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Membership_Application_Form_NoPhone.html.twig
462 lines (387 loc) · 18.3 KB
/
Membership_Application_Form_NoPhone.html.twig
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<!-- become member -->
<form name="memForm" id="memForm" method="POST" action="/apply-for-membership">
<!-- header box -->
<section id="become-member">
<div class="container clearfix">
<div class="ltcol">
</div>
<div class="ctcol">
<div class="box partial rounded no-margin">
<div class="box-header container clearfix">
<span class="icon-lock">{$ membershipAppeal $}</span>
</div>
<div class="box-section">
<div class="container clearfix">
<p class="h2">
Seien Sie dabei!
</p>
<ul class="advantage-list">
<li class="first icon-ok _icon-list-item">
Langfristig und nachhaltig Wikipedia unterstützen.
</li>
<li class="icon-ok _icon-list-item">
Steuerlich absetzbar. Eine jährliche Zuwendungsbestätigung wird automatisch im Folgejahr zugesendet.
</li>
<li class="icon-ok _icon-list-item">
Regelmäßige Informationen über die Arbeit des Vereins.
</li>
<li class="icon-ok _icon-list-item">
Kostenfrei an Veranstaltungen rund um Wikipedia und Freies Wissen teilnehmen.
</li>
<li class="{% if showMembershipTypeOption == 'false' %}last{% endif %} icon-ok _icon-list-item">
Jederzeit formlos per E-Mail kündbar.
</li>
{% if showMembershipTypeOption == 'true' %}
<li class="last icon-ok _icon-list-item">
Aktiv Freies Wissen verbreiten
</li>
{% endif %}
</ul>
</div>
</div>
</div>
</div>
<div class="rtcol">
<div class="icon-file-alt _icon-list-item last">
<p>
<strong>Mehr Informationen</strong>
</p>
<p>
Erfahren Sie <a href="http://wikimedia.de/wiki/Mitgliedschaft{% if trackOutgoingLinks is defined and trackOutgoingLinks == true %}?piwik_campaign=Spendenseite&piwik_kwd=membership-form-sidebar{% endif %}" target="_blank">mehr</a>
</p>
</div>
</div>
</div>
</section>
<!-- personal data -->
<section id="personal-data" class="container {% if formSlideOpen == true %}slide no-display{% endif %} clearfix">
<div class="ltcol">
</div>
<div class="ctcol">
<div class="box partial">
<div class="box-section approval">
{% if showMembershipTypeOption == 'true' %}
<div class="icon-ok _icon-list-item clearfix">
Ich werde Mitglied des Wikimedia Deutschland e. V.
</div>
<div class="container">
<ul class="horizontal clearfix">
<li class="first">
<input type="radio" id="membership-type-1" class="membership-type-select" name="membership_type" value="sustaining" title="Fördermitglied" {% if type == 'sustaining' or not type %}checked="checked"{% endif %}>
<label for="membership-type-1">Fördermitglied</label>
</li>
<li class="last">
<input type="radio" id="membership-type-2" class="membership-type-select" name="membership_type" value="active" title="Aktives Mitglied" {% if type == 'active' or not type %}checked="checked"{% endif %}>
<label for="membership-type-2">Aktives Mitglied</label>
</li>
</ul>
<input type="hidden" name="showMembershipTypeOption" value="true" />
</div>
{% else %}
<span class="icon-ok _icon-list-item">Ich werde Fördermitglied des Wikimedia Deutschland e. V.</span>
<input type="hidden" name="membership_type" value="sustaining" />
<input type="hidden" name="showMembershipTypeOption" value="false" />
{% endif %}
</div>
<div class="box-section">
<div class="section-title clearfix">
<h2>Persönliche Daten</h2>
</div>
<div class="container">
<ul class="horizontal clearfix">
<li class="first">
<input type="radio" id="address-type-1" class="address-type-select slide-toggle" name="adresstyp" value="person" title="privat" data-slide-rel="#personal-data .slide-1" {% if person.addressType == 'person' or not person.addressType %}checked="checked"{% endif %}>
<label for="address-type-1">Privatperson</label>
</li>
<li class="last">
<input type="radio" id="address-type-2" class="address-type-select slide-toggle" name="adresstyp" value="firma" title="geschäftlich" data-slide-rel="#personal-data .slide-2" {% if person.addressType == 'firma' %}checked="checked"{% endif %}>
<label for="address-type-2">Firma</label>
</li>
</ul>
</div>
<div class="slide-3">
<hr/>
<div class="person-name">
<div class="input-container">
<ul class="horizontal clearfix salutation">
<li class="first">
