{"id":5723,"date":"2021-03-04T11:41:53","date_gmt":"2021-03-04T10:41:53","guid":{"rendered":"https:\/\/www.deutsche-syringomyelie.de\/online-donation-form\/"},"modified":"2024-09-16T15:05:22","modified_gmt":"2024-09-16T13:05:22","slug":"online-donation-form","status":"publish","type":"page","link":"https:\/\/www.dscm-ev.de\/en\/donations\/online-donation-form\/","title":{"rendered":"Online donation form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row tm_bgimagefixed=&#8221;&#8221; full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1644502006154{padding-top: 140px !important;padding-bottom: 90px !important;}&#8221; tm_responsive_css=&#8221;11023922|colbreak_no|||||||||colbreak_no|||||45px||55px||colbreak_no||||||||||colbreak_no|||||||||&#8221;][vc_column tm_bgcolor=&#8221;white&#8221; tm_shadow=&#8221;yes&#8221; css=&#8221;.vc_custom_1616580667165{margin-top: -170px !important;padding-top: 40px !important;padding-right: 50px !important;padding-bottom: 50px !important;padding-left: 50px !important;}&#8221; tm_responsive_css=&#8221;12408977|colbreak_no|||||||||colbreak_no|-45px||||30px|30px|45px|30px|colbreak_no||||||||||colbreak_no|||||||||&#8221;]<div class=\"tm-element-heading-wrapper tm-heading-inner tm-element-align-center tm-seperator-none tm-heading-style-vertical \"><section class=\"tm-vc_cta3-container\"><div class=\"tm-vc_general tm-vc_cta3 tm-cta3-only tm-vc_cta3-style-classic tm-vc_cta3-shape-rounded tm-vc_cta3-align-center tm-vc_cta3-color-transparent tm-vc_cta3-icon-size-md tm-vc_cta3-actions-no tm-cta3-without-desc\"><div class=\"tm-vc_cta3_content-container\"><div class=\"tm-vc_cta3-content\"><header class=\"tm-vc_cta3-content-header tm-wrap\"><div class=\"tm-vc_cta3-headers tm-wrap-cell\"><h2 class=\"tm-custom-heading \" >Donate by direct debit<\/h2>\n<\/div><div class=\"heading-seperator\"><span><\/span><\/div><\/header><\/div><\/div><\/div><\/section><\/div> <!-- .tm-element-heading-wrapper container --> [vc_column_text css=&#8221;.vc_custom_1647450815427{margin-top: -23px !important;margin-bottom: 23px !important;border-bottom-width: 20px !important;}&#8221; el_class=&#8221;tm-center-text&#8221;]You can use our donation form here to make your donation easily and conveniently by direct debit. We will be happy to help you with any questions you may have. Simply <a class=\"tm-skincolor\" href=\"http:\/\/deutsche-syringomyelie.de\/kontakt\/\" target=\"_blank\" rel=\"noopener\"><br \/>\n  <u>contact us<\/u><br \/>\n<\/a> on.[\/vc_column_text][vc_separator css=&#8221;.vc_custom_1645107166947{padding-top: 10px !important;padding-bottom: 10px !important;}&#8221;]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1958-o1\" lang=\"de-DE\" dir=\"ltr\" data-wpcf7-id=\"1958\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/5723#wpcf7-f1958-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Kontaktformular\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1958\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"de_DE_formal\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1958-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"cmt-commonform\">\n\t<div class=\"row\">\n\t\t<h4>Spende\n\t\t<\/h4>\n\t\t<div class=\"col-md-6\">\n\t\t\t<p><label>Betrag in \u20ac:*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"donation\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"donation\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<p><label>Rhythmus:*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"rhythm\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"rhythm\"><option value=\"einmalig\">einmalig<\/option><option value=\"monatlich\">monatlich<\/option><option value=\"viertelj\u00e4hrlich\">viertelj\u00e4hrlich<\/option><option value=\"halbj\u00e4hrlich\">halbj\u00e4hrlich<\/option><option value=\"j\u00e4hrlich\">j\u00e4hrlich<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<hr \/>\n\t<div class=\"row\">\n\t\t<h4>Pers\u00f6nliche Daten\n\t\t<\/h4>\n\t\t<div class=\"col-md-4\">\n\t\t\t<p><label>Vorname:*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"firstname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"firstname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-4\">\n\t\t\t<p><label>Nachname:*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"lastname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"lastname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-4\">\n\t\t\t<p><label>E-Mail-Adresse:*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<hr \/>\n\t<div class=\"row\">\n\t\t<div class=\"col-md-2\">\n\t\t\t<p><label>Spendenquittung:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"receipt\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"receipt\"><option value=\"nein, danke\">nein, danke<\/option><option value=\"ja, bitte\">ja, bitte<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-10\">\n\t\t\t<p><label>Anschrift:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Adresse angeben, wenn eine Spendenquittung gew\u00fcnscht wird.