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			<h1 class="article-header__title js-article-title js-page-title">Girls Yearbook Ad Order Form</h1>
		
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<form class="userform-form" action="" method="post" name="form_2774358" id="2774358" accept-charset="utf-8"><input type="hidden" name="formID" value="2774358" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li id="cid_9" class="form-input-wide"> <div class="form-header-group"><h2 id="header_9" class="form-header">8th Grade Girls Yearbook Ad Form</h2></div> </li><li class="form-line" id="id_14"><div class="form-label-left" id="label_14"><label for="input_14"> Prices<span class="form-required">*</span> </label><label class="label-message" for="input_14"> </label></div><div id="cid_14" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_14_0" name="q14_prices" value="Honor page .........$225" /><label id="label_input_14_0" for="input_14_0"><span>Honor page .........$225</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_14_1" name="q14_prices" value="Whole page .........$140" /><label id="label_input_14_1" for="input_14_1"><span>Whole page .........$140</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_14_2" name="q14_prices" value="Half page .............$75" /><label id="label_input_14_2" for="input_14_2"><span>Half page .............$75</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_14_3" name="q14_prices" value="Quarter page .......$36" /><label id="label_input_14_3" for="input_14_3"><span>Quarter page .......$36</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_14_4" name="q14_prices" value="Eighth page .........$25" /><label id="label_input_14_4" for="input_14_4"><span>Eighth page .........$25</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_14_5" name="q14_prices" value="Greeting (1 Line) .$18" /><label id="label_input_14_5" for="input_14_5"><span>Greeting (1 Line) .$18</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_30"><div class="form-label-left" id="label_30"><label for="input_30"> Student Name </label><label class="label-message" for="input_30"> </label></div><div id="cid_30" class="form-input"> <select class="form-dropdown" style="width:150px" id="input_30" name="q30_input30"><option value=""></option><option value="Altein Golda Ita">Altein Golda Ita</option><option value="Batkin Sarale">Batkin Sarale</option><option value="Blotner Menucha">Blotner Menucha</option><option value="Borenstein Chaya Mushka">Borenstein Chaya Mushka</option><option value="Chazan Chana">Chazan Chana</option><option value="Cunin Pearl">Cunin Pearl</option><option value="Daitsh Chana">Daitsh Chana</option><option value="Ezagui Esther Bracha">Ezagui Esther Bracha</option><option value="Ginsburg Rochel Leah">Ginsburg Rochel Leah</option><option value="Goldin Chaya Mushka">Goldin Chaya Mushka</option><option value="Greenwald Shoshana Shifra">Greenwald Shoshana Shifra</option><option value="Groner Daicha Rochel">Groner Daicha Rochel</option><option value="Herskovic Mattel Mirel">Herskovic Mattel Mirel</option><option value="Jaffe Devorah Leah">Jaffe Devorah Leah</option><option value="Korer Leah Rochel">Korer Leah Rochel</option><option value="Laufer Lieba">Laufer Lieba</option><option value="Lewis Shalhevet ">Lewis Shalhevet </option><option value="Minkowitz Chaya Batya">Minkowitz Chaya Batya</option><option value="Oberlander Devorah">Oberlander Devorah</option><option value="Osinsky Kaila Michal">Osinsky Kaila Michal</option><option value="Rapoport Chaya">Rapoport Chaya</option><option value="Raskin Chava Devorah">Raskin Chava Devorah</option><option value="Raskin Rosie">Raskin Rosie</option><option value="Reich Henny">Reich Henny</option><option value="Rose Chaya Mushka">Rose Chaya Mushka</option><option value="Roth Menucha Zisel">Roth Menucha Zisel</option><option value="Sandhaus Rivka">Sandhaus Rivka</option><option value="Sandler Chaya Mushkah">Sandler Chaya Mushkah</option><option value="Sears Devorah Leah">Sears Devorah Leah</option><option value="Silber Rivka">Silber Rivka</option><option value="Silverstein Reizel">Silverstein Reizel</option><option value="Simpson Sarah Shifra">Simpson Sarah Shifra</option><option value="Sternberg Chava">Sternberg Chava</option><option value="Weingarten Gita">Weingarten Gita</option><option value="Weiss Chana">Weiss Chana</option><option value="Weiss Chava Leah">Weiss Chava Leah</option><option value="Werth Tiferes Basha">Werth Tiferes Basha</option></select> </div></li><li class="form-line" id="id_28"><div class="form-label-left" id="label_28"><label for="input_28"> Solicited by<span class="form-required">*</span> </label><label class="label-message" for="input_28"> </label></div><div id="cid_28" class="form-input"> <select class="form-dropdown validate[required]" style="width:150px" id="input_28" name="q28_input28"><option value=""></option><option value="Altein Golda Ita">Altein Golda Ita</option><option value="Batkin Sarale">Batkin Sarale</option><option value="Blotner Menucha">Blotner