<!-- BEGIN contact.html -->
<div id="contact">
  <form action="{{ site.baseurl }}/contact-success/" method="post" class="contact-form">
    <div>
      <h3>Bli stödmedlem</h3>
      <input type="hidden" name="_to" value="{{ site.email }}" /><br />
      <input type="text" name="_gotcha" style="display: none;" />
      
    </div>
    <div>
        <label for="name">Namn:</label><br />
      <input type="text" name="name" id="name" placeholder="Ditt fullständiga namn" class="contact" />
      
    </div>
    <div>
        <label for="email">E-post:</label><br />
      <input type="email" name="email" id="email" placeholder="Din e-post adress" required class="contact" />
     
    </div>
    <div>      
        <label for="persnr">Personnummer:</label><br />
      <input type="text" name="persnr" id="persnr" placeholder="Ditt Personnummer (Fördelsedatum räcker)" class="contact" />
     
    </div>
    <div>      
        <label for="postnummer">Postnummer:</label><br />
      <input type="text" name="postnummer" id="postnummer" placeholder="Ditt postnummer" class="contact" />
     
    </div>
    <div>     
        <label for="message">Dikt:</label><br /> 
      <textarea name="message" id="message" placeholder="Skriv en dikt" required
        class="contact textspace" rows="4"></textarea>
     
    </div>
    <div>
      <input type="checkbox" name="consent" id="consent" required class="css-checkbox lrg klaus" /><label for="consent"
        class="css-label lrg klaus">Jag godkänner denna
        {% if page.url == '/privacy-policy/' %} sekretesspolicy.
        {% else %} <a href="{{ site.baseurl }}/privacy-policy/">sekretesspolicy</a>
        {% endif %}</label>
    </div>
    <div>
      <input type="checkbox" name="news" id="news" class="css-checkbox lrg klaus" /><label for="news"
        class="css-label lrg klaus">Skicka mig gärna nyheter!</label>
    </div>
    <div>
      <input type="submit" value="Send Message" />
    </div>
  </form>
</div>
<!-- END contact.html -->