\" value=\"\" type=\"text\" name=\"your-address\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<h4>SEPA-Lastschrift\n\t\t<\/h4>\n\t\t<div class=\"col-md-6\">\n\t\t\t<p><label>Kontoinhaber\/-in:*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"account-holder\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"account-holder\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<p><label>IBAN:*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"iban\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"iban\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-12\">\n\t\t\t<p><label>Nachricht:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"message\"><textarea cols=\"20\" rows=\"5\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Ihre pers\u00f6nliche Nachricht an uns. z. B. Spendenzweck\" name=\"message\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p class=\"lastschrift-zustimmung\"><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-41\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-41\" value=\"1\" class=\"zustimmung\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Hiermit stimme ich der Abbuchung der Spende zu und best\u00e4tige, dass ich Kontoinhaber\/-in bin.*<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p class=\"datenschutz-zustimmung\"><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-40\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-40\" value=\"1\" class=\"zustimmung\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Ich habe die <a target=\"_blank\" href=\"https:\/\/www.deutsche-syringomyelie.de\/datenschutz\/\">Datenschutzerkl\u00e4rung<\/a> gelesen und akzeptiert.*<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-md-12 cmt-frm-btn\">\n\t\t\t<p>[borlabs-cookie id=\"recaptcha\" type=\"content-blocker\"]<input class=\"wpcf7-form-control wpcf7-submit has-spinner tm-vc_btn3 tm-vc_general tm-vc_btn3-shape-square tm-vc_btn3-color-skincolor\" type=\"submit\" value=\"Jetzt spenden!\" \/>\n\t\t\t<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>[\/borlabs-cookie]\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-12\">\n\t\n\t<\/div>\n<\/div><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n<\/form>\n<\/div>\n[vc_column_text]<\/p>\n<p style=\"text-align: right; font-size: 10px;\"><span style=\"color: #ff0000;\">* Mandatory fields<\/span><\/p>\n<p>[\/vc_column_text][vc_column_text][borlabs-cookie id=&#8221;recaptcha&#8221; type=&#8221;content-blocker&#8221;][\/borlabs-cookie][\/vc_column_text][vc_column_text]<strong>The data sent with this donation form is SSL\/TLS encrypted and is secure at all times.<\/strong><\/p>\n<p>Note: If you send us a message via our donation form, we will only collect, store and process your data to the extent necessary to process your donation and for correspondence with you. The use of this form is always voluntary. The form is protected by Google reCAPTCHA: <a title=\"Google - Privacy policy\" href=\"https:\/\/www.google.com\/intl\/de\/policies\/privacy\/\" target=\"_blank\" rel=\"noopener noreferrer\">Privacy Policy<\/a><span role=\"presentation\" aria-hidden=\"true\"> &#8211; <\/span><a title=\"Google - Terms of use\" href=\"https:\/\/www.google.com\/intl\/de\/policies\/terms\/\" target=\"_blank\" rel=\"noopener noreferrer\">Terms of Use<\/a>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row tm_bgimagefixed=&#8221;&#8221; full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1644502006154{padding-top: 140px !important;padding-bottom: 90px !important;}&#8221; tm_responsive_css=&#8221;11023922|colbreak_no|||||||||colbreak_no|||||45px||55px||colbreak_no||||||||||colbreak_no|||||||||&#8221;][vc_column tm_bgcolor=&#8221;white&#8221; tm_shadow=&#8221;yes&#8221; css=&#8221;.vc_custom_1616580667165{margin-top: -170px !important;padding-top: 40px !important;padding-right: 50px !important;padding-bottom: 50px !important;padding-left: 50px !important;}&#8221; tm_responsive_css=&#8221;12408977|colbreak_no|||||||||colbreak_no|-45px||||30px|30px|45px|30px|colbreak_no||||||||||colbreak_no|||||||||&#8221;][vc_column_text css=&#8221;.vc_custom_1647450815427{margin-top: -23px !important;margin-bottom: 23px !important;border-bottom-width: 20px !important;}&#8221; el_class=&#8221;tm-center-text&#8221;]You can use our donation form here to make your donation easily and conveniently by direct debit. We will be happy to help you with &hellip; <a href=\"https:\/\/www.dscm-ev.de\/en\/donations\/online-donation-form\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Online donation form<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":5727,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"","meta":{"rs_blank_template":"","rs_page_bg_color":"","slide_template_v7":"","footnotes":""},"class_list":["post-5723","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/www.dscm-ev.de\/en\/wp-json\/wp\/v2\/pages\/5723","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dscm-ev.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.dscm-ev.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.dscm-ev.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dscm-ev.de\/en\/wp-json\/wp\/v2\/comments?post=5723"}],"version-history":[{"count":4,"href":"https:\/\/www.dscm-ev.de\/en\/wp-json\/wp\/v2\/pages\/5723\/revisions"}],"predecessor-version":[{"id":5885,"href":"https:\/\/www.dscm-ev.de\/en\/wp-json\/wp\/v2\/pages\/5723\/revisions\/5885"}],"up":[{"embeddable":true,"href":"https:\/\/www.dscm-ev.de\/en\/wp-json\/wp\/v2\/pages\/5727"}],"wp:attachment":[{"href":"https:\/\/www.dscm-ev.de\/en\/wp-json\/wp\/v2\/media?parent=5723"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}