Make sure that you have submitted your award here!
[stripe name=”USDLA Award Nomination Payment” description=”USDLA Award Nomination Payment” billing=”true” checkout_button_label=”Pay {{amount}}”]
[stripe_text label=”Your Name:” id=”award_nomination_buyer_name” required=”true”]
[stripe_text label=”Street Address:” id=”award_nomination_buyer_name” required=”true”]
[stripe_text label=”City:” id=”award_nomination_buyer_city” required=”true”]
[stripe_text label=”State:” id=”award_nomination_buyer_state” required=”true”]
[stripe_text label=”Zip Code:” id=”award_nomination_buyer_zip” required=”true”]
[stripe_text label=”Email Address:” id=”award_nomination_buyer_email” required=”true”]
[stripe_text label=”Phone Number:” id=”award_nomination_buyer_phone” required=”true”]
[stripe_text label=”Award Nomination Title:” id=”award_nomination_title” required=”true”]
[stripe_radio label=”Nomination Type:” options=”For Profit Nomination ($200), Non Profit Nomination ($100), Pre-K-12 Nomination ($50)” amounts=”20000,10000,5000″]
[/stripe]