beitritt.blade.php 4.63 KB
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@extends('layouts.subPages')

@section('title', $title )

@section('navbarFocus.donate', 'class="dropdown active"')

@section('content')
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	<link type="text/css" rel="stylesheet" href="{{ elixir('/css/beitritt.css') }}" />
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	<h1>{{ trans('beitritt.heading.1') }}</h1>
	<form>
		<div class="form-group beitritt-form-group">
			<label for="name" class="non-bold">{{ trans('beitritt.beitritt.1') }}</label>
			<input type="text" class="form-control" name="name" placeholder="{{trans('beitritt.placeholder.1')}}" required>
		</div>
		<div class="form-group beitritt-form-group">
			<label for="firma" class="non-bold">{{ trans('beitritt.beitritt.2') }}</label>
			<input type="text" class="form-control" name="firma" placeholder="{{trans('beitritt.placeholder.2')}}">
		</div>
		<div class="form-group beitritt-form-group">
			<label for="funktion" class="non-bold">{{ trans('beitritt.beitritt.3') }}</label>
			<input type="text" class="form-control" name="funktion" placeholder="{{trans('beitritt.placeholder.3')}}">
		</div>
		<div class="form-group beitritt-form-group">
			<label for="adresse" class="non-bold">{{ trans('beitritt.beitritt.4') }}</label>
			<input type="text" class="form-control" name="adresse" placeholder="{{trans('beitritt.placeholder.4')}}" required>
		</div>
		<div class="form-group beitritt-form-group">
			<label for="email" class="non-bold">{{ trans('beitritt.beitritt.5') }}</label>
			<input type="email" class="form-control" name="email" placeholder="">
		</div>
		<div class="form-group beitritt-form-group">
			<label for="homepage" class="non-bold">{{ trans('beitritt.beitritt.6') }}</label>
			<input type="text" class="form-control" name="homepage" placeholder="http://">
		</div>
		<div class="form-group beitritt-form-group">
			<label for="telefon" class="non-bold">{{ trans('beitritt.beitritt.7') }}</label>
			<input type="text" class="form-control" name="telefon" placeholder="{{trans('beitritt.placeholder.7')}}">
		</div>
		<div class="form-group beitritt-form-group">
			<label class="non-bold" for="betrag">{{ trans('beitritt.beitritt.8') }}</label>
			<div class="row">
				<div class="pull-left donation-amount-input">
					<input type="text" class="form-control" name="betrag">
				</div>
				<div class="pull-left" style="padding-left: 10px">
					<p class="help-block"> {{ trans('beitritt.beitritt.9') }}</p>
				</div>
			</div>
		</div>
		<label class="non-bold">
			{{ trans('beitritt.beitritt.10') }}
		</label>
		<label class="non-bold">
			{{ trans('beitritt.beitritt.11') }}
		</label>
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		<div class="row">
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			<div class="pull-left">
				<div class="radio">
					<label>
						<input type="radio" name="veröffentlichung" checked> {{ trans('beitritt.beitritt.12') }}
					</label>
				</div>
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			</div>
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			<div class="pull-left" style="padding-left: 10px">
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				<div class="radio">
					<label>
						<input type="radio" name="veröffentlichung"> {{ trans('beitritt.beitritt.13') }}
					</label>
				</div>
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			</div>
		</div>
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		<h3>{{ trans('beitritt.abbuchung.2') }}</h3>
		<p>{{ trans('beitritt.abbuchung.3') }}</p>
		<div class="form-group beitritt-form-group">
			<label for="kontoname" class="non-bold">{{ trans('beitritt.abbuchung.4') }}</label>
			<input type="text" class="form-control" name="kontoname" placeholder="">
		</div>
		<div class="form-group beitritt-form-group">
			<label for="bankverbindung" class="non-bold">{{ trans('beitritt.abbuchung.5') }}</label>
			<input type="text" class="form-control" name="bankverbindung" placeholder="">
		</div>
		<div class="form-group beitritt-form-group">
			<label for="iban" class="non-bold">{{ trans('beitritt.abbuchung.6') }}</label>
			<input type="text" class="form-control" name="iban" placeholder="">
		</div>
		<div class="form-group beitritt-form-group">
			<label for="bic" class="non-bold">{{ trans('beitritt.abbuchung.7') }}</label>
			<input type="text" class="form-control" name="bic" placeholder="">
		</div>
		<div class="form-group beitritt-form-group">
			<label for="ort2" class="non-bold">{{ trans('beitritt.abbuchung.8') }}</label>
			<input type="text" class="form-control" id="ort2" placeholder="">
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		</div>
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		<br/>
		<p class="signature">{{ trans('beitritt.abbuchung.1') }}</p>
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	</form>
	<hr>
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	<div class="noprint">
		<p class="pagebreak">{{ trans('beitritt.anweisung.1') }}</p>
		<ul class="dotlist">
			<li>{{ trans('beitritt.anweisung.2') }}</li>
			<li>{{ trans('beitritt.anweisung.3') }}</li>
			<li>{{ trans('beitritt.anweisung.4') }}</li>
		</ul>
		<p>{{ trans('beitritt.anweisung.5') }}</p>
	</div>
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	<p>{{ trans('beitritt.anweisung.6') }}</p>
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	<button type="button" class="btn btn-lg btn-primary noprint" onclick="checkFormBeforePrinting();">{{ trans('beitritt.anweisung.7') }}</button>
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@endsection