<input type="radio" id="salutation-1" class="salutation-select" name="anrede" value="Frau" title="Frau" {% if person.salutation == 'Frau' or not person.salutation %}checked="checked"{% endif %}>
<label for="salutation-1">Frau</label>
</li>
<li class="last">
<input type="radio" id="salutation-2" class="salutation-select" name="anrede" value="Herr" title="Herr" {% if person.salutation == 'Herr' %}checked="checked"{% endif %}>
<label for="salutation-2">Herr</label>
</li>
</ul>
<input type="radio" id="salutation-3" class="salutation-select" name="anrede" value="Firma" style="visibility: hidden">
<select id="personal-title" name="titel">
<option value="" data-behavior="placeholder" {% if person.title == '' or not person.title %}selected="selected"{% endif %}>Kein Titel</option>
<option value="Dr." {% if person.title == 'Dr.' %}selected="selected"{% endif %}>Dr.</option>
<option value="Prof." {% if person.title == 'Prof.' %}selected="selected"{% endif %}>Prof.</option>
<option value="Prof. Dr." {% if person.title == 'Prof. Dr.' %}selected="selected"{% endif %}>Prof. Dr.</option>
</select>
</div>
<div class="input-container">
<label for="first-name">Name</label>
<input id="first-name" name="vorname" type="text" value="{$ person.firstName $}" data-pattern="^(?![M|m]ustermann).+$" title="Groß- und Kleinbuchstaben, Bindestriche und Leerzeichen" placeholder="Vorname">
<span class="validation icon-placeholder"></span>
<input id="last-name" name="nachname" type="text" value="{$ person.lastName $}" data-pattern="^(?![M|m]ustermann).+$" title="Groß- und Kleinbuchstaben, Bindestriche, Leerzeichen und Punkte" placeholder="Nachname">
<span class="validation icon-placeholder"></span>
</div>
</div>
<div class="company-name">
<div class="input-container">
<label for="company-name">Firma</label>
<input id="company-name" name="firma" type="text" value="{$ person.company $}" placeholder="Firma">
<span class="validation icon-placeholder"></span>
</div>
</div>
<div class="input-container">
<label for="street">Straße</label>
<input id="street" name="strasse" type="text" value="{$ person.streetAddress $}" data-pattern="^(?![M|m]uster).+$" placeholder="z.B. Musterstraße 123">
<span class="validation icon-placeholder"></span>
</div>
<div class="input-container">
<label for="post-code">PLZ & Ort</label>
<input id="post-code" name="postcode" type="text" value="{$ person.postcode $}" data-pattern="[0-9]{4,5}" title="Fünfstellige Postleitzahl" placeholder="z.B. 10117">
<span class="validation icon-placeholder"></span>
<input id="city" name="ort" type="text" value="{$ person.city $}" data-pattern="^(?![M|m]uster).+$" placeholder="z.B. Berlin">
<span class="validation icon-placeholder"></span>
</div>
<div class="input-container">
<label for="country">Land</label>
<select id="country" name="country" title="Land">
<option value="DE" {% if person.countryCode == 'DE' or not person.countryCode %}selected="selected"{% endif %}>Deutschland</option>
<option value="AT" {% if person.countryCode == 'AT' %}selected="selected"{% endif %}>Österreich</option>
<option value="CH" {% if person.countryCode == 'CH' %}selected="selected"{% endif %}>Schweiz</option>
<option value="BE" {% if person.countryCode == 'BE' %}selected="selected"{% endif %}>Belgien</option>
<option value="IT" {% if person.countryCode == 'IT' %}selected="selected"{% endif %}>Italien</option>
<option value="LI" {% if person.countryCode == 'LI' %}selected="selected"{% endif %}>Liechtenstein</option>
<option value="LU" {% if person.countryCode == 'LU' %}selected="selected"{% endif %}>Luxemburg</option>
</select>
</div>
<div class="input-container">
<label for="email">E-Mail</label>
<input id="email" name="email" type="text" value="{$ person.emailAddress $}" placeholder="z.B. name@domain.de">
<span class="validation icon-placeholder"></span>
</div>
<div class="input-container">
<label for="date-of-birth">Geburtsdatum</label>
<input id="date-of-birth" class="optional" name="dob" type="text" value="" title="DD.MM.YYYY" optional="optional" placeholder="optional" data-pattern="^[0-3]?[0-9]\.[01]?[0-9]\.[0-9]{2,4}$">
<span class="validation icon-placeholder"></span>
</div>
</div>
</div>
</div>
</div>
<div class="rtcol">
<div class="icon-hand-right _icon-list-item first last">
<p>
<strong>Steuerlich absetzbar</strong>
</p>
<p>
Mitgliedsbeiträge sind wie Spenden steuerlich absetzbar.