Menucha</option><option value="Borenstein Chaya Mushka">Borenstein Chaya Mushka</option><option value="Chazan Chana">Chazan Chana</option><option value="Cunin Pearl">Cunin Pearl</option><option value="Daitsh Chana">Daitsh Chana</option><option value="Ezagui Esther Bracha">Ezagui Esther Bracha</option><option value="Ginsburg Rochel Leah">Ginsburg Rochel Leah</option><option value="Goldin Chaya Mushka">Goldin Chaya Mushka</option><option value="Greenwald Shoshana Shifra">Greenwald Shoshana Shifra</option><option value="Groner Daicha Rochel">Groner Daicha Rochel</option><option value="Herskovic Mattel Mirel">Herskovic Mattel Mirel</option><option value="Jaffe Devorah Leah">Jaffe Devorah Leah</option><option value="Korer Leah Rochel">Korer Leah Rochel</option><option value="Laufer Lieba">Laufer Lieba</option><option value="Lewis Shalhevet ">Lewis Shalhevet </option><option value="Minkowitz Chaya Batya">Minkowitz Chaya Batya</option><option value="Oberlander Devorah">Oberlander Devorah</option><option value="Osinsky Kaila Michal">Osinsky Kaila Michal</option><option value="Rapoport Chaya">Rapoport Chaya</option><option value="Raskin Chava Devorah">Raskin Chava Devorah</option><option value="Raskin Rosie">Raskin Rosie</option><option value="Reich Henny">Reich Henny</option><option value="Rose Chaya Mushka">Rose Chaya Mushka</option><option value="Roth Menucha Zisel">Roth Menucha Zisel</option><option value="Sandhaus Rivka">Sandhaus Rivka</option><option value="Sandler Chaya Mushkah">Sandler Chaya Mushkah</option><option value="Sears Devorah Leah">Sears Devorah Leah</option><option value="Silber Rivka">Silber Rivka</option><option value="Silverstein Reizel">Silverstein Reizel</option><option value="Simpson Sarah Shifra">Simpson Sarah Shifra</option><option value="Sternberg Chava">Sternberg Chava</option><option value="Weingarten Gita">Weingarten Gita</option><option value="Weiss Chana">Weiss Chana</option><option value="Weiss Chava Leah">Weiss Chava Leah</option><option value="Werth Tiferes Basha">Werth Tiferes Basha</option></select> </div></li><li class="form-line" id="id_18"><div class="form-label-left" id="label_18"><label for="input_18"> Your Name </label><label class="label-message" for="input_18"> </label></div><div id="cid_18" class="form-input"> <input type="email" class=" form-textbox validate[Alphabetic]" id="input_18" name="q18_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_31"><div class="form-label-left" id="label_31"><label for="input_31"> E-mail </label><label class="label-message" for="input_31"> </label></div><div id="cid_31" class="form-input"> <input type="email" class=" form-textbox validate[Email]" id="input_31" name="q31_email31" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_10"><div class="form-label-left" id="label_10"><label for="input_10"> Address<span class="form-required">*</span> </label><label class="label-message" for="input_10"> </label></div><div id="cid_10" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-line" type="text" name="q10_address[addr_line1]" id="input_10_addr_line1" size="46" autocomplete="address-line1" />  <label class="form-sub-label" for="input_10_addr_line1" id="sublabel_10_addr_line1">Street Address</label></span></td></tr><tr><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line no-validation" type="text" name="q10_address[addr_line2]" id="input_10_addr_line2" size="46" autocomplete="address-line2" />  <label class="form-sub-label" for="input_10_addr_line2" id="sublabel_10_addr_line2">Street Address Line 2</label></span></td></tr><tr><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-city" type="text" name="q10_address[city]" id="input_10_city" size="21" autocomplete="address-level2" />  <label class="form-sub-label" for="input_10_city" id="sublabel_10_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-state" type="text" name="q10_address[state]" id="input_10_state" size="22" autocomplete="address-level1" />  <label class="form-sub-label" for="input_10_state" id="sublabel_10_state">State / Province</label></span></td></tr><tr><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-postal" type="text" name="q10_address[postal]" id="input_10_postal" size="10" autocomplete="postal-code" />  <label class="form-sub-label" for="input_10_postal" id="sublabel_10_postal">Postal / Zip Code</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown validate[required] form-address-country" name="q10_address[country]" id="input_10_country" autocomplete="country-name"><option value="" selected="selected">Please Select</option><option selected="selected" value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="The Bahamas">The Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="People's Republic of China">People's Republic of China</option><option value="Republic of China">Republic of China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa 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value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Romania">Romania</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saint