/
donateform.html
154 lines (128 loc) · 3.11 KB
/
donateform.html
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<div class="minHeight">
<div class="fullPage">
<div class="pageContent">
<div class="pageContentInner popupContentInner">
<!--Beginning main page content-->
<h1 class="popupFormHeading">Donations</h1>
<div id="accessibleForm" class = "popupForm form1Part">
<!--{formbegin}-->
<div class="errormessage">
<!--{error_msg}-->
</div>
<div class="msg">
<!--{declined_msg}-->
</div>
<!-- Main Page containing "left" and "right" boxes to standardize presentation of Payment info. -->
<div class="ecommerceFormOptions">
<h2>
Donation:
</h2>
<fieldset>
<div class="donateFormAmount formEntryArea">
<label for="amount"><span>
Amount:
</span></label>
<!--{amount}-->
</div>
<div class="donateFormInstruct formEntryArea">
Thank you for donating to the library. Please fill in a donation amount above and your payment information at the right.
</div>
</fieldset>
</div>
<!-- end left box -->
<!-- Begin right box; contains Patron Payment Information -->
<div class="ecommerceFormPay">
<h2>
Billing Information:
</h2>
<fieldset>
<div class="ecommerceFormEntryArea">
<label for="name"><span class="formLabel">
Name:
</span></label>
<!--{name}-->
</div>
<div class="ecommerceFormEntryArea">
<label for="address1"><span class="formLabel">
Address:
</span></label>
<!--{address1}-->
</div>
<div class="ecommerceFormEntryArea">
<label for="city"><span class="formLabel">
City:
</span></label>
<!--{city}-->
</div>
<div class="ecommerceFormEntryArea">
<label for="state"><span class="formLabel">
State:
</span></label>
<!--{state}-->
</div>
<div class="ecommerceFormEntryArea">
<label for="zip"><span class="formLabel">
Zip Code:
</span></label>
<!--{zip}-->
</div>
<div class="ecommerceFormEntryArea">
<label for="emailaddr"><span class="formLabel">
Email:
</span></label>
<!--{emailaddr}-->
</div>
<!--Uncomment this token if you would like to collect this information from donors.
<div class="ecommerceFormEntryArea">
<label for="phone"><span class="formLabel">
Phone:
</span></label>
<!--{phone}-->
</div>
//end of phone comment. -->
<h2 class="ecommerceFormPayHead">Credit Card Information:</h2>
<div class="ecommerceFormEntryArea">
<label for="ccnum"><span class="formLabel">
Card Number:
</span></label>
<!--{ccnum}-->
</div>
<div class="ecommerceFormEntryArea">
<label for="ccexpmonth"><span class="formLabel">
Expiration:
</span></label>
<!--{ccexpmonth}-->
/
<!--{ccexpyear}-->
</div>
<div class="ecommerceFormEntryArea">
<label for="cc_cvv2"><span class="formLabel">
Security Code:
</span></label>
<!--{cc_cvv2}-->
<div class="ecommerceFormExample">
<img src="/screens/csc.gif" width="150" height="54" alt="Security Code" />
</div>
</div>
<!--Uncomment this token if you would like to collect this information from donors.
<div class="ecommerceFormEntryArea">
<label for="comments"><span class="formLabel">
Comments:
</span></label>
<!--{comments}-->
</div>
//end of comments comment. -->
</fieldset>
</div>
<!-- end right box -->
<div class="formButtonArea">
<!--{submit}-->
<!--{cancel}-->
</div>
<!--{formend}-->
</div><!-- accessibleForm -->
<div class="clear"></div>
</div><!-- popupContentInner -->
</div><!-- pageContent -->
</div><!-- fullPage -->
</div>