{"id":11069,"date":"2019-06-11T17:53:54","date_gmt":"2019-06-11T21:53:54","guid":{"rendered":""},"modified":"2019-06-11T17:53:54","modified_gmt":"2019-06-11T21:53:54","slug":"donations","status":"publish","type":"page","link":"https:\/\/www.goldenisleslepc.org\/?page_id=11069","title":{"rendered":"Donate"},"content":{"rendered":"<p>Thank you very much for your interest in helping to reduce the burden of over 5% of our customers that face a genuine financial need.<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/cvaHF8nBIVE\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><em><strong>Processing a donation using the form below requires an active service account. One-time cash, credit\/debit card or check donations may be processed in our customer service area at 1703 Gloucester Street.<\/strong><\/em><\/p>\n<hr \/>\n<p><strong>Interested in making a one-time gift or monthly donation but don&#8217;t have a service account with us?<\/strong><\/p>\n<p><!-- Begin Give Lively Fundraising Widget --><br \/>\n<script>gl=document.createElement('script');gl.src='https:\/\/secure.givelively.org\/widgets\/simple_donation\/coastal-georgia-area-community-action-authority-inc.js?show_suggested_amount_buttons=false&show_in_honor_of=false&address_required=false&has_required_custom_question=null';document.getElementsByTagName('head')[0].appendChild(gl);<\/script><\/p>\n<div id=\"give-lively-widget\" class=\"gl-simple-donation-widget\"><\/div>\n<hr \/>\n<p><strong>Interested in having a one-time gift, dollar roundup or monthly donation added to your service account with us?<\/strong><\/p>\n<p>By completing the form below, you are choosing to commit to this tax-deductible donation to help those in our community that have demonstrated a critical financial need in order to help them continue to receive life-sustaining utility service. You understand that your pledge will also benefit the recipient with short-term budgetary and related financial counseling provided by Coastal Georgia Community Action Authority (CGCAA), the contracted administrator of the Customer Assistance Program of the BGJWSC. You also understand that the record(s) of your donation will be maintained by the CGCAA in order to facilitate annual tax benefit notice that will be sent to you in regards to this charitable contribution.<\/p>\n<p>You understand that any recurring charge will be your responsibility to pay until you complete a donation cancellation request or the service account closes.<\/p>\n<p>Once the following form has been completed, staff will email confirmation of donation setup to you. Thanks in advance for your contribution.<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f11068-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"11068\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F11069#wpcf7-f11068-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"11068\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f11068-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:11068,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;repeater_remove_button&quot;:&quot;bottom&quot;}}\" \/>\n<\/fieldset>\n<p><label> Your Account Number (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-account-number\"><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=\"your-account-number\" \/><\/span> <\/label>\n<\/p>\n<p><label> Your First Name (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-first-name\"><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=\"your-first-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Your Last Name (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-last-name\"><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=\"your-last-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Your Contact Phone (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-contact-phone\"><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=\"your-contact-phone\" \/><\/span> <\/label>\n<\/p>\n<p><label> Your Email (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-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=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label> Your Service Address (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"service-address\"><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=\"service-address\" \/><\/span> <\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"RoundUpDonation\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"RoundUpDonation[]\" value=\"Please round up each monthly statement to the nearest dollar.\" \/><span class=\"wpcf7-list-item-label\">Please round up each monthly statement to the nearest dollar.<\/span><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"MonthlyPledge\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"MonthlyPledge[]\" value=\"Please add the following monthly gift amount to each future statement:\" \/><span class=\"wpcf7-list-item-label\">Please add the following monthly gift amount to each future statement:<\/span><\/span><\/span><\/span><br \/>\n<label> Your Monthly Pledge Amount<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"MonthlyPledgeAmount\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"MonthlyPledgeAmount\" \/><\/span><\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"OneTimeGift\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"OneTimeGift[]\" value=\"Please add the following one-time gift amount to the next statement:\" \/><span class=\"wpcf7-list-item-label\">Please add the following one-time gift amount to the next statement:<\/span><\/span><\/span><\/span><br \/>\n<label> Your One-Time Gift Amount<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"OneTimeGiftAmount\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"OneTimeGiftAmount\" \/><\/span><\/label>\n<\/p>\n<p><label> Comments<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-consent\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-consent\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I consent to the conditions above.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>Please tell us how you heard about the Customer Assistance Program (optional):<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"TheFlow\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"TheFlow[]\" value=\"The Flow Newsletter\" \/><span class=\"wpcf7-list-item-label\">The Flow Newsletter<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Radio\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"Radio[]\" value=\"Radio Advertisement\" \/><span class=\"wpcf7-list-item-label\">Radio Advertisement<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"TheBrunswickNews\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"TheBrunswickNews[]\" value=\"The Brunswick News\" \/><span class=\"wpcf7-list-item-label\">The Brunswick News<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"TheIslander\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"TheIslander[]\" value=\"The Islander\" \/><span class=\"wpcf7-list-item-label\">The Islander<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Movies\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"Movies[]\" value=\"Georgia Theatre Company Movies\" \/><span class=\"wpcf7-list-item-label\">Georgia Theatre Company Movies<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Brochure\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"Brochure[]\" value=\"Brochure found in public\" \/><span class=\"wpcf7-list-item-label\">Brochure found in public<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Facebook\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"Facebook[]\" value=\"Facebook\" \/><span class=\"wpcf7-list-item-label\">Facebook<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Other\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"Other[]\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"other-text\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"other-text\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"17\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Thank you very much for your interest in helping to reduce the burden of over 5% of our customers that face a genuine financial need. Processing a donation using the form below requires an active service account. One-time cash, credit\/debit card or check donations may be processed in our customer service area at 1703 Gloucester [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":0,"parent":0,"menu_order":55,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_members_access_role":[],"_members_access_error":""},"class_list":["post-11069","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.goldenisleslepc.org\/index.php?rest_route=\/wp\/v2\/pages\/11069","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.goldenisleslepc.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.goldenisleslepc.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.goldenisleslepc.org\/index.php?rest_route=\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/www.goldenisleslepc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11069"}],"version-history":[{"count":0,"href":"https:\/\/www.goldenisleslepc.org\/index.php?rest_route=\/wp\/v2\/pages\/11069\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.goldenisleslepc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11069"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}