55 lines
1.7 KiB
Text
55 lines
1.7 KiB
Text
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<!-- partial: supporters/form_blank -->
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<% require_email = nil if require_email.nil? %>
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<% require_name = nil if require_name.nil? %>
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<fieldset class='u-marginBottom--0'>
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<label <%= require_name && "class=required" %>>Name <small><%= require_name ? '(required)' : '' %></small></label>
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<input type='text' name='name' <%= require_name && "required"%>>
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</fieldset>
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<section class='layout--two'>
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<fieldset class='u-marginBottom--0'>
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<label>Email <small><%= require_email && '(required)' %></small></label>
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<input parsley-error-message='Please enter a valid email.' type='email' parsley-trigger='change' name='email' <%= require_email && 'required' %>>
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</fieldset>
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<fieldset class='u-marginBottom--0'>
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<label>Phone</label>
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<input parsley-error-message='Enter a valid phone number.' parsley-trigger='change' parsley-type='phone' type='text' name='phone'>
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</fieldset>
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<fieldset class='u-marginBottom--0'>
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<label>Address</label>
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<input type='text' name='address'>
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</fieldset>
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<fieldset class='u-marginBottom--0'>
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<label>City</label>
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<input type='text' name='city', value='<%= @nonprofit.city %>'>
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</fieldset>
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</section>
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<section class='layout--three'>
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<fieldset class='u-marginBottom--0'>
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<label>State/Region</label>
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<input type='text' name='state_code' value='<%= @nonprofit.state_code %>' placeholder='State/Region'>
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</fieldset>
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<fieldset class='u-marginBottom--0'>
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<label>Postal Code</label>
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<input type='text' name='zip_code' value='<%= @nonprofit.zip_code %>' placholder='Postal Code'>
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</fieldset>
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<fieldset class='u-marginBottom--0'>
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<label>Country</label>
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<input type='text' name='country' value='United States'>
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</fieldset>
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</section>
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<!-- partial: supporters/form_blank -->
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