Conversion Optimization 101: Could You Help?

Yesterday, I went to a website to make a donation for a friend who is running in the NYC Marathon. As I was finishing entering all my information and was on my last step I saw the following call to action:

How would you fix this?

What’s wrong with this picture? How would you fix it?

P.S. Extra credit if you can get this non-profit site (I won’t tell you who it is) to fix it since it must be costing them in money raised for a good cause.

*Update: to read the follow up post read:

Conversion Optimization 101: Culture Trumps Strategy and Tactics

Please share if you think others would benefit.