<div class="dinner-form-inputs">

            <input type="hidden" name="cmd" value="_xclick" />

            <input type="hidden" name="business" value="dinner@sfconservancy.org" />

            <input type="hidden" name="item_name" value="Conservancy Supporter Night, FOSDEM 2015" />

            <input id="no_shipping" type="hidden" name="no_shipping" value="0" />

  <label for="amount"><strong>Amount:</strong> $</label>

  <input id="amount" type="text" name="amount" size="7" minimum="40" value="40" />

  <span id="error" class="form-error-show">$40 is a minimum donation to

  attend  the dinner.</span><br/>

  <br /></div>

                      <div id="annual" class="dinner-form-submit">

                      <input type="image"

                             border="0" name="submit" alt="Attend the 2015 Conservancy Supporter Night!">

                      <img alt="" border="0" src="https://www.paypalobjects.com/en_US/i/scr/pixel.gif" width="1" height="1">

<br/><br/><small>Button above redirects to PayPal's site for credit

        card, bank account or PayPal balance payment methods.  Enter amount first.</small>

</div></form></div>

<span id="form-correction-needed" class="form-error">Please ensure all form data above is correct.</span>

</div>

{% endblock %}