</p>
</div>
</div>
</section>
<!-- membership payment -->
<section class="container {% if formSlideOpen == true %}slide no-display{% endif %} clearfix" id="membership-payment">
<div class="ltcol">
</div>
<div class="ctcol">
<div class="box rounded partial no-margin">
<div class="box-section">
<div class="section-title clearfix">
<h2 class="f-left no-margin">Ihr Mitgliedsbeitrag</h2>
</div>
<div class="container clearfix">
<!-- START payment options; uncomment this and remove the hidden field below to enable it -->
<!--
<ul class="horizontal clearfix payment-type-list">
<li class="first">
<input type="radio" title="Lastschrift" value="BEZ" class="payment-type-select" name="payment_type" id="paymentType-1">
<label for="paymentType-1">Lastschrift</label>
</li>
<li>
<input type="radio" title="PayPal" value="PPL" class="payment-type-select" name="payment_type" id="paymentType-2">
<label for="paymentType-2">PayPal</label>
</li>
</ul>
<hr />
-->
<!-- END payment options; uncomment this and remove the hidden field below to enable it -->
<input type="hidden" name="payment_type" value="BEZ" />
<ul class="horizontal clearfix interval-list">
<li class="first">
<input type="radio" id="interval-1" name="membership_fee_interval" class="payment-period-select" value="1" title="monatlich">
<label for="interval-1">monatlich</label>
</li>
<li>
<input type="radio" id="interval-2" name="membership_fee_interval" class="payment-period-select" value="3" title="quartalsweise">
<label for="interval-2">quartalsweise</label>
</li>
<li>
<input type="radio" id="interval-3" name="membership_fee_interval" class="payment-period-select" value="6" title="halbjährlich">
<label for="interval-3">halbjährlich</label>
</li>
<li class="last">
<input type="radio" id="interval-4" name="membership_fee_interval" class="payment-period-select" value="12" title="jährlich" checked="checked">
<label for="interval-4">jährlich</label>
</li>
</ul>
<hr>
<ul class="horizontal clearfix amount-list">
<li class="first">
<input type="radio" id="amount-1" class="amount-select" name="membership_fee_select" value="5,00" title="5€">
<label for="amount-1">5€</label>
</li>
<li>
<input type="radio" id="amount-2" class="amount-select" name="membership_fee_select" value="15,00" title="15€">
<label for="amount-2">15€</label>
</li>
<li>
<input type="radio" id="amount-3" class="amount-select" name="membership_fee_select" value="25,00" title="25€">
<label for="amount-3">25€</label>
</li>
<li>
<input type="radio" id="amount-4" class="amount-select" name="membership_fee_select" value="50,00" title="50€">
<label for="amount-4">50€</label>
</li>
<li>
<input type="radio" id="amount-5" class="amount-select" name="membership_fee_select" value="75,00" title="75€">
<label for="amount-5">75€</label>
</li>
<li>
<input type="radio" id="amount-6" class="amount-select" name="membership_fee_select" value="100,00" title="100€">
<label for="amount-6">100€</label>
</li>
<li>
<input type="radio" id="amount-7" class="amount-select" name="membership_fee_select" value="250,00" title="250€">
<label for="amount-7">250€</label>
</li>
<li class="amount-custom last no-margin">
<div class="container" style="width: 100px;">
<input type="text" id="amount-8" class="amount-input" name="membership_fee_custom"
title="Betrag zwischen 2 und 99999,99 Euro; Komma als Dezimaltrenner"
data-pattern="^[1-9]{1}\d{0,4}(?:,\d\d)?$">
<label class="right top" for="amount-8">€</label>
</div>
</li>
<input id="amount-hidden" type="hidden" name="membership_fee" value="" />
</ul>
</div>
<hr>
<div class="fields-direct-debit">
<div class="container">
<ul class="horizontal clearfix">
<li class="first">
<input type="radio" data-slide-rel=".slide-sepa" class="debit-type-select slide-toggle" checked="checked"
title="SEPA" name="debit-type" value="sepa" id="debit-type-1">
<label for="debit-type-1">IBAN</label>
</li>
