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			<h1 class="article-header__title js-article-title js-page-title">Dedication Form</h1>
		
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                <p style="text-align: center"><img border="0" alt="" width="650" height="149" usemap="#map" src="http://cs4u.ca/cs4u_ca/chabad_cam/bannerd2.png"><map id="Map" name="Map">
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            <area shape="rect" alt="dedication" target="_self" coords="488,50,635,77" href="/1533318">
            <area shape="rect" alt="torah" target="_self" coords="485,86,636,114" href="/351655">
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                      <td height="6" style="font-family: Arial; font-size: 10px"><span style="color: #6b1510"><strong><span style="font-family: Tahoma; font-size: 14px">     Dedication Options: </span></strong></span></td>
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                              <td height="15" width="10%" style="text-align: right"><span style="color: #6b1510; font-size: 12px"><input tabindex="1" type="radio" name="dedication" value="Torah Donor $25,000"></span></td>
                              <td height="15" width="90%" colspan="2" style="text-align: left"><strong><span style="color: #6b1510">$25,000: Torah Donor</span></strong></td>
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<tr>
                              <td height="15" width="10%" style="text-align: right"><span style="color: #6b1510; font-size: 12px"><input tabindex="1" type="radio" name="dedication" value="Chumash $5,000"></span></td>
                              <td height="15" width="50%" style="text-align: left"><span style="color: #6b1510"><strong>$5,000: A Chumash written in your honor</strong></span></td>
                              <td width="40%" style="text-align: right"><span style="color: #6b1510">Chumash  Preference: </span><strong><span style="color: #6b1510"> <input tabindex="1" size="14" required="false" style="width: 115px; background: #c1e3ea; height: 24px" name="Chumash Preference" type="text"></span></strong></td>
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<tr>
                              <td height="15" width="10%" style="text-align: right"><span style="color: #6b1510; font-size: 12px"><input tabindex="1" type="radio" name="dedication" value="Torah Crown $5,000"></span></td>
                              <td height="15" width="50%" style="text-align: left"><strong><span style="color: #6b1510">$5,000: Torah Crown Donor</span></strong></td>
                              <td valign="top" width="40%" style="text-align: right; font-family: Arial; font-size: 10px"><span style="color: #6b1510; font-size: 9px"><a onclick="window.open(this.href,'','resizable=no,location=no,menubar=no,scrollbars=yes,status=no,toolbar=no,fullscreen=no,dependent=no,width=650,height=400,left=10,top=10,status'); return false" href="http://www.jewishcambodia.com/templates/page_cdo/aid/1546752/404/1/jewish/Dedication-Availability.htm"><font color="#000080">Check Availability</font></a></span></td>
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                              <td height="15" width="10%" style="text-align: right">
                                <font color="#000080"><input tabindex="1" type="radio" name="dedication" value="Special Parsha $770"></font>
                              </td>
                              <td height="15" width="50%" style="text-align: left"><span style="color: #6b1510"><strong>$770: A Special Parsha written in your honor</strong></span></td>
                              <td width="40%" style="text-align: right"><span style="color: #6b1510">Special Parsha Pref.:  <input tabindex="1" size="10" required="false" style="background: #c1e3ea" name="Sp Parsha Preference" type="text"></span></td>
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<tr>
                              <td height="15" width="10%" style="text-align: right"><span style="color: #6b1510; font-size: 12px"><input tabindex="1" type="radio" name="dedication" value="Parsha $360"></span></td>
                              <td height="15" width="50%" style="text-align: left"><span style="color: #6b1510"><strong>$360: A Parsha written in your honor</strong></span></td>
                              <td valign="top" width="40%" style="text-align: right; font-family: Arial; font-size: 10px"><span style="color: #6b1510"><a onclick="window.open(this.href,'','resizable=no,location=no,menubar=no,scrollbars=yes,status=no,toolbar=no,fullscreen=no,dependent=no,width=650,height=400,left=10,top=10,status'); return false" href="http://www.jewishcambodia.com/templates/page_cdo/aid/1546752/404/1/jewish/Dedication-Availability.htm"><span style="font-size: 9px"><font color="#000080">Check Availability</font></span></a></span></td>
