{% load i18n %}

<div style="line-height:2em;">
  {% if perks %}
    {% for perk in perks %}
      <label>
        <input type="radio" name="{{ perks_input_name }}" value="{{ perk.price }}"
               {% if perk.chosen %}checked="checked"{% endif %}/>
        <span style="font-size: 1.5em; ">{{ perk.price }} zł</span>
        ({{ perk.long_name }})
      </label>
      <br/>
    {% endfor %}
    <label>
      <input type="radio" name="{{ perks_input_name }}" value=""
             {% if not perk_chosen %}checked="checked"{% endif %}/>
      {% trans "Other amount" %}:
    </label>
    <input size="5" name="{{ name }}" value="{% if not perk_chosen %}{{ value|default_if_none:'' }}{% endif %}"/> zł
  {% else %}
    <input name="{{ name }}" value="{{ value|default_if_none:'' }}"/>
  {% endif %}
</div>