-28960-field_76\">Participant 2 (P2) Name (if applicable)<\/label><input type=\"text\" id=\"wpforms-28960-field_76\" class=\"wpforms-field-medium\" name=\"wpforms[fields][76]\" ><\/div><div id=\"wpforms-28960-field_25-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-28960-field_25\">(P2) Cell Phone (if applicable)<\/label><input type=\"tel\" id=\"wpforms-28960-field_25\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][25]\" aria-label=\"(P2) Cell Phone (if applicable)\" ><\/div><div id=\"wpforms-28960-field_26-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-28960-field_26\">(P2) Email (if applicable)<\/label><input type=\"email\" id=\"wpforms-28960-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" spellcheck=\"false\" ><\/div><div id=\"wpforms-28960-field_61-container\" class=\"wpforms-field wpforms-field-payment-total wpforms-field-medium\" data-field-type=\"payment-total\" data-field-id=\"61\"><label class=\"wpforms-field-label\">Total<\/label><div class=\"wpforms-payment-total\" style=\"\">&#036;0.00<\/div><input type=\"hidden\" id=\"wpforms-28960-field_61\" class=\"wpforms-field-medium wpforms-payment-total\" name=\"wpforms[fields][61]\" value=\"0\"><\/div><div id=\"wpforms-28960-field_60-container\" class=\"wpforms-field wpforms-field-credit-card\" data-field-type=\"credit-card\" data-field-id=\"60\"><label class=\"wpforms-field-label\">Credit Card<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-credit-card-number\"><label for=\"wpforms-28960-field_60\" class=\"wpforms-field-sublabel before\">Card Number<\/label><input type=\"text\" id=\"wpforms-28960-field_60\" class=\"wpforms-field-credit-card-cardnumber\" data-rule-creditcard=\"yes\" autocomplete=\"off\" ><\/div><div class=\"wpforms-field-credit-card-code\"><label for=\"wpforms-28960-field_60-cardcvc\" class=\"wpforms-field-sublabel before\">Security Code<\/label><input type=\"text\" id=\"wpforms-28960-field_60-cardcvc\" class=\"wpforms-field-credit-card-cardcvc\" maxlength=\"4\" autocomplete=\"off\" ><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-credit-card-name\"><label for=\"wpforms-28960-field_60-cardname\" class=\"wpforms-field-sublabel before\">Name on Card<\/label><input type=\"text\" id=\"wpforms-28960-field_60-cardname\" class=\"wpforms-field-credit-card-cardname\" ><\/div><div class=\"wpforms-field-credit-card-expiration\"><label for=\"wpforms-28960-field_60-cardmonth\" class=\"wpforms-field-sublabel before\">Expiration<\/label><select id=\"wpforms-28960-field_60-cardmonth\" class=\"wpforms-field-credit-card-cardmonth\" ><option class=\"placeholder\" selected disabled>MM<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><\/select><span>\/<\/span><select id=\"wpforms-28960-field_60-cardyear\" class=\"wpforms-field-credit-card-cardyear\" ><option class=\"placeholder\" selected disabled>YY<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><option value=\"32\">32<\/option><option value=\"33\">33<\/option><option value=\"34\">34<\/option><option value=\"35\">35<\/option><option value=\"36\">36<\/option><\/select><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-28960-field-hp\" class=\"wpforms-field-label\">Website<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-28960-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v3\" ><input type=\"hidden\" name=\"wpforms[recaptcha]\" value=\"\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"28960\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/jewishpb.org\/fed\/wp-json\/wp\/v2\/posts\/28920\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-28960\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"<p>Thank you for registering for the Volunteer2Gether Mission to Israel.\u00a0 Complete the below form to pay your balance.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-28920","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"acf":[],"_links":{"self":[{"href":"https:\/\/jewishpb.org\/fed\/wp-json\/wp\/v2\/posts\/28920","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jewishpb.org\/fed\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jewishpb.org\/fed\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jewishpb.org\/fed\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jewishpb.org\/fed\/wp-json\/wp\/v2\/comments?post=28920"}],"version-history":[{"count":2,"href":"https:\/\/jewishpb.org\/fed\/wp-json\/wp\/v2\/posts\/28920\/revisions"}],"predecessor-version":[{"id":28967,"href":"https:\/\/jewishpb.org\/fed\/wp-json\/wp\/v2\/posts\/28920\/revisions\/28967"}],"wp:attachment":[{"href":"https:\/\/jewishpb.org\/fed\/wp-json\/wp\/v2\/media?parent=28920"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jewishpb.org\/fed\/wp-json\/wp\/v2\/categories?post=28920"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jewishpb.org\/fed\/wp-json\/wp\/v2\/tags?post=28920"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}