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                              <td height="15" width="10%" style="text-align: right"><span style="color: #6b1510; font-size: 12px"><font color="#000080"><input tabindex="1" type="radio" name="dedication" value="column $180"></font></span></td>
                              <td height="15" width="50%" style="text-align: left"><span style="color: #6b1510"><strong>$180: A column written in your honor</strong></span></td>
                              <td width="40%" style="text-align: right"><span style="color: #6b1510; font-size: 9px"><font size="2">Parsha Preference:  <input tabindex="1" size="10" required="false" style="background: #c1e3ea" name="Parsha Preference" type="text"></font></span></td>
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<tr>
                              <td height="15" width="10%" style="text-align: right"><span style="color: #6b1510; font-size: 12px"><input tabindex="1" type="radio" name="dedication" value="Line $36"></span></td>
                              <td height="15" width="50%" style="text-align: left"><span style="color: #6b1510"><strong>$36: A line written in your honor </strong></span></td>
                              <td valign="top" width="40%" style="text-align: right; font-family: Arial; font-size: 10px"><span style="color: #6b1510; font-size: 9px"><a onclick="window.open(this.href,'','resizable=no,location=no,menubar=no,scrollbars=yes,status=no,toolbar=no,fullscreen=no,dependent=no,width=650,height=400,left=10,top=10,status'); return false" onclick_fckprotectedatt="%20onclick%3D%22window.open(this.href%2C''%2C'resizable%3Dno%2Clocation%3Dno%2Cmenubar%3Dno%2Cscrollbars%3Dyes%2Cstatus%3Dyes%2Ctoolbar%3Dno%2Cfullscreen%3Dno%2Cdependent%3Dno%2Cwidth%3D400%2Cheight%3D600%2Cleft%3D10%2Ctop%3D10%2Cstatus')%3B%20return%20false%22" href="http://www.jewishcambodia.com/templates/page_cdo/aid/1546752/404/1/jewish/Dedication-Availability.htm#parsha"><font color="#000080">Check Availability</font></a></span></td>
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                              <td height="15" width="10%" style="text-align: right"><span style="color: #6b1510; font-size: 12px"><font color="#000080"><input tabindex="1" type="radio" name="dedication" value="Letter $1"></font></span></td>
                              <td height="15" width="90%" colspan="2"><span style="color: #6b1510"><strong>$1: A letter written in your honor</strong></span></td>
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<tr>
                              <td height="15" width="10%" style="text-align: right"><input tabindex="1" type="radio" name="dedication" value="other"></td>
                              <td height="15" width="90%" colspan="2"><span style="color: #6b1510"><strong>Other:</strong></span> <input tabindex="1" size="10" required="false" style="background: #c1e3ea" name="other amount" type="text"></td>
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                              <td height="15" width="10%" style="text-align: right"> </td>
                              <td height="15" width="90%" colspan="2"> </td>
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                              <td height="15" width="10%" style="text-align: right"> </td>
                              <td height="15" valign="top" width="90%" colspan="2" style="font-family: Arial; font-size: 10px"><span style="font-family: Tahoma; font-size: 14px"><strong><span style="color: #6b1510">In Honor/Memory of:</span></strong></span><strong><span style="color: #6b1510"> </span></strong><span style="color: #6b1510">   
<br>
 <textarea tabindex="1" rows="3" cols="70" required="false" name="honor/memory"></textarea></span></td>
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                                <p><span style="font-family: Tahoma; color: #f8eddc; font-size: 16px"><strong><span class="style22">PAYMENT INFORMATION</span></strong></span></p>
                              </td>
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<tr>
                              <td><span class="style11" style="color: #6b1510"><span class="style11" style="color: #6b1510">Card Type
<br></span> <select tabindex="21" style="width: 65px" name="x_card_type"><option value="Please Select" selected>Please Select</option>
                                    <option value="Visa">Visa</option>
                                    <option value="Discover">Discover</option>
                                    <option value="Mastercard">Mastercard</option>
                                    <option value="Amex">Amex</option></select></span></td>
                              <td><span class="style11" style="color: #6b1510">Card Number
<br></span> <input tabindex="22" required="false" name="x_card_num" type="text"></td>
                              <td><span class="style11" style="color: #6b1510">Exp. Date