Barthelemy">Saint Barthelemy</option><option value="Saint Helena">Saint Helena</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucia</option><option value="Saint Martin">Saint Martin</option><option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option><option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option 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value="Timor-Leste">Timor-Leste</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tristan da Cunha">Tristan da Cunha</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City">Vatican City</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="British Virgin Islands">British Virgin Islands</option><option value="US Virgin Islands">US Virgin Islands</option><option value="Wallis and Futuna">Wallis and Futuna</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option><option value="other">Other</option></select>  <label class="form-sub-label" for="input_10_country" id="sublabel_10_country">Country</label></span></td></tr></tbody></table> </div></li><li class="form-line" id="id_6"><div class="form-label-left" id="label_6"><label for="input_6"> Phone Number<span class="form-required">*</span> </label><label class="label-message" for="input_6"> </label></div><div id="cid_6" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q6_phoneNumber6[area]" id="input_6_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label 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class="form-label-left" id="label_17"><label for="input_17"> Total </label></div><div id="cid_17" class="form-input"> <div id="total_amount">$0.00 </div> </div></li><li class="form-line" id="id_7"><div class="form-label-left" id="label_7"><label for="input_7"> Payment<span class="form-required">*</span> </label><label class="label-message" for="input_7"> </label></div><div id="cid_7" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"><span class="form-radio-item"><input class="paymentMethod form-radio validate[required, paymentMethod] form-radio" type="radio" id="input_7_creditCard" name="q7_payment[payment_method]" value="creditCard" onclick="BuildSource.creditCard(this)" /><label for="input_7_creditCard">Credit Card</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[required, paymentMethod] form-radio" type="radio" id="input_7_other" name="q7_payment[payment_method]" value="other" onclick="BuildSource.other(this)" /><label for="input_7_other">Check/Zelle</label> </span></td></tr><tr class="credit_card hide"><th colspan="2">Credit Card</th></tr><tr class="credit_card hide"><td colspan="2" style="padding:0"><table cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container">  <label class="form-sub-label">We accept Visa, MasterCard, American Express, Discover</label></span><div class="cc-icons"><div class="cc-icon visa-icon"></div><div class="cc-icon mastercard-icon"></div><div class="cc-icon amex-icon"></div><div class="cc-icon discover-icon"></div></div><input type="hidden" name="q7_payment[cc_type]" id="input_7_cc_type" value="" /></td></tr><tr><td><div class="cc-field-wrapper"><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[required, visible, creditcard]" type="text" name="q7_payment[cc_number]" id="input_7_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_7_cc_number" id="sublabel_cc_number">Credit Card Number</label></span></div></td><td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q7_payment[cc_ccv]" id="input_7_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_7_cc_ccv" id="sublabel_cc_ccv">Security Code</label></span></td></tr><tr><td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q7_payment[cc_nameOnCard]" id="input_7_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_7_cc_nameOnCard" id="sublabel_cc_nameOnCard">Name on Card</label></span></td></tr><tr class="credit_card hide"><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q7_payment[cc_exp_month]" id="input_7_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_7_cc_exp_month" id="sublabel_cc_exp_month">Expiration Month</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q7_payment[cc_exp_year]" id="input_7_cc_exp_year" autocomplete="cc-exp-year"><option></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><option value="2033">2033</option><option value="2034">2034</option></select>  <label class="form-sub-label" for="input_7_cc_exp_year" id="sublabel_cc_exp_year">Expiration Year</label></span></td></tr></tbody></table></td></tr><tr class="other hide"><td colspan="2">You can send a Zelle/Quickpay to crosenbluh@chedermonsey.org<br />Checks are payable to Cheder Chabad of Monsey. 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                .custom-grid-section {
                    display: flex !important;
                    flex-direction: column !important;
                    align-items: flex-start !important;
                    max-width: 1200px !important;
                    margin: 0 auto 30px !important;
                    padding: 0 5% !important; 
                }

