{"id":179,"date":"2023-08-10T15:20:59","date_gmt":"2023-08-10T15:20:59","guid":{"rendered":"https:\/\/pediatricbrainfoundation.org\/archive\/index-2\/"},"modified":"2023-08-10T15:20:59","modified_gmt":"2023-08-10T15:20:59","slug":"index-2","status":"publish","type":"page","link":"https:\/\/pediatricbrainfoundation.org\/archive\/index-2\/","title":{"rendered":"Donate to Pediatric Brain Foundation"},"content":{"rendered":"<div class=\"row-fluid\">\n<div class=\"span12\">\n<h1>Donate to Pediatric Brain Foundation<\/h1>\n<\/p><\/div>\n<\/div>\n<div class=\"row-fluid\">\n<div class=\"span12\">\n<p style=\"font-size:1.2em;\">With your generous support and the help of others like you, Pediatric Brain Foundation is committed to advancing the field of pediatric neurology and the search for potential new treatments and cures for the more than 14 million children living with neurological disorders, in the U.S. alone.  Pediatric Brain Foundation will continue to emphasize the broad spectrum of childhood neurological challenges and advocate tirelessly to reshape the boundaries of pediatric brain research, injury, prevention and treatment.<\/p>\n<p style=\"font-size:1.2em;\">Pediatric Brain Foundation is a not-for-profit organization.  Under section 501(C)(3) of the Internal Revenue Code, donations are tax-deductible to the fullest extent allowed by law.  Pediatric Brain Foundation&#8217;s Federal Tax ID # 77-0558364<\/p>\n<\/p><\/div>\n<\/div>\n<div class=\"row-fluid\">\n<div class=\"span12\">\n<div class=\"messages\">\n          <!-- Error messages go here go here -->\n                  <\/div>\n<\/p><\/div>\n<\/div>\n<form action=\"#\" method=\"POST\" class=\"donation-form\">\n<div class=\"row-fluid\">\n<div class=\"span4\">\n<fieldset>\n<legend>Your Generous Donation<\/legend>\n<div class=\"control-group form-donate\">\n<div class=\"controls\">\n                  <label class=\"inline\">I want to donate<\/label><\/p>\n<div class=\"donate-amount\"><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"control-group form-amount\">\n<div class=\"controls\">\n<div>\n                    <label for=\"amount5\" class=\"inline radio\"><input id=\"amount5\" type=\"radio\" name=\"amount\" class=\"set-amount\" value=\"5\"> $5<\/label><br \/>\n                    <label for=\"amount10\" class=\"inline radio\"><input id=\"amount10\" type=\"radio\" name=\"amount\" class=\"set-amount\" value=\"10\"> $10<\/label><br \/>\n                    <label for=\"amount25\" class=\"inline radio\"><input id=\"amount25\" type=\"radio\" name=\"amount\" class=\"set-amount\" value=\"25\"> $25<\/label><br \/>\n                    <label for=\"amount50\" class=\"inline radio\"><input id=\"amount50\" type=\"radio\" name=\"amount\" class=\"set-amount\" value=\"50\"> $50<\/label>\n                  <\/div>\n<div>\n                    <label for=\"amount100\" class=\"inline radio\"><input id=\"amount100\" type=\"radio\" name=\"amount\" class=\"set-amount\" value=\"100\"> $100<\/label><br \/>\n                    <label for=\"amount250\" class=\"inline radio\"><input id=\"amount250\" type=\"radio\" name=\"amount\" class=\"set-amount\" value=\"250\"> $250<\/label><br \/>\n                    <label for=\"amountOther\" class=\"inline radio\"><input id=\"amountOther\" type=\"radio\" name=\"amount\" class=\"other-amount\" value=\"0\"> Other<\/label>\n                  <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"control-group form-amount-other\">\n<div class=\"controls\">\n                  <input type=\"text\" class=\"amount text\" placeholder=\"Other\" disabled>\n                <\/div>\n<\/p><\/div>\n<div class=\"control-group form-donateoptions\">\n                <label class=\"control-label\" for=\"inputdonateoptions\">Additional Donate Options<\/label><\/p>\n<div class=\"controls\">\n                                   <input type=\"hidden\" name=\"donate_detail\" id=\"donate_detail\" value=\"\">\n                  <\/div>\n<\/p><\/div>\n<div class=\"control-group form-recurring hide\">\n<div class=\"controls\">\n                  <label for=\"formRecurring\" class=\"checkbox\"><input