wmdeit_kaform/ka.html

265 lines
8.5 KiB
HTML

<!doctype html>
<html >
<head>
<title>Kostenerstattungsforumlar</title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<!-- Kube CSS -->
<link rel="stylesheet" href="css/kube.min.css">
<link rel="stylesheet" href="addons/kube-addons.min.css" />
<link rel="stylesheet" href="master.css" />
</head>
<body>
<div class="page is-container">
<div class="main-sidebar">Wikimedia Logo</div>
<div class="main-content">
<h1>Auslagenersatz</h1>
<p>Du möchtest dir Kosten erstatten lassen, welche im Rahmen deines
Projektes entstanden sind?<BR>
Bitte fülle dieses Formular aus ...
</p>
<form name="theform" id="theform" action="submit.php" method="POST">
<div class="is-row">
<div class="is-col is-70">
<fieldset>
<div class="is-row">
<div class="is-col">
<input required type="input"
size="32" id="nickname" name="nickname"
placeholder="Nickname*" />
</div>
<div class="is-col">
<input required type="input"
size="32" id="projekt" name="project"
placeholder="Projekt-ID*" />
</div>
</div>
<br>
<div class="is-row">
<div class="is-col">
<input required type="input" size="32"
` name="realname" placeholder="Realname*" />
</div>
<div class="is-col">
</div>
</div>
<br>
<div class="is-row">
<div class="is-col">
<input required type="email" size="32" id="email"
name="email" placeholder="E-Mail-Adresse*" />
</div>
<div class="is-col">
</div>
</div>
<br>
<div class="is-row">
<div class="is-col">
<input class="screen" type="radio" id="eu"
name="bank" value="EU" checked>
<label class="screen radio" for="eu">EU-Banküberweisung</label>
<br>
<input class="screen" type="radio"
id="noneu" name="bank" value="Non-EU">
<label class="screen radio" for="noneu">
Non-EU-Banküberweisung</label>
<br>
<input class="screen" type="radio" id="paypal"
name="bank" value="PayPal">
<label class="screen radio" for="paypal">PayPal</label>
<br>
<input class="screen" type="radio" id="bar"
name="bank" value="Bar">
<label class="screen radio" for="bar" lang="de">
Bargeld</label>
<br><br>
<label class="EU nonEU" for="owner" >Kontoinhaber</label>
<input class="EU nonEU" type="input" size="32" id="ownerDe" name="Owner" placeholder="wenn abweichend vom Realnamen" />
<label class="EU nonEU" for="iban" >IBAN</label>
<input class="EU nonEU" type="input" size="32" id="iban" name="IBAN" placeholder="DE0123…" />
<label class="EU nonEU" for="bic">BIC / SWIFT</label>
<input class="EU nonEU" type="input" size="32" id="bic" name="BIC" placeholder="LBMU…" />
<label class="EU nonEU" for="bank" >Name der Bank</label>
<input class="EU nonEU" type="input" size="32" id="bank" name="Bankname" placeholder="Banky McBankface" />
<label class="nonEU" for="bankaddress" >Bankanschrift</label>
<textarea class="nonEU" name="bankaddress" id="bankaddress" style="resize:both;" cols="32" rows="4" placeholder="Straße und Hausnummer
Postleitzahl und Ort
Land"></textarea>
<label class="nonEU" for="address" >Deine Anschrift</label>
<textarea name="address" lang="de" class="nonEU" id="address" style="resize:both;" cols="32" rows="4" placeholder="Straße und Hausnummer
Postleitzahl und Ort
Land"></textarea>
<label class="EU nonEU" for="comments" lang="de">Weitere Anmerkungen</label>
<textarea class="EU nonEU" id="comments" name="comments"
style="resize:both;" cols="32" rows="4" placeholder="z.B. intermdiäre Bank,
Grund für abweichende Kontoinhaberin"></textarea>
<label class="paypal" for="accountnumber">
PayPal account</label>
<input class="paypal" type="input" size="32"
id="paypal" placeholder="paypal@example.com" />
</div> <!-- i-col -->
</div> <!-- is-row -->
</fieldset>
</div>
<div class="is-col ">
Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext
</div>
</div> <!-- is row -->
Hallo
</div>
</div>
<fieldset>
<legend>Deine Ansprechperson bei Wikimedia</legend>
<input required type="input" size="32" id="wmdecontact"
