Created
April 19, 2018 18:51
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Save salsalabs/1200e91c8982c747b1274e9ea7cf0713 to your computer and use it in GitHub Desktop.
Sample embedded signup form to collect basic information for a donation. See https://help.salsalabs.com/hc/en-us/articles/114094159854#forward-to-a-donation-page for more info.
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<fieldset> | |
<legend>Donate here</legend> | |
<form action="[[DONATE_PAGE_KEY]]" method="POST"> | |
<input type="hidden" name="object" value="supporter" /> | |
<input type="hidden" name="organization_KEY" value="5881"> | |
<p> | |
<label for="first_name">First Name</label> | |
<input id="id" type="text" placeholder="First Name" name="First_Name" /> | |
</p> | |
<p> | |
<label for="last_name">Last Name</label> | |
<input id="id" type="text" placeholder="Last Name" name="Last_Name" /> | |
</p> | |
<p> | |
<label for="email">Email</label> | |
<input id="id" type="text" placeholder="Email" name="Email" required/> | |
</p> | |
<p> | |
<label for="street_1">Street 1</label> | |
<input id="id" type="text" placeholder="Street Address" name="Street" /> | |
</p> | |
<p> | |
<label for="city">City</label> | |
<input id="id" type="text" placeholder="City" name="City" /> | |
</p> | |
<p> | |
<label for="state">State</label> | |
<input id="id" type="text" placeholder="State" name="State" /> | |
</p> | |
<p> | |
<label for="zip">Zip</label> | |
<input id="id" type="text" placeholder="Zip" name="Zip" /> | |
</p> | |
<p></p> | |
<p> | |
<label for="amount">Amount</label> | |
<input type="number" name="amount" value="50.00" /> | |
</p> | |
<p> | |
<label for="submit"></label> | |
<input id="submit" name="submit" type="submit" value="Donate!" title="Click here to donate." /> | |
</p> | |
</form> | |
</fieldset> |
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