{"id":71,"date":"2018-07-04T10:44:38","date_gmt":"2018-07-04T10:44:38","guid":{"rendered":"https:\/\/secointernational.com\/associations\/moa\/?page_id=71"},"modified":"2019-06-18T01:10:05","modified_gmt":"2019-06-18T01:10:05","slug":"moa-pac-form","status":"publish","type":"page","link":"https:\/\/secointernational.com\/associations\/moa\/moa-pac-form\/","title":{"rendered":"MOA PAC Form"},"content":{"rendered":"\n\t\t\t\t<img loading=\"lazy\" src=\"https:\/\/secointernational.com\/associations\/moa\/wp-content\/uploads\/2019\/06\/ofp-logo-300x143.png\" alt=\"ofp-logo\" itemprop=\"image\" height=\"143\" width=\"300\" title=\"ofp-logo\" onerror=\"this.style.display='none'\"  \/>\n<h3>\n\t\tOPTOMETRY FOR PROGRESS <BR><small>OFP  &#8211; SUPPORT YOUR PAC<\/small>\n\t<\/h3>\n\t\t\t<a href=\"https:\/\/secointernational.com\/associations\/moa\/moa-pac-form?pac_amount=2000\" target=\"_self\" role=\"button\" rel=\"noopener noreferrer\">\n\t\t\t\t\t\t\t$2000\n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"https:\/\/secointernational.com\/associations\/moa\/moa-pac-form?pac_amount=1000\" target=\"_self\" role=\"button\" rel=\"noopener noreferrer\">\n\t\t\t\t\t\t\t$1000\n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"https:\/\/secointernational.com\/associations\/moa\/moa-pac-form?pac_amount=500\" target=\"_self\" role=\"button\" rel=\"noopener noreferrer\">\n\t\t\t\t\t\t\t$500\n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"https:\/\/secointernational.com\/associations\/moa\/moa-pac-form?pac_amount=250\" target=\"_self\" role=\"button\" rel=\"noopener noreferrer\">\n\t\t\t\t\t\t\t$250\n\t\t\t\t\t<\/a>\n\t<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_1' >\n                        <div class='gform_heading'>\n                            <span class='gform_description'><\/span>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/associations\/moa\/wp-json\/wp\/v2\/pages\/71' >\n                        <div class='gform_body gform-body'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_1_15\"  class=\"gfield gfield_price gfield_price_1_15 gfield_product_1_15 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_15\"><label class='gfield_label' for='input_1_15' >Amount (Enter custom amount here.)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_15' id='input_1_15' type='text' value='' class='large ginput_amount'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n\t\t\t\t<\/div><\/li><li id=\"field_1_25\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_25\"><label class='gfield_label'  >Frequency:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_25'>\n\t\t\t<li class='gchoice gchoice_1_25_0'>\n\t\t\t\t<input name='input_25' type='radio' value='One time donation' checked='checked' id='choice_1_25_0'    \/>\n\t\t\t\t<label for='choice_1_25_0' id='label_1_25_0'>One Time Donation -- NOT RECURRING<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_25_1'>\n\t\t\t\t<input name='input_25' type='radio' value='Monthly'  id='choice_1_25_1'    \/>\n\t\t\t\t<label for='choice_1_25_1' id='label_1_25_1'>Monthly -- PAY THE ABOVE AMOUNT MONTHLY<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_25_2'>\n\t\t\t\t<input name='input_25' type='radio' value='Quarterly'  id='choice_1_25_2'    \/>\n\t\t\t\t<label for='choice_1_25_2' id='label_1_25_2'>Quarterly -- PAY THE ABOVE AMOUNT FOUR TIMES A YEAR<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_25_3'>\n\t\t\t\t<input name='input_25' type='radio' value='Yearly'  id='choice_1_25_3'    \/>\n\t\t\t\t<label for='choice_1_25_3' id='label_1_25_3'>Yearly -- PAY THE ABOVE AMOUNT ONCE A YEAR<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_8\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_8\"><label class='gfield_label' for='input_1_8' >First Name:<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_1_8' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_9\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_9\"><label class='gfield_label' for='input_1_9' >Last Name:<\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_1_9' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_18\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_18\"><label class='gfield_label' for='input_1_18' >Mobile Number:<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_1_18' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_14\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_14\"><label class='gfield_label' for='input_1_14' >Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_14' id='input_1_14' type='text' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_1_20\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_20\"><label class='gfield_label' for='input_1_20' >Address:<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_1_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_17\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_17\"><label class='gfield_label' for='input_1_17' >City:<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_1_17' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_21\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_21\"><label class='gfield_label' for='input_1_21' >State:<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_1_21' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_22\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_22\"><label class='gfield_label' for='input_1_22' >Zip:<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_1_22' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_19\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_19\"><label class='gfield_label gfield_label_before_complex' for='input_1_19_1' >Credit Card<\/label><div class='ginput_complex ginput_container ginput_container_creditcard' id='input_1_19'><span class='ginput_full' id='input_1_19_1_container' >\n                                    <div class='gform_card_icon_container'><div class='gform_card_icon gform_card_icon_amex' >American Express<\/div><div class='gform_card_icon gform_card_icon_discover' >Discover<\/div><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_1_19_supported_creditcards'>Supported Credit Cards: American Express, Discover, MasterCard, Visa<\/span><\/div>\n                                    <input type='text'  id='input_1_19_1' value=''   onchange='gformMatchCard(\"input_1_19_1\");' onkeyup='gformMatchCard(\"input_1_19_1\");'    aria-required='false'  \/>\n                                    <label for='input_1_19_1' id='input_1_19_1_label' >Card Number<\/label>\n                                 <\/span><span class='ginput_full ginput_cardextras' id='input_1_19_2_container'>\n                                            <span class='ginput_cardinfo_left' id='input_1_19_2_cardinfo_left'>\n                                                <span class='ginput_card_expiration_container ginput_card_field'>\n                                                    \n                                                       <select  id='input_1_19_2_month'   class='ginput_card_expiration ginput_card_expiration_month' aria-required='false'  >\n                                                           <option value=''>Month<\/option><option value='1' >01<\/option><option value='2' >02<\/option><option value='3' >03<\/option><option value='4' >04<\/option><option value='5' >05<\/option><option value='6' >06<\/option><option value='7' >07<\/option><option value='8' >08<\/option><option value='9' >09<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option>\n                                                       <\/select>\n                                                       \n                                                   \n                                                   \n                                                       <select  id='input_1_19_2_year'   class='ginput_card_expiration ginput_card_expiration_year' aria-required='false'  >\n                                                           <option value=''>Year<\/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><option value='2035' >2035<\/option><option value='2036' >2036<\/option><option value='2037' >2037<\/option><option value='2038' >2038<\/option><option value='2039' >2039<\/option><option value='2040' >2040<\/option><option value='2041' >2041<\/option><option value='2042' >2042<\/option><option value='2043' >2043<\/option><option value='2044' >2044<\/option><option value='2045' >2045<\/option>\n                                                       <\/select>\n                                                       \n                                                       \n                                                <\/span>\n                                                 <label for='input_1_19_2_month' >Expiration Date<\/label>\n                                            <\/span><span class='ginput_cardinfo_right' id='input_1_19_2_cardinfo_right'>\n                                                <input type='text'  id='input_1_19_3'   class='ginput_card_security_code' value=''    aria-required='false'  \/>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                                <label for='input_1_19_3' >Security Code<\/label>\n                                             <\/span>\n                                        <\/span><span class='ginput_full' id='input_1_19_5_container'>\n                                            <input type='text'  id='input_1_19_5' value=''    aria-required='false'  \/>\n                                            <label for='input_1_19_5' id='input_1_19_5_label' >Cardholder Name<\/label>\n                                        <\/span> <\/div><\/li><li id=\"field_1_26\"  class=\"gfield gfield_price gfield_price_1_ gfield_total gfield_total_1_ field_sublabel_below field_description_below hidden_label gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" data-js-reload=\"field_1_26\"><label class='gfield_label' for='input_1_26' >Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_1'>$0.00<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_26' id='input_1_26' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><li id=\"field_1_27\"  class=\"gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_27\"><label class='gfield_label' for='input_1_27' >Comments<\/label><div class='ginput_container'><input name='input_27' id='input_1_27' type='text' value='' \/><\/div><div class='gfield_description' id='gfield_description_1_27'>This field is for validation purposes and should be left unchanged.<\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_1' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true;  jQuery(\"#gform_1\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='WyJbXSIsIjUwM2U5NzRkZmJlOGZlYzQ1NGY1ODViNzEwMjZhYzk3Il0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n\t<p><strong>Disclaimer: Contributions to the SCOPA PAC are for political purposes and are not tax deductible. This communication is intended for SCOPA members only, which alone are able to invest in SCOPA PAC; please do not forward. Only SCOPA members and other eligible persons may contribute to SCOPA PAC; members may not solicit contributions for the PAC on public social media platforms, including public Tweets and Facebook posts. You have the right to refuse to contribute to SCOPA PAC without the fear of reprisal, and any guidelines for contributing are merely suggestions; you may contribute more (up to $5,000 per year) or less than the guidelines suggest, or nothing at all. SCOPA will not advantage or disadvantage anyone by reason of the amount of their contribution or their decision not to contribute. An individual must be a U.S. citizen or lawfully admitted permanent resident to contribute to the PAC. Federal law requires us to use best efforts to collect and report the name, mailing address, occupation, and name of employer of each individual whose contributions exceed $200 in a calendar year.<\/strong><\/p>\n\t\t\t\t<img loading=\"lazy\" src=\"https:\/\/secointernational.com\/associations\/moa\/wp-content\/uploads\/2018\/07\/seco_logo-300x53.png\" alt=\"seco_logo\" itemprop=\"image\" height=\"53\" width=\"300\" title=\"seco_logo\" onerror=\"this.style.display='none'\"  \/>\n\t<p><a href=\"https:\/\/secointernational.com\/associations\/moa\">&#8211;<\/a><\/p>\n\t<p>= Terms and Conditions =<\/p>\n","protected":false},"excerpt":{"rendered":"<p>OPTOMETRY FOR PROGRESS OFP &#8211; SUPPORT YOUR PAC $2000 $1000 $500 $250 Disclaimer: Contributions to the SCOPA PAC are for political purposes and are not tax deductible. This communication is intended for SCOPA members only, which alone are able to invest in SCOPA PAC; please do not forward. Only SCOPA members and other eligible persons&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"tpl-no-header-footer.php","meta":[],"_links":{"self":[{"href":"https:\/\/secointernational.com\/associations\/moa\/wp-json\/wp\/v2\/pages\/71"}],"collection":[{"href":"https:\/\/secointernational.com\/associations\/moa\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/secointernational.com\/associations\/moa\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/secointernational.com\/associations\/moa\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/secointernational.com\/associations\/moa\/wp-json\/wp\/v2\/comments?post=71"}],"version-history":[{"count":38,"href":"https:\/\/secointernational.com\/associations\/moa\/wp-json\/wp\/v2\/pages\/71\/revisions"}],"predecessor-version":[{"id":239,"href":"https:\/\/secointernational.com\/associations\/moa\/wp-json\/wp\/v2\/pages\/71\/revisions\/239"}],"wp:attachment":[{"href":"https:\/\/secointernational.com\/associations\/moa\/wp-json\/wp\/v2\/media?parent=71"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}