\n\t\t\tPersonal Info\t\t<\/legend>\n\n\t\t\n \n \n First Name *<\/span>\n <\/i><\/span> <\/label>\n \n <\/p>\n\n \n \n Last Name <\/i><\/span> <\/label>\n\n \n <\/p>\n\n \n \n \n Email Address *<\/span>\n <\/i><\/span> <\/label>\n \n\n <\/p>\n\n \n\t\t\t\t\t<\/fieldset>\n\t\t\n\t\tBilling Details<\/legend>\n\t\t\t\t\n\t\t\t\n\t\t\t\tCountry\t\t\t\t\t\t\t\t\t*<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t<\/label>\n\n\t\t\t\n\t\t\t\t<\/option> United States<\/option> Canada<\/option> United Kingdom<\/option> Afghanistan<\/option> Albania<\/option> Algeria<\/option> American Samoa<\/option> Andorra<\/option> Angola<\/option> Anguilla<\/option> Antarctica<\/option> Antigua and Barbuda<\/option> Argentina<\/option> Armenia<\/option> Aruba<\/option> Australia<\/option> Austria<\/option> Azerbaijan<\/option> Bahamas<\/option> Bahrain<\/option> Bangladesh<\/option> Barbados<\/option> Belarus<\/option> Belgium<\/option> Belize<\/option> Benin<\/option> Bermuda<\/option> Bhutan<\/option> Bolivia<\/option> Bosnia and Herzegovina<\/option> Botswana<\/option> Bouvet Island<\/option> Brazil<\/option> British Indian Ocean Territory<\/option> Brunei Darrussalam<\/option> Bulgaria<\/option> Burkina Faso<\/option> Burundi<\/option> Cambodia<\/option> Cameroon<\/option> Cape Verde<\/option> Cayman Islands<\/option> Central African Republic<\/option> Chad<\/option> Chile<\/option> China<\/option> Christmas Island<\/option> Cocos Islands<\/option> Colombia<\/option> Comoros<\/option> Congo, Democratic People's Republic<\/option> Congo, Republic of<\/option> Cook Islands<\/option> Costa Rica<\/option> Cote d'Ivoire<\/option> Croatia\/Hrvatska<\/option> Cuba<\/option> Cyprus Island<\/option> Czech Republic<\/option> Denmark<\/option> Djibouti<\/option> Dominica<\/option> Dominican Republic<\/option> East Timor<\/option> Ecuador<\/option> Egypt<\/option> Equatorial Guinea<\/option> El Salvador<\/option> Eritrea<\/option> Estonia<\/option> Ethiopia<\/option> Falkland Islands<\/option> Faroe Islands<\/option> Fiji<\/option> Finland<\/option> France<\/option> French Guiana<\/option> French Polynesia<\/option> French Southern Territories<\/option> Gabon<\/option> Gambia<\/option> Georgia<\/option> Germany<\/option> Greece<\/option> Ghana<\/option> Gibraltar<\/option> Greenland<\/option> Grenada<\/option> Guadeloupe<\/option> Guam<\/option> Guatemala<\/option> Guernsey<\/option> Guinea<\/option> Guinea-Bissau<\/option> Guyana<\/option> Haiti<\/option> Heard and McDonald Islands<\/option> Holy See (City Vatican State)<\/option> Honduras<\/option> Hong Kong<\/option> Hungary<\/option> Iceland<\/option> India<\/option> Indonesia<\/option> Iran<\/option> Iraq<\/option> Ireland<\/option> Isle of Man<\/option> Israel<\/option> Italy<\/option> Jamaica<\/option> Japan<\/option> Jersey<\/option> Jordan<\/option> Kazakhstan<\/option> Kenya<\/option> Kiribati<\/option> Kuwait<\/option> Kyrgyzstan<\/option> Lao People's Democratic Republic<\/option> Latvia<\/option> Lebanon<\/option> Lesotho<\/option> Liberia<\/option> Libyan Arab Jamahiriya<\/option> Liechtenstein<\/option> Lithuania<\/option> Luxembourg<\/option> Macau<\/option> Macedonia<\/option> Madagascar<\/option> Malawi<\/option> Malaysia<\/option> Maldives<\/option> Mali<\/option> Malta<\/option> Marshall Islands<\/option> Martinique<\/option> Mauritania<\/option> Mauritius<\/option> Mayotte<\/option> Mexico<\/option> Micronesia<\/option> Moldova, Republic