type=\"checkbox\" id=\"formRecurring\" name=\"recurring\" value=\"yes\"> Make this contribution every month<\/label>\n                <\/div>\n<\/p><\/div>\n<hr>\n<div class=\"control-group form-number\">\n                <label class=\"control-label\" for=\"inputNumber\">Card Number<\/label><\/p>\n<div class=\"controls\">\n                  <input id=\"inputNumber\" type=\"text\" autocomplete=\"off\" class=\"card-number text\">\n                <\/div>\n<\/p><\/div>\n<div class=\"control-group form-expiry\">\n                <label class=\"control-label\" for=\"inputExpirationMonth\">Expiration Date<\/label><\/p>\n<div class=\"controls\">\n                  <select id=\"inputExpirationMonth\" class=\"card-expiry-month text\"><option value=\"01\">01 &#8211; January<\/option><option value=\"02\">02 &#8211; February<\/option><option value=\"03\">03 &#8211; March<\/option><option value=\"04\">04 &#8211; April<\/option><option value=\"05\">05 &#8211; May<\/option><option value=\"06\">06 &#8211; June<\/option><option value=\"07\">07 &#8211; July<\/option><option value=\"08\">08 &#8211; August<\/option><option value=\"09\">09 &#8211; September<\/option><option value=\"10\">10 &#8211; October<\/option><option value=\"11\">11 &#8211; November<\/option><option value=\"12\">12 &#8211; December<\/option><\/select><br \/>\n                  <select id=\"inputExpirationYear\" class=\"card-expiry-year text\"><option value=\"2022\">2022<\/option><option value=\"2023\">2023<\/option><option value=\"2024\">2024<\/option><option value=\"2025\">2025<\/option><option value=\"2026\">2026<\/option><option value=\"2027\">2027<\/option><option value=\"2028\">2028<\/option><option value=\"2029\">2029<\/option><option value=\"2030\">2030<\/option><option value=\"2031\">2031<\/option><option value=\"2032\">2032<\/option><\/select>\n                <\/div>\n<\/p><\/div>\n<div class=\"control-group form-cvc\">\n                <label class=\"control-label\" for=\"inputCVC\">CVC<\/label><\/p>\n<div class=\"controls\">\n                  <input id=\"inputCVC\" type=\"text\" autocomplete=\"off\" class=\"card-cvc text\">\n                <\/div>\n<\/p><\/div>\n<\/fieldset><\/div>\n<div class=\"span4 offset1\">\n<fieldset>\n<legend>Contact Information<\/legend>\n<div class=\"control-group form-first-name\">\n                <label class=\"control-label\" for=\"inputFirstName\">First Name<\/label><\/p>\n<div class=\"controls\">\n                  <input type=\"text\" id=\"inputFirstName\" name=\"first-name\" class=\"first-name text\">\n                <\/div>\n<\/p><\/div>\n<div class=\"control-group form-last-name\">\n                <label class=\"control-label\" for=\"inputLastName\">Last Name<\/label><\/p>\n<div class=\"controls\">\n                  <input type=\"text\" id=\"inputLastName\" name=\"last-name\" class=\"last-name text\">\n                <\/div>\n<\/p><\/div>\n<div class=\"control-group form-email\">\n                <label class=\"control-label\" for=\"inputEmail\">Email<\/label><\/p>\n<div class=\"controls\">\n                  <input type=\"text\" id=\"inputEmail\" name=\"email\" class=\"email text\">\n                <\/div>\n<\/p><\/div>\n<div class=\"control-group form-phone\">\n                <label class=\"control-label\" for=\"inputPhone\">Phone<\/label><\/p>\n<div class=\"controls\">\n                  <input type=\"text\" id=\"inputPhone\" name=\"phone\" class=\"phone text\">\n                <\/div>\n<\/p><\/div>\n<div class=\"control-group form-address\">\n                <label class=\"control-label\" for=\"inputAddress\">Address<\/label><\/p>\n<div class=\"controls\">\n                  <input type=\"text\" id=\"inputAddress\" name=\"address\" class=\"address text\"><br class=\"tkgyxz44ddvou8s4e\"><br \/>\n                  <input type=\"text\" id=\"inputAdditional\" name=\"additional\" class=\"additional text\">\n                <\/div>\n<\/p><\/div>\n<div class=\"control-group form-city\">\n                <label class=\"control-label\" for=\"inputCity\">City<\/label><\/p>\n<div class=\"controls\">\n                  <input type=\"text\" id=\"inputCity\" name=\"city\" class=\"city text\">\n                <\/div>\n<\/p><\/div>\n<div class=\"form-inline clearfix\">\n<div class=\"control-group form-state\">\n                  <label class=\"control-label\" for=\"inputState\">State<\/label><\/p>\n<div class=\"controls\">\n                    <select id=\"inputState\" name=\"state\" class=\"state text\"><option value=\"AL\">AL &#8211; Alabama<\/option><option value=\"AK\">AK &#8211; Alaska<\/option><option value=\"AZ\">AZ &#8211; Arizona<\/option><option value=\"AR\">AR &#8211; Arkansas<\/option><option value=\"CA\">CA &#8211; California<\/option><option value=\"CO\">CO &#8211; Colorado<\/option><option value=\"CT\">CT &#8211; Connecticut<\/option><option value=\"DE\">DE &#8211; Delaware<\/option><option value=\"DC\">DC &#8211; District Of Columbia<\/option><option value=\"FL\">FL &#8211; Florida<\/option><option value=\"GA\">GA &#8211; Georgia<\/option><option value=\"HI\">HI &#8211; Hawaii<\/option><option value=\"ID\">ID &#8211; Idaho<\/option><option value=\"IL\">IL &#8211; Illinois<\/option><option value=\"IN\">IN &#8211; Indiana<\/option><option value=\"IA\">IA &#8211; Iowa<\/option><option value=\"KS\">KS &#8211; Kansas<\/option><option value=\"KY\">KY &#8211; Kentucky<\/option><option value=\"LA\">LA &#8211; Louisiana<\/option><option value=\"ME\">ME &#8211; Maine<\/option><option value=\"MD\">MD &#8211; Maryland<\/option><option value=\"MA\">MA &#8211; Massachusetts<\/option><option value=\"MI\">MI &#8211; Michigan<\/option><option value=\"MN\">MN &#8211; Minnesota<\/option><option value=\"MS\">MS &#8211; Mississippi<\/option><option value=\"MO\">MO &#8211; Missouri<\/option><option value=\"MT\">MT &#8211; Montana<\/option><option value=\"NE\">NE &#8211; Nebraska<\/option><option value=\"NV\">NV &#8211; Nevada<\/option><option value=\"NH\">NH &#8211; New Hampshire<\/option><option value=\"NJ\">NJ &#8211; New Jersey<\/option><option value=\"NM\">NM &#8211; New Mexico<\/option><option value=\"NY\">NY &#8211; New York<\/option><option value=\"NC\">NC &#8211; North Carolina<\/option><option value=\"ND\">ND &#8211; North Dakota<\/option><option value=\"OH\">OH &#8211; Ohio<\/option><option value=\"OK\">OK &#8211; Oklahoma<\/option><option value=\"OR\">OR &#8211; Oregon<\/option><option value=\"PA\">PA &#8211; Pennsylvania<\/option><option value=\"RI\">RI &#8211; Rhode Island<\/option><option value=\"SC\">SC &#8211; South Carolina<\/option><option value=\"SD\">SD &#8211; South Dakota<\/option><option value=\"TN\">TN &#8211; Tennessee<\/option><option value=\"TX\">TX &#8211; Texas<\/option><option value=\"UT\">UT &#8211; Utah<\/option><option value=\"VT\">VT &#8211; Vermont<\/option><option value=\"VA\">VA &#8211; Virginia<\/option><option value=\"WA\">WA &#8211; Washington<\/option><option value=\"WV\">WV &#8211; West Virginia<\/option><option value=\"WI\">WI &#8211; Wisconsin<\/option><option value=\"WY\">WY &#8211; Wyoming<\/option><\/select>\n                  <\/div>\n<\/p><\/div>\n<div class=\"control-group form-zip\">\n                  <label class=\"control-label\" for=\"inputZip\">Zip<\/label><\/p>\n<div class=\"controls\">\n                    <input type=\"text\" id=\"inputZip\" name=\"zip\" class=\"zip text\">\n                  <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"control-group form-referral\">\n                <label class=\"control-label\" for=\"inputReferral\">Referral<\/label><\/p>\n<div class=\"controls\">\n                  <input type=\"text\" id=\"inputReferral\" name=\"referral\" class=\"referral text\">\n                <\/div>\n<\/p><\/div>\n<\/fieldset><\/div>\n<\/p><\/div>\n<div class=\"row-fluid\">\n<div class=\"span11 control-group form-newsletter\">\n<div class=\"controls\">\n<hr>\n<p>            <!--  <label for=\"newsletter\" class=\"inline checkbox\"><input id=\"newsletter\" type=\"checkbox\" name=\"newsletter\" class=\"set-newsletter\" value=\"1\" checked=\"checked\"> Subscribe me to the CNS Foundation newsletter.<\/label> -->\n            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