                /* Category Labels (Lead Gifts, Dedications, etc.) - Tighter Margins */
                .custom-grid-section > .form-label-left,
                .custom-grid-section > .form-label-top,
                .custom-grid-section > .form-label {
                    width: 100% !important;
                    display: block !important;
                    float: none !important;
                    text-align: left !important;
                    margin-bottom: 10px !important; /* Reduced margin */
                }

                .custom-grid-section > .form-label-left label,
                .custom-grid-section > .form-label-top label,
                .custom-grid-section > .form-label label {
                    font-family: 'Times New Roman', serif !important;
                    font-style: italic !important;
                    font-size: clamp(35px, 5vw, 55px) !important;
                    color: white !important;
                    display: block !important;
                    padding-bottom: 5px !important; /* Reduced padding */
                    width: 100% !important;
                    font-weight: normal !important;
                    text-align: left !important;
                    white-space: normal !important;
                }

                /* Uniform 2-Column Grid Layout Override */
                .gift-grid {
                    display: grid !important;
                    grid-template-columns: repeat(2, 1fr) !important;
                    gap: 20px !important;
                    width: 100% !important;
                    direction: ltr !important;
                    list-style: none !important;
                    box-sizing: border-box !important;
                }
                @media (max-width: 768px) {
                    .gift-grid { grid-template-columns: 1fr !important; }
                }

                /* Gift Cards Form Elements */
                .gift-grid .form-checkbox { display: none !important; }
                
                .form-checkbox-item {
                    border: 3px solid transparent !important; 
                    border-radius: 8px !important;
                    padding: 0 !important;
                    color: #0e1631 !important;
                    display: flex !important;
                    flex-direction: column !important;
                    position: relative !important;
                    box-sizing: border-box !important;
                    min-height: 120px !important;
                    margin: 0 !important;
                    width: 100% !important;
                    transition: all 0.2s ease !important;
                    clear: none !important;
                    float: none !important; 
                }

                /* All unreserved cards are light blue */
                .form-checkbox-item:not(.taken) { background-color: #d8e8f2 !important; }

                /* Hover & Selected States */
                @media (hover: hover) {
                    .form-checkbox-item:hover:not(.taken):not(.selected) {
                        box-shadow: 0 8px 25px rgba(0,0,0,0.2) !important;
                        background-color: #d1b873 !important; /* Lighter gold for distinct hover difference */
                        border-color: #d1b873 !important;
                    }
                }
                .form-checkbox-item.selected {
                    background-color: #be9f4e !important;
                    border: 3px solid #ffffff !important; 
                }

                /* Text Color changing to white on hover/select */
                @media (hover: hover) {
                    .form-checkbox-item:hover:not(.taken):not(.selected) h5, 
                    .form-checkbox-item:hover:not(.taken):not(.selected) .price {
                        color: #ffffff !important;
                    }
                }
                .form-checkbox-item.selected h5, 
                .form-checkbox-item.selected .price {
                    color: #ffffff !important;
                }

                /* Reserved / Taken Card */
                .form-checkbox-item.taken {
                    background-color: #cfd8df !important;
                    color: #6a7682 !important;
                    box-shadow: none !important;
                    border-color: transparent !important;
                }

                /* Clickable Label Overlay covering the card */
                .form-checkbox-item label { 
                    display: flex !important; 
                    flex-direction: column !important; 
                    justify-content: center !important; 
                    width: 100% !important; 
                    height: 100% !important;
                    padding: 23px 30px !important;
                    cursor: pointer !important;
                    box-sizing: border-box !important;
                    pointer-events: none !important; 
                }
                .form-checkbox-item.taken label { cursor: not-allowed !important; }

                /* Inside Card Typography */
                .form-checkbox-item h5 {
                    font-size: clamp(20px, 2.5vw, 25.8px) !important;
                    font-weight: normal !important; margin: 0 !important;
                    line-height: 1.1 !important; padding-right: 40px !important;
                    font-family: 'Anek Malayalam', sans-serif !important;
                    border: none !important; padding-bottom: 0 !important; font-style: normal !important;
                    color: inherit !important; text-align: left !important; transition: color 0.2s ease !important;
                }
                .form-checkbox-item .price {
                    font-size: clamp(26px, 3vw, 33.6px) !important;
                    font-weight: 600 !important; margin-top: 15px !important; line-height: 1 !important;
                    font-family: 'Anek Malayalam', sans-serif !important; text-align: left !important; transition: color 0.2s ease !important;
                }
                .form-checkbox-item.taken .price { opacity: 0.6 !important; }
                .form-checkbox-item .status {
                    color: #8c6046 !important; font-size: 13px !important; font-weight: bold !important;
                    text-transform: uppercase !important; margin-top: 8px !important;
                    display: flex !important; align-items: center !important; gap: 6px !important;
                    font-family: 'Anek Malayalam', sans-serif !important; text-align: left !important;
                }
                .form-checkbox-item .status::before {
                    content: ''; display: block; width: 10px; height: 10px; background-color: #8c6046; border-radius: 50%;
                }