name="wmdecontact" placeholder="John Doe" />
</fieldset>
<fieldset>
<legend>Deine Kontaktdaten</legend>
<label for="realname" >Dein Realname</label>
<input required type="input" size="32"
name="realname" placeholder="Corinna Commonsuser" />
<label for="email">E-Mail-Adresse</label>
<input required type="email" size="32" id="email"
name="email" placeholder="name@example.org" />
<label for="phone" >Telefonnummer</label>
<input required type="tel" size="32" "phone" name="phone"
placeholder="0123-456789" />
</fieldset>
<fieldset id="bankdetails">
<legend>Auszahlungsweg</legend>
<input class="screen" type="radio" id="eu"
name="bank" value="EU" checked>
<label class="screen radio" for="eu">EU-Banküberweisung</label>
<br>
<input class="screen" type="radio"
id="noneu" name="bank" value="Non-EU">
<label class="screen radio" for="noneu">
Non-EU-Banküberweisung</label>
<br>
<input class="screen" type="radio" id="paypal"
name="bank" value="PayPal">
<label class="screen radio" for="paypal">PayPal</label>
<br>
<input class="screen" type="radio" id="bar"
name="bank" value="Bar">
<label class="screen radio" for="bar" lang="de">
Bargeld</label>
<br><br>
<label class="EU nonEU" for="owner" >Kontoinhaber</label>
<input class="EU nonEU" type="input" size="32" id="ownerDe" name="Owner" placeholder="wenn abweichend vom Realnamen" />
<label class="EU nonEU" for="iban" >IBAN</label>
<input class="EU nonEU" type="input" size="32" id="iban" name="IBAN" placeholder="DE0123…" />
<label class="EU nonEU" for="bic">BIC / SWIFT</label>
<input class="EU nonEU" type="input" size="32" id="bic" name="BIC" placeholder="LBMU…" />
<label class="EU nonEU" for="bank" >Name der Bank</label>
<input class="EU nonEU" type="input" size="32" id="bank" name="Bankname" placeholder="Banky McBankface" />
<label class="nonEU" for="bankaddress" >Bankanschrift</label>
<textarea class="nonEU" name="bankaddress" id="bankaddress" style="resize:both;" cols="32" rows="4" placeholder="Straße und Hausnummer
Postleitzahl und Ort
Land"></textarea>
<label class="nonEU" for="address" >Deine Anschrift</label>
<textarea name="address" lang="de" class="nonEU" id="address" style="resize:both;" cols="32" rows="4" placeholder="Straße und Hausnummer
Postleitzahl und Ort
Land"></textarea>
<label class="EU nonEU" for="comments" lang="de">Weitere Anmerkungen</label>
<textarea class="EU nonEU" id="comments" name="comments"
style="resize:both;" cols="32" rows="4" placeholder="z.B. intermdiäre Bank,
Grund für abweichende Kontoinhaberin"></textarea>
<label class="paypal" for="accountnumber">
PayPal account</label>
<input class="paypal" type="input" size="32"
id="paypal" placeholder="paypal@example.com" />
</fieldset>
<label>Dein Projekt / Zweck der Reise</label>
<input type="text" name="projekt"/>
<br>
<h2>Bitte trage deine einzelnen Kostenpositionen ein.</h2>
<p>
Bitte trage nur eine Ausgabe pro Zeile ein, lege den
Originalbeleg dem Antrag bei und kennzeichne den Beleg
mit der entsprechenden Zeilennummer. Aus der Beschreibung
soll zu ersehen sein, ob es sich um Transport, Dienstleistung,
Materialien, Verpflegung oder ähnliches handelt.
</p>
<table id="tabtab" class="is-bordered">
<thead>
<tr>
<th>Pos.</th>
<th>Beschreibung</th>
<th>Belegdatum</th>
<th>Betrag</th>
<th>Beleg</th>
</tr>
</thead>
<tbody id="tabbody">
</tbody>
</table>
<input type="submit" style="display:none" name="submitButton" />
</form>
<button onclick="addTableRow();"
class="button">Position hinzuf&uuml;gen</button>
<button onclick="document.theform.submitButton.click();"
class="button">Absenden</button>
<!-- Kube JS (optional if you are using Kube CSS only) -->
<script src="js/kube.min.js"></script>
<script src="addons/upload/kube.upload.min.js"></script>
<script src="addons/kube-addons.min.js"></script>
<script src="kaform.js"></script>
</div>
</div>
</body>
</html>