<%= render 'common/modal_header', title: 'New Offsite Donation' %>

Add an offsite donation to this campaign

<%= render 'components/forms/offsite_fields' %>

Full Name (recommended)

Email (recommended)

Address

City

State

Zipcode

Phone

Notes (optional)

Make this donation anonymous

<%= render 'components/forms/submit_button', button_text: 'Save', loading_text: 'Saving...' %>