                /* Solid SVG Check Icon Logic */
                .form-checkbox-item .check-icon {
                    position: absolute !important; right: 20px !important; top: 50% !important; transform: translateY(-50%) !important;
                    width: 32px !important; height: 32px !important; 
                    display: flex !important; justify-content: center !important; align-items: center !important;
                }
                .form-checkbox-item .check-icon svg {
                    position: absolute; top: 0; left: 0;
                    width: 100% !important; height: 100% !important;
                    transition: opacity 0.2s ease-out !important;
                }
                .form-checkbox-item .check-icon .svg-selected { opacity: 0 !important; }
                
                /* Show solid white circle when selected or hovered */
                @media (hover: hover) {
                    .form-checkbox-item:hover:not(.taken):not(.selected) .check-icon .svg-unselected { opacity: 0 !important; }
                    .form-checkbox-item:hover:not(.taken):not(.selected) .check-icon .svg-selected { opacity: 0.6 !important; }
                }
                .form-checkbox-item.selected .check-icon .svg-unselected { opacity: 0 !important; }
                .form-checkbox-item.selected .check-icon .svg-selected { opacity: 1 !important; }

                /* =========================================
                   PART C: DONOR DETAILS & PAYMENT ALIGNMENT
                   ========================================= */
                
                li#id_10, li#id_11, li#id_12, li#id_13, li#id_15 { 
                    display: flex !important; 
                    flex-direction: row !important; 
                    align-items: flex-start !important;
                    flex-wrap: nowrap !important;
                    max-width: 1000px !important;
                    width: 95% !important; 
                    margin: 0 auto 30px !important; 
                    box-sizing: border-box !important;
                    padding: 0 !important;
                }

                li#id_10 > .form-label-left, li#id_11 > .form-label-left, 
                li#id_12 > .form-label-left, li#id_13 > .form-label-left, 
                li#id_15 > .form-label-left {
                    width: 250px !important;
                    min-width: 250px !important;
                    flex-shrink: 0 !important;
                    display: block !important;
                    float: none !important;
                    text-align: left !important;
                    margin: 0 20px 0 0 !important;
                    padding-top: 15px !important; 
                }

                li#id_10 > .form-input, li#id_11 > .form-input, 
                li#id_12 > .form-input, li#id_13 > .form-input, 
                li#id_15 > .form-input {
                    width: 100% !important;
                    flex: 1 !important;
                    max-width: 100% !important;
                }

                /* Make First/Last Name on same row */
                #cid_10 { display: flex !important; gap: 20px !important; }
                #cid_10 .form-sub-label-container { flex: 1 !important; width: 100% !important; margin: 0 !important; }
                
                /* Address Layout */
                #cid_13 .form-address-table { width: 100% !important; }
                #cid_13 .form-address-table tr { display: flex !important; gap: 20px !important; width: 100% !important; margin-bottom: 20px !important; }
                #cid_13 .form-address-table td { flex: 1 !important; display: block !important; padding: 0 !important; }
                #cid_13 .form-address-table tr:nth-child(1) td, 
                #cid_13 .form-address-table tr:nth-child(2) td { flex: 0 0 100% !important; max-width: 100% !important; } 

                @media (max-width: 768px) {
                    li#id_10, li#id_11, li#id_12, li#id_13, li#id_15 { flex-direction: column !important; max-width: 100% !important; padding: 0 5% !important; width: 100% !important; }
                    li#id_10 > .form-label-left, li#id_11 > .form-label-left, 
                    li#id_12 > .form-label-left, li#id_13 > .form-label-left, 
                    li#id_15 > .form-label-left { width: 100% !important; margin-bottom: 10px !important; padding-top: 0 !important; min-width: 0 !important;}
                    
                    /* Stack inputs on mobile */
                    #cid_10 { flex-direction: column !important; gap: 15px !important; }
                    #cid_13 .form-address-table tr { flex-direction: column !important; gap: 15px !important; }
                }

                li#id_9 {
                    max-width: 1000px !important;
                    width: 95% !important;
                    margin: 60px auto 40px !important;
                    padding: 0 !important;
                }
                #header_9 {
                    font-family: 'Anek Malayalam', sans-serif !important;
                    font-size: clamp(35px, 5vw, 50px) !important; font-weight: normal !important;
                    text-transform: uppercase !important; margin: 0 !important;
                    text-align: center !important; color: #ffffff !important; border: none !important;
                    width: 100% !important;
                }
                
