<%- # License: AGPL-3.0-or-later WITH WTO-AP-3.0-or-later # Full license explanation at https://github.com/houdiniproject/houdini/blob/master/LICENSE -%> <p class='strong u-centered u-marginBottom--20'>Please review your merge choices before submitting</p> <form class='supporterForm'> <!--= on 'submit' (merge.submit form_object) --> <div class='layout--two'> <fieldset> <label>Name</label> <input type='text' name='name'> <!--= set_value merge.data.new_supporter.name --> </fieldset> <fieldset> <label>Email</label> <input type='email' name='email'> <!--= set_value merge.data.new_supporter.email --> </fieldset> </div> <div class='layout--three'> <fieldset> <label>Phone</label> <input type='text' name='phone'> <!--= set_value merge.data.new_supporter.phone --> </fieldset> <fieldset> <label>Address</label> <input type='text' name='address'> <!--= set_value merge.data.new_supporter.address --> </fieldset> <fieldset> <label>City</label> <input type='text' name='city'> <!--= set_value merge.data.new_supporter.city --> </fieldset> </div> <div class='layout--three'> <fieldset> <label>State/Region</label> <input type='text' name='state_code'> <!--= set_value merge.data.new_supporter.state_code --> </fieldset> <fieldset> <label>Zip Code</label> <input type='text' name='zip_code'> <!--= set_value merge.data.new_supporter.zip_code --> </fieldset> <fieldset> <label>Country</label> <input type='text' name='country'> <!--= set_value merge.data.new_supporter.country --> </fieldset> </div> <%= render 'components/forms/submit_button', button_text: 'Merge Supporters', loading_text: 'Merging...' %> </form>