{% with supptype=supptype|default:form_id article=article|default:"a" verb=verb|default:"join" default_amt=default_amt|default:min_amt partial_amt=partial_amt|default:0 %}

<div id="{{ form_id }}" class="supporter-type-selection">

  <h3>{{ verb|capfirst }} as {{ article }} {{ supptype|capfirst }} Supporter</h3>

  <p class="prolog"><span>Note:</span>

    {% if form_id == "annual" %}

    Annual Supporters do not automatically renew.  If you join today, you'll

    receive an email to renew in about a year.

    {% elif form_id == "monthly" %}

    Monthly Supporters automatically pay each month until you cancel

    payments in PayPal.  You'll be added to

    process your first payment.  You may not receive other benefits (like

    the shirt) until you've paid at least

    {# Six months of payments #}

    ${{ min_amt|add:min_amt|add:min_amt|add:min_amt|add:min_amt|add:min_amt }}.

    {% elif form_id == "renewal" %}

    This form is for annual Supporters who want to renew their support this

    year.  If you're a new Conservancy Supporter, please select another

    form.

    {% endif %}

  </p>

  <form class="supporter-form" method="post" target="_top"

            <optgroup label="Women's Fitted Tees">

              <option value="FittedLadiesS">Fitted Women's S</option>

              <option value="FittedLadiesM">Fitted Women's M</option>

              <option value="FittedLadiesL">Fitted Women's L</option>

              <option value="FittedLadiesXL">Fitted Women's XL</option>

            </optgroup>

          </select>

        </div>

      </div>

      <div class="supporter-form-input">

        <label for="publicAck">

        <div class="input-group">

          <input type="radio" tabindex="40" checked="checked" name="on1" value="publicAckYes">Yes

          <input type="radio" tabindex="40" name="on1" value="publicAckNo">No

        </div>

      </div>

      <div class="supporter-form-input">

        <label for="joinList">Join Conservancy's

          low-traffic announcement list? </label>

        <div class="input-group">

          <input type="radio" tabindex="50" checked="checked" name="os1" value="joinListYes">Yes

          <input type="radio" tabindex="50" name="os1" value="joinListNo">No