{"id":1717,"date":"2021-10-18T11:55:39","date_gmt":"2021-10-18T11:55:39","guid":{"rendered":"https:\/\/bijoygarhbharatmata.com\/?page_id=1717"},"modified":"2021-10-18T11:55:39","modified_gmt":"2021-10-18T11:55:39","slug":"donation-for-members","status":"publish","type":"page","link":"https:\/\/bijoygarhbharatmata.com\/index.php\/donation-for-members\/","title":{"rendered":"Donation for Members"},"content":{"rendered":"<div class='fluentform fluentform_wrapper_8'><form data-form_id=\"8\" id=\"fluentform_8\" class=\"frm-fluent-form fluent_form_8 ff-el-form-top ff_form_instance_8_1 ff-form-loading ff-form-has-steps fluentform_has_payment\" data-form_instance=\"ff_form_instance_8_1\" method=\"POST\" ><input type='hidden' name='__fluent_form_embded_post_id' value='1717' \/><input type=\"hidden\" id=\"_fluentform_8_fluentformnonce\" name=\"_fluentform_8_fluentformnonce\" value=\"e0e12c3954\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/1717\" \/><div class='ff-step-container' data-name=\"step_start-8_4\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"yes\" data-enable_step_page_resume=\"no\" ><div class='ff-step-header'><ul class='ff-step-titles'><li class='ff_active'><span>Collector Information<\/span><\/li><li><span>Donor Information<\/span><\/li><\/ul><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"fluentform-step active\" data-name=\"step_start-8_4\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"yes\" data-enable_step_page_resume=\"no\" ><div class=\"ff-el-group ff-el-section-break  ff_center\" data-name=\"section_break-8_1\" ><h3 class='ff-el-section-title'>Collector Information<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_3  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 34%;'><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_8_input_text_1'>Collector Name<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" placeholder=\"Collector Name\" data-name=\"input_text_1\" id=\"ff_8_input_text_1\" ><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 34%;'><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_8_email_1'>Collector Email<\/label> <\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email_1\" id=\"ff_8_email_1\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email_1\" ><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 34%;'><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_8_phone_1'>Collector Phone\/Mobile<\/label> <\/div><div class='ff-el-input--content'><input name=\"phone_1\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"phone_1\" id=\"ff_8_phone_1\" inputmode=\"tel\" ><\/div><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Previous<\/button><button  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Next<\/button><\/div><\/div><div class=\" fluentform-step\" data-name=\"form_step-8_2\" ><div class=\"ff-el-group ff-el-section-break  ff_center\" data-name=\"section_break-8_3\" ><h3 class='ff-el-section-title'>Donor Information<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_8_names_first_name_'>First Name<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_8_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" ><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_8_names_last_name_'>Last Name<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_8_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" ><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_8_email'>Email<\/label> <\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_8_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\" ><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_8_phone'>Phone\/Mobile<\/label> <\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"phone\" id=\"ff_8_phone\" inputmode=\"tel\" ><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label >Donation Amount<\/label> <\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=payment_input_7e8733b2f4b3f128d3bcb01500688213><input type=\"radio\" name=\"payment_input\" data-name=\"payment_input\" class=\"ff-el-form-check-input ff-el-form-check-radio ff_payment_item\" value=\"Rs.1000\" data-payment_value=\"1000\" data-calc_value=\"1000\" data-group_id=\"ff_8_payment_input\"  id='payment_input_7e8733b2f4b3f128d3bcb01500688213'> <span class='ff_plan_title'>Rs.1000<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=payment_input_ae3f90fe02b049f0bf90209dafc1f002><input type=\"radio\" name=\"payment_input\" data-name=\"payment_input\" class=\"ff-el-form-check-input ff-el-form-check-radio ff_payment_item ff_payment_item\" value=\"Rs.2000\" data-payment_value=\"2000\" data-calc_value=\"2000\" data-group_id=\"ff_8_payment_input\"  id='payment_input_ae3f90fe02b049f0bf90209dafc1f002'> <span class='ff_plan_title'>Rs.2000<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=payment_input_61cb01d4bdd6a2d8b45042ad53358c61><input type=\"radio\" name=\"payment_input\" data-name=\"payment_input\" class=\"ff-el-form-check-input ff-el-form-check-radio ff_payment_item ff_payment_item ff_payment_item\" value=\"Rs.5000\" data-payment_value=\"5000\" data-calc_value=\"5000\" data-group_id=\"ff_8_payment_input\"  id='payment_input_61cb01d4bdd6a2d8b45042ad53358c61'> <span class='ff_plan_title'>Rs.5000<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=payment_input_637330068e8ed23299f1205feba03fd1><input type=\"radio\" name=\"payment_input\" data-name=\"payment_input\" class=\"ff-el-form-check-input ff-el-form-check-radio ff_payment_item ff_payment_item ff_payment_item ff_payment_item\" value=\"Rs.10000\" 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for='ff_8_custom-payment-amount'>Please Provide Custom Amount<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"custom-payment-amount\" id=\"ff_8_custom-payment-amount\" class=\"ff-el-form-control  ff_payment_item\" placeholder=\"Custom Donation Amount\" data-payment_item=\"yes\" data-name=\"custom-payment-amount\" inputmode=\"decimal\" step=\"any\" ><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label >Payment Method<\/label> <\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-payment-method-label'><label class='ff-el-form-check-label' for=payment_method_a891e0f8ffd83852d0c8980518faa779><input name=\"payment_method\" type=\"radio\" data-name=\"payment_method\" class=\"ff-el-form-check-input ff_payment_method\" value=\"stripe\"  id='payment_method_a891e0f8ffd83852d0c8980518faa779'> <span>Pay with Debit\/Credit Card<\/span><\/label><\/div><div class='ff-el-form-check ff-el-payment-method-label'><label class='ff-el-form-check-label' for=payment_method_1af9aa317bf633638a379527a9e981e7><input name=\"payment_method\" type=\"radio\" data-name=\"payment_method\" class=\"ff-el-form-check-input ff_payment_method\" value=\"test\"  id='payment_method_1af9aa317bf633638a379527a9e981e7'> <span>Cash<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_8_input_text'>Collector Name<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_8_input_text\" ><\/div><\/div><\/div><\/div>        <div class=\"ff-step-t-container ff-inner_submit_container ff-column-container ff_columns_total_2\">\n            <div class=\"ff-t-cell ff-t-column-1\"><div class='step-nav ff_step_nav_last'><button  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Previous<\/button><\/div><\/div>\n            <div class=\"ff-t-cell ff-t-column-2\"><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\" >Donate Now <span class=\"ff_order_total\"><\/span><\/button><\/div><\/div>\n        <\/div>\n        <\/div><\/div><\/div>\n        <\/form><div id='fluentform_8_errors' class='ff-errors-in-stack ff_form_instance_8_1 ff-form-loading_errors ff_form_instance_8_1_errors'><\/div><\/div>        <script type=\"text\/javascript\">\n            window.fluent_form_ff_form_instance_8_1 = 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