<br></span> <span class="style11"><select tabindex="23" style="width: 84px" name="x_exp_month"><option value="Month" selected>Month</option>
                                    <option value="01">01</option>
                                    <option value="02">02</option>
                                    <option value="03">03</option>
                                    <option value="04">04</option>
                                    <option value="05">05</option>
                                    <option value="06">06</option>
                                    <option value="07">07</option>
                                    <option value="08">08</option>
                                    <option value="09">09</option>
                                    <option value="10">10</option>
                                    <option value="11">11</option>
                                    <option value="12">12</option></select> <span style="color: #6b1510"> </span> <select tabindex="23" style="width: 63px" name="x_exp_year"><option value="Year" selected>Year</option>
                                    <option value="2011">2011</option>
                                    <option value="2012">2012</option>
                                    <option value="2013">2013</option>
                                    <option value="2014">2014</option>
                                    <option value="2015">2015</option>
                                    <option value="2016">2016</option>
                                    <option value="2017">2017</option>
                                    <option value="2018">2018</option></select></span></td>
                              <td><span class="style11" style="color: #6b1510">Cvv Code
<br>
 <input tabindex="24" size="9" required="false" style="width: 78px; height: 20px" name="x_card_code" type="text"></span></td>
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                              <td colspan="3"><input tabindex="1" type="checkbox" name="other payment method." value="on"><span class="style11" style="color: #6b1510">Please contact me for another payment method.</span></td>
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                              <td colspan="2"><span class="style11" style="color: #6b1510">First Name
<br>
 <input tabindex="25" required="true" name="x_first_name" type="text"></span></td>
                              <td><span class="style11" style="color: #6b1510">Last Name
<br>
 <input tabindex="26" required="true" name="x_last_name" type="text"></span></td>
                              <td><span class="style11" style="color: #6b1510">Address
<br>
 <input tabindex="27" required="true" name="x_address" type="text"></span></td>
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<tr>
                              <td colspan="2"><span class="style11" style="color: #6b1510">City / State / Zip
<br>
 <input tabindex="29" size="6" required="true" style="width: 57px; height: 22px" name="x_city" type="text">   <input tabindex="29" size="3" required="true" style="width: 35px; height: 22px" name="x_state" type="text">   <input tabindex="29" size="7" required="true" style="width: 56px; height: 22px" name="x_zip" type="text"></span></td>
                              <td><span class="style11" style="color: #6b1510">Phone
<br>
 <input tabindex="30" required="true" name="x_phone" type="text"></span></td>
                              <td><span class="style11" style="color: #6b1510">Email
<br>
 <input tabindex="31" required="true" name="x_email" type="text"></span></td>
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<tr>
                              <td colspan="2"><input tabindex="1" type="checkbox" name="name anonymous" value="on"><span style="color: #6b1510">Please display my name as anonymous</span></td>
                              <td> </td>
                              <td> </td>
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<tr>
                              <td colspan="4" style="text-align: center; font-family: Arial; font-size: 10px">
                                <p><strong><span style="color: rgb(107,21,16); font-size: 14px">We thank you for your support!
<br>
<br></span> <font color="#6B1510">Credit Card Payments will be processed by Chabad of Thailand
<br></font></strong>
<br>
 <strong><font color="#6B1510">All donations raised above $40,000 will go towards Chabad activities</font></strong></p>
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	{
		Co.Dialog.Confirm('<div class="lang_dialog">Please select your language:</div>', {
			buttons: {'English':'en','עברית':'he'},
			Title: "Language",
			func: function(ev, buttonClickValue)
			{
				var url = Co.Request.ScriptName();
				document.location.href = url + Co.Request.Append("lang", buttonClickValue);
			}
		});
	}

