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<base href="http://www.usalone.com/mccloskey/">

<!--Submission form copyright 2005, 2006, The People's Email Network
    Patent pending, all rights reserved-->

<link href="http://www.usalone.com/mccloskey/campaign6.css" rel="stylesheet" type="text/css">

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<!-- START DONATIONS SECTION -->

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     <td class=hx><font size=4 face=verdana style="font-family:verdana;font-size:17px;color:#000000;line-height:20px;font-weight:bold;"><b>WON'T YOU MAKE A DONATION TO HELP ME RUN CALL TO ACTION ADS ON IMPEACHING BUSH AND CHENEY NOW?</b></font><br>
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     <td class=b valign=top><font size=2 color=black face=verdana style="font-family:verdana;font-size:11px;line-height:15px;color:#000000;">
<b>Your donation of $99</b> will cover 1/10 of a substantial call to action ad in the Los Angeles Times calling for impeachment now.  <b>But any amount will go a long way</b> towards making sure our voice is heard in the weeks and months ahead.  Your donation means <b>we can inspire and encourage many more people</b> to speak out as well.  Just affirm your eligibility and select either PayPal or ActBlue button below.<br>
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<form name=contribute action="http://www.usalone.com/mccloskey/thankyou3.php" method=post style="margin:0;border:0;padding:0;">

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     <td class=b valign=top><font size=2 color=black face=verdana style="font-family:verdana;font-size:11px;line-height:15px;color:#000000;">
<b>Please select a contribution amount:</b><br>
<input name=contribute_amount value=10 type=radio> $10
<input name=contribute_amount value=20 type=radio> $25
<input name=contribute_amount value=50 type=radio> $50
<input name=contribute_amount value=99 type=radio checked> $99
<input name=contribute_amount value=250 type=radio> $250
<input name=contribute_amount value=500 type=radio> $500
<input name=contribute_amount value=1000 type=radio> $1000
<input name=contribute_amount value=2100 type=radio> $2100<br>
<input name=contribute_amount value=other type=radio> Other:&nbsp;$<input name=contribute_amount_other size=10 type=text>
     </font>
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     <td class=b valign=top><font size=2 color=black face=verdana style="font-family:verdana;font-size:11px;line-height:15px;color:#000000;">
        <b>For contributions over $200:</b><br>
        Occupation &nbsp;<input type=text name=occupation> &nbsp;&nbsp; Employer &nbsp;<input type=text name=employer>
      </font>
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     <td class=b valign=top><font size=2 color=black face=verdana style="font-family:verdana;font-size:11px;line-height:15px;color:#000000;">
        <b>For all contributions:</b><br>
	<input name="eligible" type="checkbox" value="1"> &nbsp; I confirm that the following statements are true and accurate.
        </font>
      </td>
    </tr>
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          <td class=b valign=top><font size=2 color=black face=verdana style="font-family:verdana;font-size:11px;line-height:15px;color:#000000;">1.&nbsp;</font></td>
          <td class=b valign=top><font size=2 color=black face=verdana style="font-family:verdana;font-size:11px;line-height:15px;color:#000000;">I am a United States citizen or a permanent resident alien.</font></td>
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          <td width=10></td>
          <td class=b valign=top><font size=2 color=black face=verdana style="font-family:verdana;font-size:11px;line-height:15px;color:#000000;">2.&nbsp;</font></td>
          <td class=b valign=top><font size=2 color=black face=verdana style="font-family:verdana;font-size:11px;line-height:15px;color:#000000;">This contribution is made from my own funds, and funds are not
              being provided to me by another person or entity for the purpose
              of making this contribution.</font></td>
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         </tr>
          <td width=10></td>
          <td class=b valign=top><font size=2 color=black face=verdana style="font-family:verdana;font-size:11px;line-height:15px;color:#000000;">3.&nbsp;</font></td>
          <td class=b valign=top><font size=2 color=black face=verdana style="font-family:verdana;font-size:11px;line-height:15px;color:#000000;">I am making this contribution with my own personal credit card and not with a corporate or business credit card or a card issued to another person.</font></td>
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          <td width=10></td>
          <td class=b valign=top><font size=2 color=black face=verdana style="font-family:verdana;font-size:11px;line-height:15px;color:#000000;">4.&nbsp;</font></td>
          <td class=b valign=top><font size=2 color=black face=verdana style="font-family:verdana;font-size:11px;line-height:15px;color:#000000;">I am not a federal contractor.</font></td>
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          <td class=b valign=top><font size=2 color=black face=verdana style="font-family:verdana;font-size:11px;line-height:15px;color:#000000;">5.&nbsp;</font></td>
          <td class=b valign=top><font size=2 color=black face=verdana style="font-family:verdana;font-size:11px;line-height:15px;color:#000000;">I am at least eighteen years old.</font></td>
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<input type=hidden name=gateway value=""> 

