22adb4d5fd
The primary license of the project is changing to: AGPL-3.0-or-later WITH Web-Template-Output-Additional-Permission-3.0-or-later with some specific files to be licensed under the one of two licenses: CC0-1.0 LGPL-3.0-or-later This commit is one of the many steps to relicense the entire codebase. Documentation granting permission for this relicensing (from all past contributors who hold copyrights) is on file with Software Freedom Conservancy, Inc.
106 lines
3.5 KiB
Text
106 lines
3.5 KiB
Text
<%- # License: AGPL-3.0-or-later WITH Web-Template-Output-Additional-Permission-3.0-or-later -%>
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<div class='modal' id='identityVerificationModal'>
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<%= render 'common/modal_header', title: 'Identity Verification' %>
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<div class='modal-body'>
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<p>Please complete this form to verify your identity. This information serves
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as an extra security measure to prevent fraud, and is required by Stripe (our payment processor).</p>
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<p>You can find out more about Stripe's identity verification process <a href='https://stripe.com/docs/connect/identity-verification' target='_blank'>here</a>.</p>
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<p>All information submitted through this form is 256-bit SSL encrypted.</p>
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<form parsley-validate on-submit='submit_identity_verification'>
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<!--= on 'submit' (verify_identity form_object) -->
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<hr>
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<h6>Organization Info for <%= @nonprofit.name %></h6>
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<div>
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<fieldset class='col-6 '>
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<label>Organization Address</label>
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<input type='text' name='address.line1' required parsley-trigger='change' value='<%=@nonprofit.address%>'>
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</fieldset>
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<fieldset class='col-right-6 '>
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<label>City</label>
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<input type='text' name='address.city' required parsley-trigger='change' value='<%=@nonprofit.city%>'>
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</fieldset>
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</div>
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<div>
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<fieldset class='col-6 '>
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<label>State</label>
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<%= render 'common/states_dropdown', default: @nonprofit.state_code, name: 'address.state' %>
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</fieldset>
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<fieldset class='col-right-6 '>
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<label>Postal code</label>
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<input type='text' name='address.postal_code' required parsley-trigger='change' value='<%=@nonprofit.zip_code=%>'>
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</fieldset>
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</div>
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<div>
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<fieldset class='col-12 '>
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<label>EIN (Business Tax ID) of Organization (9 digits)</label>
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<input type='text' name='business_tax_id' required parsley-trigger='change' value='<%=@nonprofit.ein%>'>
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</fieldset>
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</div>
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<hr>
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<h6>Your Info</h6>
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<div>
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<fieldset class='col-6 '>
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<label>First name</label>
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<input type='text' name='first_name' required parsley-trigger='change'>
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</fieldset>
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<fieldset class='col-right-6 '>
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<label>Last Name</label>
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<input type='text' name='last_name' required parsley-trigger='change'>
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</fieldset>
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</div>
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<div>
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<fieldset class='col-6 '>
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<label>Date of birth</label>
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<select name='dob.month' style='width:34%' required>
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<option disabled selected>Month</option>
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<%(1..12).each do |d| %>
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<option value=<%=d%>><%=d%></option>
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<% end %>
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</select>
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<strong>/</strong>
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<select name='dob.day' style='width:26%' required>
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<option disabled selected>Day</option>
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<%(1..31).each do |d| %>
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<option value=<%=d%>><%=d%></option>
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<% end %>
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</select>
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<strong>/</strong>
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<select name='dob.year' style='width:28%' required>
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<option disabled selected>Year</option>
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<%(1900..2000).each do |d| %>
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<option value=<%=d%>><%=d%></option>
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<% end %>
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</select>
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</fieldset>
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<fieldset class='col-right-6 '>
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<!-- pikaday -->
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<label>Last 4 of social security number</label>
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<input parsley-type='number' type='text' name='ssn_last_4' parsley-trigger='change' required>
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</fieldset>
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</div>
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<hr>
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<p class='finePrint u-centered'>By clicking "Submit", you agree to <a target='_blank' href='https://stripe.com/connect/account-terms'>Stripe's Connected Account Agreement.</a></p>
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<%= render 'components/forms/submit_button', button_text: 'Submit', scope: 'identity_verification' %>
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</form>
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</div>
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</div>
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