raven-example-form.html

{{ if raven:success }}
  <h1>Thank You!</h1>

{{ first-name }}
{{ last-name }}
{{ from }}
{{ phone }}
{{ book-title }}
{{ book-publisher }}
{{ author-name }}
{{ author-country-of-birth }}
{{ author-country-of-citizenship }}
{{ book-category }}
{{ book-date-of-first-publication }}



{{ endif }}

{{ raven:errors }}
    
  {{ if missing }}
  <div class="error-block">
    <h4>Sorry, but all fields are required. You are missing:</h4>
    <ul>
      {{ missing }}
        <li><strong>{{ field }}</strong></li>
      {{ /missing }}
    </ul>
  </div>
  {{ endif }}

  {{ if invalid }}
  <div class="error-block">
    <h2>Sorry, but you might want to have another look at:</h2>
    <ul>
      {{ invalid }}
        <li><strong>{{ field }}</strong>: {{ message }}</li>
      {{ /invalid }}
    </ul>
  </div>
  {{ endif }}

{{ /raven:errors }}


{{ raven:form formset="book-awards" return="submission/thank-you" attr="role:form"}}
<div class="row">
<div class="col-lg-12">
	<h4 class="form-divider">About You </h4>
	</div>

	<div class="form-group col-lg-6">
		<label class="small">First Name</label>
		<input type="text" name="first-name" class="form-control text-field" id="first-name" size="50" value="{{ first-name }}" />
	</div>
	<div class="form-group col-lg-6">
		<label class="small">Last Name</label>
		<input type="text" name="last-name" class="form-control text-field" id="last-name" size="50" value="" />
	</div>
	<div class="form-group col-lg-8">
		<label class="small">Email Address</label>
		<input type="text" name="email" class="form-control text-field" id="email" size="50" value="" />
	</div>
	<div class="form-group col-lg-4">
		<label class="small">Phone Number</label>
		<input type="text" name="phone" class="form-control text-field" id="phone" size="50" value="" />
	</div>

</div>{{#  //ROW  #}}

<div class="row">
<div class="col-lg-12">
	<h4 class="form-divider">Book Details </h4>
	</div>

<div class="form-group col-lg-12">
	<label class="small">Title</label>
	<input type="text" name="book-title" class="form-control text-field" id="book-title" size="50" value="" />
</div>


<div class="form-group col-lg-12">
	<label class="small">Publisher</label>
	<input type="text" name="book-publisher" class="form-control text-field" id="book-publisher" size="50" value="" />
</div>


<div class="form-group col-lg-12">
	<label class="small">Author Name</label>
	<input type="text" name="author-name" class="form-control text-field" id="book-publisher" size="50" value="" />
</div>


<div class="form-group col-lg-12">
	<label class="small">Author Country of Birth</label>
	<input type="text" name="author-country-of-birth" class="form-control text-field" id="book-publisher" size="50" value="" />
</div>
<div class="form-group col-lg-12">
	<label class="small">Author Country of Citizenship</label>
	<input type="text" name="author-country-of-citizenship" class="form-control text-field" id="book-publisher" size="50" value="" />
</div>

<div class="form-group col-lg-5">
	<label class="small">Category</label>
	<select name="book-category" class="form-control" >
		<option value="timelineselect" /> -- Select One --</option>
		<option value="fiction" /> Fiction</option>
		<option value="nonfiction" /> Nonfiction</option>
		<option value="poetry" /> Poetry</option>
		<option value="youth-chapter-book" /> Youth Chapter Book</option>
		<option value="unpublished-fiction" /> Unpublished Fiction</option>
		<option value="unpublished-nonfiction" /> Unpublished Nonfiction</option>
	</select>
</div>

<div class="form-group col-lg-7">
	<label class="small">Date of First Publication (DD/MM/YYYY)</label>
	<input type="text" name="book-date-of-first-publication" class="form-control text-field" id="book-publisher" size="50" value="" />
</div>

</div>{{#  //ROW  #}}


<div class="row">


<div class="col-lg-12">
	<h4 class="form-divider">Payment </h4>
	</div>

<div class="form-group col-lg-12">

	<label class="small">Payment Method ($35 Entry Fee)</label>
	


<div class="radio">
  <label>
    <input type="radio" name="payment-method" id="optionsRadios1" value="paypal" checked>
    Paypal (credit card)
  </label>
</div>
<div class="radio">
  <label>
    <input type="radio" name="payment-method" id="optionsRadios2" value="check">
    Check (send with book)
  </label>
</div>
</div>



</div>{{#  //ROW  #}}

<div class="row" style="margin-top:1em;">
	<div class="form-group col-lg-12">
		<input type="submit" class="btn btn-small btn-primary" value=" Submit Form " />
	</div>
</div>{{#  //ROW  #}}





{{ /raven:form }}
</div>