                .form-sub-label-container { display: flex !important; flex-direction: column !important; width: 100% !important; margin-bottom: 0 !important; }
                .form-sub-label { color: #DCDFE4 !important; font-family: 'Outfit', sans-serif !important; font-size: 12px !important; margin-top: 5px !important;}
                
                /* Typography for donor labels */
                li#id_10 label:not(.form-sub-label), li#id_11 label:not(.form-sub-label), 
                li#id_12 label:not(.form-sub-label), li#id_13 label:not(.form-sub-label)
                 {
                    font-family: 'Outfit', sans-serif !important; font-weight: 700 !important;
                    font-size: clamp(16px, 2vw, 22px) !important; color: white !important; border: none !important;
                    padding: 0 !important; font-style: normal !important;
                    text-align: left !important; display: block !important; width: 100% !important;
                }
                .form-required { color: #EF5C48 !important; } 
li#id_15 label:not(.form-sub-label){ color: black;
font-family: 'Outfit', sans-serif !important; font-weight: 700 !important;
                    font-size: clamp(16px, 2vw, 22px) !important; border: none !important;
                    padding: 0 !important; font-style: normal !important;
                    text-align: left !important; display: block !important; width: 100% !important;}

                /* Custom Credit Card & Billing Subheaders */
                tr.credit_card th, tr.billing_address th {
                    color: #9ac7e0 !important;
                    font-family: 'Anek Malayalam', sans-serif !important;
                    font-size: clamp(24px, 4vw, 32px) !important;
                    font-weight: 800 !important;
                    text-transform: uppercase !important;
                    text-align: left !important;
                    padding: 40px 0 20px 0 !important;
                    border: none !important;
                }

                .form-textbox, .form-dropdown {
                    height: 48px !important; background-color: #ffffff !important;
                    border: none !important; border-radius: 8px !important; color: #0e1631 !important;
                    padding: 0 15px !important; font-family: 'Outfit', sans-serif !important; font-size: 16px !important;
                    width: 100% !important; max-width: 100% !important; transition: border-color 0.3s ease !important;
                    box-sizing: border-box !important;
                }
                .form-textbox:focus, .form-dropdown:focus { outline: none !important; box-shadow: 0 0 0 3px #be9f4e !important; }

                /* Total Box (Text far left, Amount far right) */
                li#id_14 {
                    display: flex !important; flex-direction: row !important; flex-wrap: nowrap !important;
                    justify-content: space-between !important; align-items: center !important; 
                    margin: 40px auto !important; padding: 30px 0 !important;
                    border-top: 1px solid rgba(255,255,255,0.2) !important;
                    border-bottom: 1px solid rgba(255,255,255,0.2) !important;
                    max-width: 1000px !important; width: 95% !important; box-sizing: border-box !important;
                }
                li#id_14 > .form-label-left { 
                    width: auto !important; margin: 0 !important; flex: none !important; text-align: left !important; float: none !important;
                }
                li#id_14 > .form-label-left label { 
                    color: #ffffff !important; font-weight: 800 !important; font-size: clamp(18px, 2vw, 24px) !important; 
                    text-transform: uppercase !important; font-family: 'Outfit', sans-serif !important; margin: 0 !important; 
                }
                li#id_14 > .form-input {
                    width: auto !important; flex: none !important; text-align: right !important; display: block !important;
                }
                #total_amount { 
                    color: #be9f4e !important; font-weight: 800 !important; font-size: clamp(24px, 4vw, 36px) !important; 
                    font-family: 'Outfit', sans-serif !important; 
                }

                /* =========================================
                   PAYMENT TABS
                   ========================================= */
                
                #id_15 table { width: 100% !important; }
                
                .form-payment-methods {
                    display: grid !important;
                    grid-template-columns: repeat(4, 1fr) !important;
                    gap: 15px !important;
                    padding-bottom: 20px !important;
                    width: 100% !important;
                }
                @media (max-width: 768px) {
                    .form-payment-methods { grid-template-columns: repeat(2, 1fr) !important; }
                }

                .form-radio-item {
                    background-color: #d8e8f2 !important;
                    border-radius: 8px !important;
                    padding: 15px 10px !important;
                    text-align: center !important;
                    margin: 0 !important;
                    border: 2px solid transparent !important;
                    transition: all 0.3s !important;
                    cursor: pointer !important;
                    display: flex !important;
                    align-items: center !important;
                    justify-content: center !important;
                    width: 100% !important;
                    box-sizing: border-box !important;
                    float: none !important;
                }
                .form-radio-item input[type="radio"] { display: none !important; }
                
