Widget:MonthlyDonate
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<form id="dress_size" action="https://tuckinsmonthly.chargebee.com/hosted_pages/plans/monthly">
Please choose your size below and click "Subscribe"
<label>
<select name="customer[cf_size]">
<option value="none">-Select-</option> <option value="small">Small</option> <option value="medium">Medium</option> <option value="large">Large</option> <option value="plus">Plus</option> </select> </label>
<option value="none">-Select-</option> <option value="small">Small</option> <option value="medium">Medium</option> <option value="large">Large</option> <option value="plus">Plus</option> </select> </label>
<input type="image" src="images/order.png" width="226" height="66" class="displayed" value=""/></form>