Donation

[trx_title type=”1″]I wish to make a donation[/trx_title][trx_title type=”3″]Donation information[/trx_title] [trx_list style=”iconed” icon=”icon-ok” bottom=”2em”][trx_list_item]Lorem ipsum dolor sit amet, consectetur adipisicing elit;[/trx_list_item][trx_list_item]Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum;[/trx_list_item][trx_list_item]Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur[/trx_list_item][/trx_list]

[trx_title type=”3″]Select Amount[/trx_title][trx_contact_form action=”#”][trx_form_item type=”radio” label=”$50″ label_position=”right” class=”bubble” name=”donation_amount” value=”50″ align=”left”][trx_form_item type=”radio” label=”$100″ label_position=”right” class=”bubble” name=”donation_amount” value=”100″ align=”left” checked=”yes”][trx_form_item type=”radio” label=”$500″ label_position=”right” class=”bubble” name=”donation_amount” value=”500″ align=”left”][trx_form_item type=”radio” label=”$1,000″ label_position=”right” class=”bubble” name=”donation_amount” value=”1000″ align=”left”][trx_form_item type=”radio” label=”Other” label_position=”right” class=”bubble” name=”donation_amount” value=”0″ align=”left”][trx_form_item type=”text” name=”donation_amount_other” value=”0″ align=”left”][trx_form_item type=”button” name=”donation_donate” value=”DONATE NOW” align=”left”][/trx_contact_form]