                /* Base text color */
                .form-radio-item label {
                    cursor: pointer !important;
                    font-family: 'Outfit', sans-serif !important;
                    font-weight: 600 !important;
                    color: #102261 !important;
                    font-size: clamp(14px, 1.5vw, 18px) !important;
                    margin: 0 !important; padding: 0 !important;
                }
                
                /* Active Payment Tab State */
                .form-radio-item.active-tab {
                    background-color: #be9f4e !important;
                    border-color: #ffffff !important;
                    box-shadow: 0 4px 12px rgba(0,0,0,0.2) !important;
                }
                /* Dark Text color for readability on Gold Tabs */
                .form-radio-item.active-tab label { color: #0e1631 !important; } 

                /* Submit Button */
                .form-submit-button {
                    background-color: #ffffff !important; color: #102261 !important;
                    width: 100% !important; max-width: 589px !important; height: clamp(60px, 8vw, 72px) !important;
                    display: flex !important; justify-content: center !important; align-items: center !important;
                    border-radius: 8px !important; text-transform: uppercase !important; font-size: clamp(18px, 2vw, 24px) !important;
                    font-weight: 800 !important; margin: 50px auto 60px !important; border: 2px solid #ffffff !important;
                    cursor: pointer !important; transition: all 0.3s ease-out !important; font-family: 'Anek Malayalam', sans-serif !important;
                }
                .form-submit-button:hover { background-color: #be9f4e !important; color: #ffffff !important; border-color: #be9f4e !important; }

                /* =========================================
                   PART D: CUSTOM CONTACT US SECTION
                   ========================================= */
                .custom-contact-section {
                    background-color: #d8e8f2 !important;
                    padding: clamp(60px, 8vw, 100px) 5% !important;
                    text-align: center !important;
                    width: 100% !important;
                }
                .custom-contact-section .contact-title {
                    font-family: 'Anek Malayalam', sans-serif !important;
                    font-weight: 800 !important;
                    font-size: clamp(40px, 8vw, 80px) !important;
                    color: #0e1631 !important;
                    text-transform: uppercase !important;
                    line-height: 1.1 !important;
                    margin: 0 !important;
                }

#label_15 > label:nth-child(1){ color: white !important;}

            `;
            document.head.appendChild(customStyles);


            // ==========================================
            // 2. DOM MANIPULATION & CARD GRID LOGIC
            // ==========================================

            // Restructure Checkboxes into Grid
            document.querySelectorAll('.form-single-column').forEach(col => {
                // If it contains checkboxes, turn it into our custom grid
                if (col.querySelector('.form-checkbox-item')) {
                    
                    const liParent = col.closest('.form-line');
                    if (liParent) {
                        liParent.classList.add('custom-grid-section');
                        const label = liParent.querySelector('.form-label-left, .form-label-top, .form-label');
                        const inputContainer = liParent.querySelector('.form-input, .form-input-wide');
                        if (label && inputContainer) {
                            liParent.insertBefore(label, inputContainer);
                        }
                    }

                    col.classList.add('gift-grid');
                    col.querySelectorAll('br').forEach(el => el.remove());

                    col.querySelectorAll('.form-checkbox-item').forEach(item => {
                        const input = item.querySelector('input[type="checkbox"]');
                        const label = item.querySelector('label');
                        const labelSpan = label ? (label.querySelector('span') || label) : null;
                        if (!input || !labelSpan) return;

                        const originalText = labelSpan.textContent.trim();
                        const isReserved = /reserved/i.test(originalText);

                        let parts = originalText.split('$');
                        let title = parts[0] ? parts[0].replace(/reserved/i, '').trim() : originalText;
                        let price = parts[1] ? '$' + parts[1].replace(/reserved/i, '').trim() : '';

                        // Solid SVG Checks (Unselected = dark circle outline, Selected = White circle + gold check)
                        const svgCheckmarkUnselected = `
                            <svg viewBox="0 0 24 24" class="svg-unselected">
                                <circle cx="12" cy="12" r="11" fill="none" stroke="#102261" stroke-width="1.5"></circle>
                            </svg>
                        `;
                        const svgCheckmarkSelected = `
                            <svg viewBox="0 0 24 24" class="svg-selected">
                                <circle cx="12" cy="12" r="12" fill="#ffffff"></circle>
                                <polyline points="7 12 11 16 17 8" stroke="#be9f4e" stroke-width="2.5" fill="none" stroke-linecap="round" stroke-linejoin="round"></polyline>
                            </svg>
                        `;