<li class="last">
<input type="radio" data-slide-rel=".slide-non-sepa" class="debit-type-select slide-toggle" title="Konto/BLZ"
name="debit-type" value="non-sepa" id="debit-type-2">
<label for="debit-type-2">Konto/Bankleitzahl</label>
</li>
</ul>
</div>
<hr>
<div class="slide-sepa opened" id="sepa">
<div class="input-container">
<label for="iban">IBAN</label>
<input type="text" title="Internationale Kontonummer"
data-pattern="^DE[0-9]{20}$|^AT[0-9]{18}$|^CH[0-9]{7}[A-Za-z0-9]{12}$|^BE[0-8]{14}$|^IT[0-9]{2}[A-Z][0-9]{10}[A-Za-z0-9]{12}$|^LI[0-9]{7}[A-Za-z0-9]{12}$|^LU[0-9]{5}[A-Za-z0-9]{13}$"
placeholder="IBAN" name="iban" id="iban" class="iban-check"
value="{$ bankData.iban $}">
<span class="validation"></span>
</div>
<div class="input-container">
<label for="bic">BIC</label>
<input type="text" title="BIC"
data-pattern="^[A-Z]{4}[A-Z]{2}[A-Z0-9]{2}([A-Z0-9]{3})?$" placeholder="BIC"
name="bic" id="bic" value="{$ bankData.bic $}">
<span class="validation"></span>
</div>
</div>
<div class="slide-non-sepa" id="non-sepa" style="opacity: 0; display: none;">
<div class="input-container">
<label for="account-number">Kontonummer</label>
<input type="text" title="Bis zu zehnstellige Kontonummer" data-pattern="[0-9]{4,10}"
placeholder="Kontonummer" name="account_number"
id="account-number" class="bank-check">
<span class="validation"></span>
</div>
<div class="input-container">
<label for="bank-code">Bankleitzahl</label>
<input type="text" data-pattern="[0-9]{8}" title="Achtstellige Bankleitzahl"
placeholder="Bankleitzahl" name="bank_code" id="bank-code"
class="bank-check">
<span class="validation"></span>
</div>
</div>
</div>
<div style="margin-left: 180px" class="input-container">
<span id="bank-name"></span>
</div>
<hr>
</div>
</div>
</div>
<div class="rtcol">
<div class="icon-hand-right _icon-list-item firt last">
<p>
<strong>Mitgliedsbeitrag</strong>
</p>
<p>
Der Mindestbetrag für natürliche Personen beträgt 24 Euro, für juristische Personen 100 Euro im Jahr.
</p>
<p>
Für Personen mit eingeschränkter finanzieller Leistungskraft kann der Beitrag auf Antrag auf 12 Euro
ermäßigt werden.
</p>
</div>
</div>
</section>
<!-- become member submit -->
<section id="become-member-submit">
<div class="container clearfix">
<div class="ltcol">
</div>
<div class="ctcol">
<div class="box partial rounded">
<div class="box-footer clearfix">
<div class="tab-1 tab container clearfix ">
{% if formSlideOpen == true %}
<span class="label f-right">Weiter mit Ihren<br/>Mitgliederdetails</span>
<a id="become-member-button" class="button f-right slide-toggle tab-toggle" data-slide-rel="section.slide" data-tab-rel="#become-member-submit .tab-2" data-tab-group-rel="#become-member-submit" href="#">Jetzt Mitglied werden<span class="icon-arrow-down"></span></a>
</div>
<div class="tab-2 tab container clearfix no-display">
{% endif %}
<button id="continueFormSubmit" type="button" class="f-right">Weiter zur Bestätigung<span class="icon-ok"></span></button>
<button id="finishFormSubmit" type="button" class="f-right">Jetzt Mitgliedschaft abschließen<span class="icon-ok"></span></button>
</div>
</div>
</div>
<div class="meta-nav container clearfix">
<a href="http://de.wikipedia.org" class="f-left">
<span class="icon-angle-left"></span>Zurück zur Wikipedia
</a>
<a href="http://wikimedia.de{% if trackOutgoingLinks is defined and trackOutgoingLinks == true %}?piwik_campaign=Spendenseite&piwik_kwd=membership-form-bottom{% endif %}" class="f-right">
Mehr Infos zu Wikimedia<span class="icon-angle-right _icon-right"></span>
</a>
</div>
</div>
<div class="rtcol">
</div>
</div>
</section>
<input type="hidden" name="bank_name" id="field-bank-name" value="{$ bankData.bankName $}" />
<input type="hidden" name="templateCampaign" value="{$ templateCampaign $}" />
<input type="hidden" name="templateName" value="{$ templateName $}" />
</form>