<html>
<div id="donate-form-wrapper">
</html>
{{2012FR/Form-section/Processing/Default
| uselang = {{{uselang}}}
| country = {{{country}}}
| appeal = {{{appeal}}}
| currency = {{2012FR/Switch/Currency/Code|{{{country}}}}}
| handler = GC
| GC-CC-ffname = cc-vm
}}
{{2012FR/Form-section/Radiobuttons/Default
| country = {{{country}}}
| uselanglanguage = {{{uselanglanguage}}}
| currency = {{2012FR/Switch/Currency/Code|{{{country}}}}}
| donate-amount-0 = 52.75
| donate-amount-1 = 105
| donate-amount-2 = 2010
| donate-amount-3 = 5020
| donate-amount-4 = 7530
| donate-amount-5 = 10050
| donate-amount-6 = 250100
}}
{{2012FR/Form-section/PaymentmethodsPaymentmethod/Creditcard}}
{{2012FR/Form-section/Paymentmethods/EWallet/PayPal}}
<html>
<div class="dividing-line" id="form-line"></div>
<div id="donor-infobox-block">
</html>{{2012FR/Form-section/Infobox
| infobox = 2012FR/Form-section/Infobox/{{{infobox|Default}}}
| appeal = {{{appeal|Default}}}
| language = {{int:lang}}
| country = {{{country|XX}}}
}}<html>
</div>
</div>
<div id="donor-policy-block">
</html>{{2012FR/Form-section/Privacy/Default|language = {{int:lang}}| country = {{{country}}}}}<html>
</div>
<div class="donate" id="donate-links-block">
</html>{{2012FR/Form-section/Links/Default|language = {{int:lang}}| country = {{{country}}}}}<html>
</div>
</html>
|