	Co.DomEvents.AddListener(window, 'domload', function() {
		var showLangLayer = document.getElementById('show_lang_layer');
		if (showLangLayer)
		{
			Co.DomEvents.AddListener(showLangLayer, 'click', function() {
				showLangDialog();				
			});
		}
	});
</script>

    
<script>
    // Function to update the Chabad link text based on the active language
    function updateChabadText() {
        const activeLanguageLabel = document.getElementById('LanguageSelectorActiveLanguage');
        // Use querySelector to get the specific <a> tag under #header_branding
        const chabadLink = document.querySelector('#header_branding > a.site_title');
        // Get the subtitle span directly within that link
        const chabadSubtitle = chabadLink ? chabadLink.querySelector('.site_subtitle') : null;

        if (!activeLanguageLabel || !chabadLink || !chabadSubtitle) {
            console.warn('One or more required elements not found for Chabad text update.');
            return;
        }

        const currentLanguageText = activeLanguageLabel.textContent.trim();

        if (currentLanguageText === 'עברית') {
            // Update the main title text (the text node directly inside <a>)
            if (chabadLink.firstChild && chabadLink.firstChild.nodeType === Node.TEXT_NODE) {
                chabadLink.firstChild.nodeValue = 'חב"ד קמבודיה';
            }
            chabadSubtitle.textContent = 'אף יהודי לא יישאר מאחור'; // Update the subtitle span
            chabadLink.title = 'חב"ד קמבודיה'; // Update the title attribute for accessibility
        } else { // Assume English or any other language
            if (chabadLink.firstChild && chabadLink.firstChild.nodeType === Node.TEXT_NODE) {
                chabadLink.firstChild.nodeValue = 'Chabad Cambodia';
            }
            chabadSubtitle.textContent = 'No Jew Will Be Left Behind';
            chabadLink.title = 'Chabad Cambodia';
        }
    }

    // Function to update the Donate link's href based on the active language
    function updateDonateLinkHref() {
        const activeLanguageLabel = document.getElementById('LanguageSelectorActiveLanguage');
        // Select the donate link using the specific path
        const donateLink = document.querySelector('#tabContentMain > td.co_menu_item.donate_link > span > div > a');

        if (!activeLanguageLabel || !donateLink) {
            console.warn('Language selector label or donate link not found for Donate href update.');
            return;
        }

        const currentLanguageText = activeLanguageLabel.textContent.trim();

        if (currentLanguageText === 'English') {
            donateLink.href = '/6936938'; // Set href for English
        } else if (currentLanguageText === 'עברית') { // If the language is Hebrew
            // Set href to the new iCount URL for Hebrew
            donateLink.href = 'https://app.icount.co.il/m/28dbe/c6cdap27u68581d024a?utm_source=iCount&utm_medium=paypage&utm_campaign=39';
        }
    }

    // Function to handle language selection (remains largely the same)
    function setLanguage(langCode, clickedElement) {
        const activeLanguageLabel = document.getElementById('LanguageSelectorActiveLanguage');
        const languageItems = document.querySelectorAll('.language_item');

        // Remove 'active' class from all language items
        languageItems.forEach(item => {
            item.classList.remove('active');
        });

        // Add 'active' class to the clicked language item
        if (clickedElement) {
            clickedElement.classList.add('active');
            activeLanguageLabel.textContent = clickedElement.textContent.trim();
        }

        // Call functions to update content based on the new language
        updateChabadText();
        updateDonateLinkHref(); // NEW: Call this function after language changes

        // Optionally close the dropdown after selection
        const languageSelectorMenu = document.getElementById('LanguageSelectorMenu');
        languageSelectorMenu.classList.remove('active_dropdown');
    }

    // Function to toggle the language dropdown visibility
    function toggleLanguageDropdown(menuElement) {
        menuElement.classList.toggle('active_dropdown');
    }

    // --- Initial setup on page load ---
    document.addEventListener('DOMContentLoaded', (event) => {
        // Set initial active language label text based on the HTML's active language item
        const initialActiveLangItem = document.querySelector('.language_item.active');
        if (initialActiveLangItem) {
            document.getElementById('LanguageSelectorActiveLanguage').textContent = initialActiveLangItem.textContent.trim();
        }

        // Perform the initial checks and updates when the page loads
        updateChabadText();
        updateDonateLinkHref(); // NEW: Call this function on initial load
    });
</script>
</body>
</html>