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     <td class=h valign=top><font size=2 class=h>
<img src="http://www.usalone.com/mccloskey/x-click-but04b.gif" width="102" height="31" onClick="pp_process();"><br><br>
     </td>

     <td width=10>
     </td>

     <td class=h valign=top>
<img src="http://www.usalone.com/mccloskey/actblue2a.gif" width="102" height="31" onClick="ab_process();"><br><br>
     </td>

     <td width=10>
     </td>

     <td class=h><font size=3 color=black face=verdana style="font-family:verdana;font-size:13px;color:#000000;font-weight:bold;"><b>
     Now just click either the PayPal or the ActBlue button to the left to contribute.
     </b></font>
     </td>

    </tr>
   </table>

<input type=hidden name=email value="">
<input type=hidden name=hon value="">
<input type=hidden name=first value="">
<input type=hidden name=last value="">
<input type=hidden name=addr value="">
<input type=hidden name=apt value="">
<input type=hidden name=city value="">
<input type=hidden name=state value="">
<input type=hidden name=zip5 value="">
<input type=hidden name=email value="">
<input type=hidden name=amount value="">


</form>

<form name=paypal target="_paypal" action="https://www.paypal.com/cgi-bin/webscr" method="post">
<input type=hidden name="cmd" value="_xclick">
<input type=hidden name="business" value="bobmccloskey06@yahoo.com">
<input type=hidden name="item_name" value="Bob McCloskey Donations">
<input type=hidden name="no_shipping" value="2">
<input type=hidden name="currency_code" value="USD">
<input type=hidden name="tax" value="0">
<input type=hidden name="lc" value="US">
<input type=hidden name="bn" value="PP-DonationsBF">
<input type=hidden name=on0 value="">
<input type=hidden name=on1 value="">
<input type=hidden name=amount value="">
<input type=hidden name=email value="">
</form> 

<form name=actblue target=_actblue action="https://www.actblue.com/contribute/engine" method="post">
<input type=hidden name="referrer" value="/">
<input type=hidden name="successuri" value="/">
<input type=hidden name="refcode" value="tpen">
<input type=hidden name="branded" value="">
<input type=hidden name="layout" value="contribute">
<input type=hidden name="radiobuttons" value="2000,5000,10000,25000,50000,100000,210000">
<input type=hidden name="recipient[id]" value="9498">
<input type=hidden name="recipient[amount]" value="2000">
<input type=hidden name="recipient[customamount]" value="">
<input type=hidden name="contribution[recurring]" value="false">
<input type=hidden name="contribution[recurringtimes]" value="">
<input type=hidden name="contribution[firstname]" value="">
<input type=hidden name="contribution[lastname]" value="">
<input type=hidden name="contribution[addr1]" value="">
<input type=hidden name="contribution[addr2]" value="">
<input type=hidden name="contribution[city]" value="">
<input type=hidden name="contribution[state]" value="">
<input type=hidden name="contribution[zip]" value="">
<input type=hidden name="contribution[country]" value="United States">
<input type=hidden name="contribution[phone]" value="">
<input type=hidden name="contribution[email]" value="">
<input type=hidden name="contribution[emailsignup]" value="f">
<input type=hidden name="contribution[sharecontact]" value="f">
<input type=hidden name="contribution[occupation]" value="None stated">
<input type=hidden name="contribution[employer]" value="None stated">
<input type=hidden name="contribution[htmlagree]" value="0">
<input type=hidden name="contribution[tipchoice]" value="0">
<input type=hidden name="contribution[customtipamount]" value="">
<input type=hidden name="confirm" value="Continue&mdash;almost&nbsp;finished">

<!--
<input type="submit" onClick="ab_process();" name="confirm" value="Continue&mdash;almost&nbsp;finished">
-->

</form>


<script language=javascript>

function getamount() {

  thisamount = "";

  dindx = -1;
  for (i=document.contribute.contribute_amount.length-1; i > -1; i--) {
    if (document.contribute.contribute_amount[i].checked) {
      dindx = i;
      if (dindx < document.contribute.contribute_amount.length-1) {
        thisamount = document.contribute.contribute_amount[i].value;
        }
      else {
        thisamount = document.contribute.contribute_amount_other.value;
        }
      }
    }

  if (thisamount == "") {
    alert("please select a donation amount.");
    return false;
    }

  myoccupation = document.contribute.occupation.value; 
  myemployer = document.contribute.employer.value;

  if (thisamount > 200) {
     if (myoccupation == "") {
       alert ("occupation is required for donations over $200.");
       return false;
       }
     else if (myemployer == "") {
       alert ("employer is required for donations over $200.");
       return false;
       }
     }

  if (document.contribute.eligible.checked == false) {
    alert("to contribute you must check the box to confirm that the five eligibility statements are true and accurate.");
    return false;
    }


