1 {% extends 'club/2022/donation_step_base.html' %}
6 {% block donation-jumbo-image %}{% static '2022/images/checkout-img-2.jpg' %}{% endblock %}
9 {% block donation-step-content %}
11 <div class="l-checkout__cols">
12 <div class="l-checkout__col">
13 <div class="l-checkout__payments__box is-active">
15 {{ schedule.amount|floatformat }} zł
16 {% if schedule.monthly %}
20 <img src="{% static '2022/images/checkout-img-3.jpg' %}" alt="">
23 <div class="l-checkout__col">
30 <div class="l-checkout__form">
31 <div class="l-checkout__form__row">
32 <div class="l-checkout__input">
33 <label for="imie"><span>*</span> Imię</label>
35 {{ form.first_name.errors }}
37 <div class="l-checkout__input">
38 <label for="nazwisko"><span>*</span> Nazwisko</label>
40 {{ form.last_name.errors }}
43 <div class="l-checkout__form__row">
44 <div class="l-checkout__input">
45 <label for="email"><span>*</span> E-mail</label>
47 {{ form.email.errors }}
49 <div class="l-checkout__input">
50 <label for="telefon"><span>*</span> Telefon</label>
52 {{ form.phone.errors }}
55 <div class="l-checkout__form__row full">
56 <div class="l-checkout__input">
57 <label for="adres-pocztowy">Adres pocztowy</label>
59 {{ form.postal.errors }}
62 <div class="l-checkout__form__row">
63 <div class="l-checkout__input">
64 <label for="kod-pocztowy">Kod pocztowy</label>
65 {{ form.postal_code }}
66 {{ form.postal_code.errors }}
68 <div class="l-checkout__input">
69 <label for="miejscowosc">Miejscowość</label>
70 {{ form.postal_town }}
71 {{ form.postal_town.errors }}
74 <div class="l-checkout__form__row full">
75 <div class="l-checkout__input">
76 <label for="kod-pocztowy">Kraj</label>
77 {{ form.postal_country }}
78 {{ form.postal_country.errors }}
81 <div class="l-checkout__form__row full">
82 {% for consent, key, field in form.consent %}
84 <div class="c-checkbox">
86 <label for="id_{{ key }}">
87 <p>{% if field.field.required %}<span>*</span> {% endif %}{{ field.label }}</p>
91 <div class="c-checkbox">
92 {{ form.agree_newsletter }}
93 <label for="id_agree_newsletter">
94 <p>Zapisuję się na newsletter.</p>
98 <div class="l-checkout__form__row confirm">
99 <a href=".#{{ view.step1_hash }}">Powrót</a>
100 <div class="l-checkout__input">
101 <button>Dalej</button>
108 <img src="{% static '2022/images/checkout-footer.png' %}" alt="Bezpieczne płatności zapewniają" class="l-checkout__footer__img">