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donate.html
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54 lines (47 loc) · 1.63 KB
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<!-- @include top -->
<!-- @include header -->
<div class="row page-intro">
<div class="columns large-9">
<h1>Donate Online</h1>
<h2>Make a world of difference.</h2>
<p>Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum.</p>
</div>
</div>
<div class="row">
<div class="columns large-9">
<form>
<fieldset>
<legend>Donation Information</legend>
<label>I would like to donate</label>
<div class="row">
<div class="columns small-12 right">
<label for="amt1000">
<input name="amount" type="radio" id="amt1000" style="display:none;">
<span class="custom radio"></span> $1,000
</label>
</div>
</div>
</fieldset>
</form>
</div>
</div>
<!-- @include footer -->
<!-- @include bottom -->
<!-- <div>
<label>I would like to donate:</label>
<input type="radio" name="amount" value="1000">$1,000<br>
<input type="radio" name="amount" value="500">$500<br>
<input type="radio" name="amount" value="250">$250<br>
<input type="radio" name="amount" value="100">$100<br>
<input type="radio" name="amount" value="50">$50<br>
<input type="radio" name="amount" value="other"><input type="text"><br>
<p>
<label>I would like my donation to support:</label>
<select name="designation">
<option value="CCHC">Cape Cod Healthcare</option>
<option value="CCH">Cape Cod Hospital</option>
<option value="FH">Falmouth Hospital Hospital</option>
<option value="VNA">VNA of Cape Cod</option>
<option value="HOSPICE">VNA of Cape Cod's Hospice Program</option>
</select>
</p></div> -->