of<\/option> Monaco<\/option> Mongolia<\/option> Montenegro<\/option> Montserrat<\/option> Morocco<\/option> Mozambique<\/option> Myanmar<\/option> Namibia<\/option> Nauru<\/option> Nepal<\/option> Netherlands<\/option> Netherlands Antilles<\/option> New Caledonia<\/option> New Zealand<\/option> Nicaragua<\/option> Niger<\/option> Nigeria<\/option> Niue<\/option> Norfolk Island<\/option> North Korea<\/option> Northern Mariana Islands<\/option> Norway<\/option> Oman<\/option> Pakistan<\/option> Palau<\/option> Palestinian Territories<\/option> Panama<\/option> Papua New Guinea<\/option> Paraguay<\/option> Peru<\/option> Philippines<\/option> Pitcairn Island<\/option> Poland<\/option> Portugal<\/option> Puerto Rico<\/option> Qatar<\/option> Reunion Island<\/option> Romania<\/option> Russian Federation<\/option> Rwanda<\/option> Saint Helena<\/option> Saint Kitts and Nevis<\/option> Saint Lucia<\/option> Saint Pierre and Miquelon<\/option> Saint Vincent and the Grenadines<\/option> San Marino<\/option> Sao Tome and Principe<\/option> Saudi Arabia<\/option> Senegal<\/option> Serbia<\/option> Seychelles<\/option> Sierra Leone<\/option> Singapore<\/option> Slovak Republic<\/option> Slovenia<\/option> Solomon Islands<\/option> Somalia<\/option> South Africa<\/option> South Georgia<\/option> South Korea<\/option> Spain<\/option> Sri Lanka<\/option> Sudan<\/option> Suriname<\/option> Svalbard and Jan Mayen Islands<\/option> Eswatini<\/option> Sweden<\/option> Switzerland<\/option> Syrian Arab Republic<\/option> Taiwan<\/option> Tajikistan<\/option> Tanzania<\/option> Togo<\/option> Tokelau<\/option> Tonga<\/option> Thailand<\/option> Trinidad and Tobago<\/option> Tunisia<\/option> Turkey<\/option> Turkmenistan<\/option> Turks and Caicos Islands<\/option> Tuvalu<\/option> Uganda<\/option> Ukraine<\/option> United Arab Emirates<\/option> Uruguay<\/option> US Minor Outlying Islands<\/option> Uzbekistan<\/option> Vanuatu<\/option> Venezuela<\/option> Vietnam<\/option> Virgin Islands (British)<\/option> Virgin Islands (USA)<\/option> Wallis and Futuna Islands<\/option> Western Sahara<\/option> Western Samoa<\/option> Yemen<\/option> Yugoslavia<\/option> Zambia<\/option> Zimbabwe<\/option>\t\t\t<\/select>\n\t\t<\/p>\n\n\t\t\n\t\t\t\n\t\t\t\tAddress 1\t\t\t\t\t\t\t\t\t*<\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\t\t\t<\/label>\n\n\t\t\t \n\t\t<\/p>\n\n\t\t \n\t\t\t\n\t\t\t\tAddress 2\t\t\t\t\t\t\t\t<\/i><\/span>\t\t\t<\/label>\n\n\t\t\t \n\t\t<\/p>\n\n\t\t \n\t\t\t\n\t\t\t\tCity\t\t\t\t\t\t\t\t\t*<\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\t\t\t<\/label>\n\t\t\t \n\t\t<\/p>\n\n\t\t\t\t \n\t\t\t\n\t\t\t\tState<\/span>\n\t\t\t\t*<\/span>\n\t\t\t\t<\/span>\n\t\t\t<\/label>\n\t\t\t\t\t\t\t\n\t\t\t\t\t<\/option> Abia<\/option> Abuja<\/option> Adamawa<\/option> Akwa Ibom<\/option> Anambra<\/option> Bauchi<\/option> Bayelsa<\/option> Benue<\/option> Borno<\/option> Cross River<\/option> Delta<\/option> Ebonyi<\/option> Edo<\/option> Ekiti<\/option> Enugu<\/option> Gombe<\/option> Imo<\/option> Jigawa<\/option> Kaduna<\/option> Kano<\/option> Katsina<\/option> Kebbi<\/option> Kogi<\/option> Kwara<\/option> Lagos<\/option> Nasarawa<\/option> Niger<\/option> Ogun<\/option> Ondo<\/option> Osun<\/option> Oyo<\/option> Plateau<\/option> Rivers<\/option> Sokoto<\/option> Taraba<\/option> Yobe<\/option> Zamfara<\/option>\t\t\t\t<\/select>\n\t\t\t\t\t<\/p>\n\n\t\t\n\t\t\t\n\t\t\t\tZip \/ Postal Code\t\t\t\t*<\/span>\n\t\t\t\t<\/i><\/span>\t\t\t<\/label>\n\n\t\t\t \n\t\t<\/p>\n\t\t\t<\/fieldset>\n\t\t\n\t\t\t\n\t\t\t\t\n\t\t\tDonation Total:\t\t<\/span>\n\t\t\n\t\t\t₦ 500.00\t\t<\/span>\n\t\t\t<\/p>\n\t\t \n\t \n\t\t