1 UNKNOWN_TYPE | f1 | MATHCOUNTS Foundation Online Donation Form | | f1_1-default
2 NAME_FIRST | dnrfirst | Name * | | f1_1-default
3 NAME_LAST | dnrlast | Name * | | f1_1-default
4 COMPANY_NAME | company | Company | | f1_1-default
5 ADDRESS_HOME_LINE1 | dadd1 | Address 1 * | | f1_1-default
6 ADDRESS_HOME_LINE2 | dadd2 | Address 2 | | f1_1-default
7 ADDRESS_HOME_CITY | dcity | City / State / Zip * | | f1_1-default
8 ADDRESS_HOME_STATE | dstate | Name * | AL | f1_1-default
9 ADDRESS_HOME_ZIP | dzip | Name * | | f1_1-default
10 ADDRESS_HOME_COUNTRY | CC_COUNTRY | Country | United States | f1_1-default
11 PHONE_HOME_WHOLE_NUMBER | dphone | Telephone | | f1_1-default
12 EMAIL_ADDRESS | demail | Email * | | f1_1-default
13 UNKNOWN_TYPE | amt | $ | | f1_1-default
14 UNKNOWN_TYPE | tributeSelect | My donation is In Honor or In Memory of someone special | on | f1_1-default
15 UNKNOWN_TYPE | DonationType | This is a one time donation | OneTime | f1_1-default
16 UNKNOWN_TYPE | DonationType | I would like to make this a recurring donation deducted | Recurs | f1_1-default
17 UNKNOWN_TYPE | ccrecurring | I would like to make this a recurring donation deducted | Monthly | f1_1-default
18 UNKNOWN_TYPE | remLen | ( You may enter up to 500 characters. ) | 500 | f1_1-default
19 UNKNOWN_TYPE | Comments | ( You may enter up to 500 characters. ) | | f1_1-default
20 UNKNOWN_TYPE | tribute | In Honor Of | IHO | f1_1-default
21 UNKNOWN_TYPE | tribute | In Memory Of | IMO | f1_1-default
22 NAME_FULL | Tribute_Name | Name: | | f1_1-default
23 UNKNOWN_TYPE | Tribute_occasion | Occasion: | | f1_1-default
24 UNKNOWN_TYPE | Tribute_Disclosure | I wish to remain anonymous | on | f1_1-default
25 UNKNOWN_TYPE | Tribute_Notification | Please send a notification of my gift to the following address: | on | f1_1-default
26 UNKNOWN_TYPE | Tribute_IncludeAmount | Include the amount | 1 | f1_1-default
27 UNKNOWN_TYPE | Tribute_IncludeAmount | Do not include the amount | 0 | f1_1-default
28 NAME_FULL | Tribute_NotifyName | Name: | | f1_1-default
29 EMAIL_ADDRESS | Tribute_Email | Email: | | f1_1-default
30 ADDRESS_HOME_LINE1 | Tribute_NotifyAddr | Street: | | f1_1-default
31 ADDRESS_HOME_CITY | Tribute_NotifyCity | City / St. / Zip: | | f1_1-default
32 ADDRESS_HOME_STATE | Tribute_NotifyState | City / St. / Zip: | | f1_1-default
33 ADDRESS_HOME_ZIP | Tribute_NotifyZip | City / St. / Zip: | | f1_1-default
34 CREDIT_CARD_TYPE | cctype | Credit Card Type * | Visa | f1_1-cc
35 CREDIT_CARD_NUMBER | ccard | Credit Card Number * | | f1_1-cc
36 CREDIT_CARD_VERIFICATION_CODE | csc | CSC Number * What Is This? | | f1_1-cc
37 CREDIT_CARD_EXP_MONTH | ExpMon | Month | 1 | f1_1-cc
38 CREDIT_CARD_EXP_4_DIGIT_YEAR | ExpYear | Year | 11 | f1_1-cc
39 UNKNOWN_TYPE | SameAddress | Same As Contact Address | checkbox | f1_1-default
40 ADDRESS_HOME_LINE1 | CC_Addr | Address 1 * | | CC_Addr_1-default
41 ADDRESS_HOME_LINE2 | CC_Addr2 | Address 2 | | CC_Addr_1-default
42 ADDRESS_HOME_CITY | CC_City | City / State / Zip * | | CC_Addr_1-default
43 ADDRESS_HOME_STATE | CC_State | Credit Card Information | | CC_Addr_1-default
44 ADDRESS_HOME_ZIP | CC_Zip | Credit Card Information | | CC_Addr_1-default