Source

pixels_for_food / templates / sign_up.html

<?PHP
class Donations{
    
}

?>
<html>
    <head>
        <title>Sign your Donation</title>
    </head>
    <body>
        <h1>Please Sign your Donation</h1>
        <h3> You are donating </h3>
        <form>
            <p>Name:<br />
            <input type="text" name="name" id="name" />
            </p>
            <p>E-Mail:<br />
            <input type="text" name="email" id="email" />            
            </p>
            <input type="hidden" id="amount" name="amount" value="200" />
            <input type="button" value="Submit Donation" />
            <input type="button" value="Donate Anonymously" />            
        </form>
    </body>
</html>