                        if (isReserved) {
                            item.classList.add('taken');
                            input.disabled = true; 
                            label.innerHTML = `<h5>${title}</h5><div class="status">Reserved</div><div class="price">${price}</div>`;
                        } else {
                            // No more alternating colors. All get the same base styles.
                            label.innerHTML = `<h5>${title}</h5><div class="price">${price}</div><div class="check-icon">${svgCheckmarkUnselected}${svgCheckmarkSelected}</div>`;
                        }

                        const syncState = () => {
                            if(input.checked) item.classList.add('selected');
                            else item.classList.remove('selected');
                        };

                        item.addEventListener('click', (e) => {
                            if (isReserved) return e.preventDefault();
                            if (e.target.tagName.toLowerCase() !== 'input') {
                                e.preventDefault();
                                input.checked = !input.checked;
                                input.dispatchEvent(new Event('change', {bubbles: true}));
                            }
                        });

                        input.addEventListener('change', syncState);
                        syncState();
                    });
                }
            });

            // ==========================================
            // 3. PAYMENT METHOD TABS LOGIC
            // ==========================================
            document.querySelectorAll('.form-payment-methods .form-radio-item').forEach(item => {
                const radio = item.querySelector('input[type="radio"]');
                if (!radio) return;

                if (radio.checked) item.classList.add('active-tab');

                radio.addEventListener('change', () => {
                    document.querySelectorAll('.form-payment-methods .form-radio-item').forEach(i => i.classList.remove('active-tab'));
                    if (radio.checked) item.classList.add('active-tab');
                });

                item.addEventListener('click', (e) => {
                    if (e.target !== radio && e.target.tagName !== 'LABEL') {
                        radio.click();
                    }
                });
            });

            // ==========================================
            // 4. AUTO-MOVE CONTACT SECTION BELOW SUBMIT
            // ==========================================
            const contactSection = document.querySelector('.custom-contact-section');
            const submitLi = document.getElementById('id_2');
            
            if (contactSection && submitLi && submitLi.parentNode) {
                const contactLi = contactSection.closest('.form-line') || contactSection.closest('li');
                if (contactLi) {
                    contactLi.style.padding = '0';
                    contactLi.style.margin = '0';
                    contactLi.style.maxWidth = '100%';
                    contactLi.style.width = '100%';
                    submitLi.parentNode.insertBefore(contactLi, submitLi.nextSibling);
                }
            }

            // ==========================================
            // 5. NAVIGATION LOGIC (Mobile Menu & Scroll)
            // ==========================================
            const menuBtn = document.querySelector('.mobile-menu-btn');
            const navLinks = document.querySelector('.nav-links');
            
            if (menuBtn && navLinks) {
                // Ensure the button explicitly doesn't submit the form
                menuBtn.setAttribute('type', 'button');

                menuBtn.addEventListener('click', (e) => {
                    e.preventDefault(); // Stop any validation or form submit action
                    navLinks.classList.toggle('active');
                    menuBtn.classList.toggle('active-menu');
                });
                
                // Close menu when clicking a link
                navLinks.querySelectorAll('a').forEach(link => {
                    link.addEventListener('click', () => {
                        navLinks.classList.remove('active');
                        menuBtn.classList.remove('active-menu');
                    });
                });
            }

            document.querySelectorAll('.dedication-btn, .cta-btn').forEach(btn => {
                btn.addEventListener('click', function(e) {
                    e.preventDefault();
                    if(navLinks) {
                        navLinks.classList.remove('active'); // Close mobile menu if open
                        if (menuBtn) menuBtn.classList.remove('active-menu');
                    }
                    
                    const target = document.getElementById('id_17') || document.querySelector('.form-all');
                    if (target) {
                        target.scrollIntoView({ behavior: 'smooth' });
                    }
                });
            });

            // ==========================================
            // 6. SCROLL ANIMATIONS TO FORM ELEMENTS
            // ==========================================
            document.querySelectorAll('.form-line').forEach(line => {
                line.classList.add('animate-on-scroll');
            });

            const observerOptions = {
                root: null,
                rootMargin: '0px',
                threshold: 0.10
            };

            const scrollObserver = new IntersectionObserver((entries, observer) => {
                entries.forEach(entry => {
                    if (entry.isIntersecting) {
                        entry.target.classList.add('visible');
                    }
                });
            }, observerOptions);

            document.querySelectorAll('.animate-on-scroll, .slide-in-left, .slide-in-right').forEach(el => {
                scrollObserver.observe(el);
            });

        });
    })();
</script>
</body>
</html>