  if (myoccupation == "") {
    myoccupation = "None stated";
    }
  if (myemployer == "") {
    myemployer = "None stated";
    }
  thisphone = "";
  if (thisphone == "") {
    thisphone = "None stated";
    }
  
  return true;
  }


function pp_process() {
//  alert('pp');
//  return false;
  if (getamount()) {
//    alert(thisamount);
    document.contribute.gateway.value = "paypal";
    document.paypal.on0.value = myoccupation;
    document.paypal.on1.value = myemployer;
    document.paypal.amount.value = thisamount;
    document.paypal.submit();
    thanks();
    }
  }

function ab_process() {
//  alert('ab');
  if (getamount()) {
//    alert(thisamount);
    if ((thisamount == 2000) ||
        (thisamount == 5000) ||
        (thisamount == 10000) ||
        (thisamount == 25000) ||
        (thisamount == 50000) ||
        (thisamount == 100000) ||
        (thisamount == 210000)) {
      document.actblue.elements[7].value = thisamount * 100;
      }
    else {
      document.actblue.elements[7].value = "other";
      document.actblue.elements[8].value = thisamount;
      }
    document.contribute.gateway.value = "actblue";
    document.actblue.elements[23].value = myoccupation;
    document.actblue.elements[24].value = myemployer;
    document.actblue.elements[25].value = "1";
    document.actblue.submit();
    thanks();
    }

  }

function thanks() {
   document.contribute.amount.value = thisamount;
   document.contribute.occupation.value = myoccupation;
   document.contribute.employer.value = myemployer;
   setTimeout('document.contribute.submit();', 5000);
   }


function Get_Cookie(name) {
  var start = document.cookie.indexOf(name+"=");
  var len = start+name.length+1;
  if ((!start) && (name != document.cookie.substring(0,name.length))) return null;
  if (start == -1) return null;
  var end = document.cookie.indexOf(";",len);
  if (end == -1) end = document.cookie.length;
  return unescape(document.cookie.substring(len,end));
  }

var hons = new Array("Mr.", "Mrs.", "Ms.", "Miss", "Dr.");
var states = new Array("","AL","AK","AS","AZ","AR","CA","CO","CT","DE","DC","FL","GA","GU","HI","ID","IL","IN","IA","KS","KY","LA","ME","MD","MA","MI","MN","MS","MO","MT","NE","NV","NH","NJ","NM","NY","NC","ND","OH","OK","OR","PA","PR","RI","SC","SD","TN","TX","UT","VT","VA","VI","WA","WV","WI","WY");


  cookstr = Get_Cookie("us");
  if (cookstr != null) {
    cooklen = cookstr.length;

//  alert(cookstr);
  values = new Array();

    strval = '';
    j = 2;
    for (i=0;i<cooklen;i++) {
      thisc = cookstr.substr(i,1);
      if (thisc != "~") {
        strval = strval + thisc;
        }
      else {
        if (j == 3) {
          strval = "0" + strval;  // failsafe against NaN
          ival = parseInt(strval, 10);
          values[j]= hons[ival]; 
          }
        else if (j == 9) {
          strval = "0" + strval;  // failsafe against NaN
          ival = parseInt(strval, 10);
          values[j]= states[ival]; 
          }
        else {
          values[j] = strval;
          }
        j++;
        strval = '';
        }
      }

var email = values[2];
var hon = values[3];
var first = values[4];
var last = values[5];
var addr = values[6];
var apt = values[7];
var city = values[8];
var state = values[9];
var zip5 = values[10];
var phone = values[11];


// set form values


document.paypal.elements[11].value = email;

document.actblue.elements[11].value = first;
document.actblue.elements[12].value = last;
document.actblue.elements[13].value = addr;
document.actblue.elements[14].value = apt;
document.actblue.elements[15].value = city;
document.actblue.elements[16].value = state;
document.actblue.elements[17].value = zip5;
document.actblue.elements[20].value = email;


document.contribute.email.value = email;
document.contribute.hon.value = hon;
document.contribute.first.value = first;
document.contribute.last.value = last;
document.contribute.addr.value = addr;
document.contribute.apt.value = apt;
document.contribute.city.value = city;
document.contribute.state.value = state;
document.contribute.zip5.value = zip5;

    }

//alert('email = ' + values[2]);
//alert('hon = ' + values[3]);
//alert('first = ' + values[4]);
//alert('last = ' + values[5]);
//alert('addr = ' + values[6]);
//alert('apt = ' + values[7]);
//alert('city = ' + values[8]);
//alert('state = ' + values[9]);
//alert('zip5 = ' + values[10]);
//alert('phone = ' + values[11]); 



</script>

   </td>
  <td width=10 bgcolor="FFFFFF">
  </td>
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</table>

<form method=post name=forwardframe action="http://ccolemanjr.com/framepage_c.php">
<input type=hidden name=fpage value="home.html">
</form>

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  </td>
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<base href="http://www.takingbackthehouse.org/">