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6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 6f06fc328a13 | <!DOCTYPE html>
<html>
<head>
<title>Membership Application - {{ form.username.data }}</title>
<link rel="stylesheet" href="{{ url_for('static', filename='pdf.css') }}" />
</head>
<body>
<img src="{{ url_for('static', filename='images/logo.png') }}"></img>
<h1>Membership Application</h1>
<dl>
<dt>Username:</dt>
<dd>{{ form.username.data }}</dd>
<dt>E-Mail:</dt>
<dd>{{ form.email.data }}</dd>
<dt>Full Name:</dt>
<dd>{{ form.fullname.data }}</dd>
<dt>Street:</dt>
<dd>{{ form.street.data if form.street.data else "<i>Not specified</i>"|safe }}</dd>
<dt>ZIP-Code:</dt>
<dd>{{ form.zip.data if form.zip.data else "<i>Not specified</i>"|safe }}</dd>
<dt>City:</dt>
<dd>{{ form.city.data if form.city.data else "<i>Not specified</i>"|safe }}</dd>
<dt>State/County/Province:</dt>
<dd>{{ form.state.data if form.state.data else "<i>Not specified</i>"|safe }}</dd>
<dt>Country:</dt>
<dd>{{ form.country.data if form.country.data else "<i>Not specified</i>"|safe }}</dd>
<dt>Membership Plan:</dt>
<dd>{{ membership }}</dd>
<dt>Payment:</dt>
<dd>{{ form.payment.data }}</dd>
<dt>Agreed to Terms & Conditions:</dt>
<dd>{{ "Yes" if form.terms.data else "No" }}</dd>
<dt>Minor Member:</dt>
<dd>{{ "Yes" if form.minor_member.data else "No" }}</dd>
<dt>GPG-ID:</dt>
<dd>{{ form.gpg.data or "<i>Not specified</i>"|safe }}</dd>
<dt>Jabber Handle:</dt>
<dd>{{ form.jabber.data or "<i>Not specified</i>"|safe }}</dd>
<dt>Twitter Handle:</dt>
<dd>{{ form.twitter.data or "<i>Not specified</i>"|safe }}</dd>
</dl>
<p>Send this document to the Chaos Computer Club Lëtzebuerg!</p>
{% if form.payment.data == 'wire transfer' %}
<ul class="bank">
<li>Account Holder: Chaos Computer Club Lëtzebuerg</li>
<li>BIC/Swift: BCEELULLXXX</li>
<li>IBAN: LU29 0019 2855 3890 4000</li>
<li>Message: Membership fee {{ year }} {{ form.username.data }}</li>
<li>Amount: {{ price }}€</li>
</ul>
{% elif form.payment.data == 'cash' %}
<p>Please bring {{ price }}€ with you the next time you meet us!</p>
{% elif form.payment.data == 'bitcoin' %}
<div>
<ul class='btctext'>
<li><b>Address:</b> 3BV5UPToMUmXJiqUVndHjSSq2HqDW8npRd</li>
<li><b>Label:</b> Membership Fee</li>
<li><b>Message:</b> {{ year }} {{ form.username.data }}</li>
<li><b>Amount:</b> {{ price }} BTC</li>
</ul>
{% set bitcoin_url= 'bitcoin:3BV5UPToMUmXJiqUVndHjSSq2HqDW8npRd?amount={amount}&label=Membership Fee {year} {username}&message=Membership Fee {year} {username}'.format(amount=price, year=year, username=form.username.data) %}
<img class='btcqrcode' src="{{ qrcode(bitcoin_url) }}"></img>
</div>
{% elif form.payment.data == 'ethereum' %}
<div>
<ul class='btctext'>
<li><b>Address:</b> 0x1C05b4C236914B218B57e0E25948d416B4885655</li>
<li><b>Label:</b> Membership Fee</li>
<li><b>Message:</b> {{ year }} {{ form.username.data }}</li>
<li><b>Amount:</b> {{ price }} ETH</li>
</ul>
{% set ethereum_url= '0x1C05b4C236914B218B57e0E25948d416B4885655' %}
<img class="btcqrcode" src="{{ qrcode(ethereum_url) }}"></img>
</div>
{% elif form.payment.data == 'digicash' %}
<div>
{% set digicash_url='https://pos.digica.sh/qrcode/generator?merchantId=CHAOSPC1&amount={amount}&transactionReference=Membership_{username}'.format(amount=price, username=form.username.data) %}
<img class="btqrcode" src="{{ digicash_url }}"></img>
</div>
{% endif %}
<div>
<p class="membersignature">
Luxembourg, the
</p>
<p class="adminsignature">
{{ "Signature of your legal representative" if form.minor_member.data else "Your signature" }}
</p>
</div>
<footer>
<hr>
<b>C</b>haos <b>C</b>omputer <b>C</b>lub <b>L</b>ëtzebuerg A.S.B.L.<br>
Halle Victor Hugo - 60 Avenue Victor Hugo L-1750 Luxembourg (Europe)<br>
info@c3l.lu - <a href="https://c3l.lu">http://c3l.lu</a>
<!--<i>Registered as an NPO with the “Registre de Commerce et des Sociétés Luxembourg” with the registration number: <a href="http://www.legilux.public.lu/entr/search/index.php?ss_soc=chaos&sc_soc=&sr_soc=name&sr_fj=all&sr_tp=all&sr_date=all&sl_d=1&sl_m=1&sl_y=2014&sl_d1=1&sl_m1=1&sl_y1=2014&sl_d2=1&sl_m2=2&sl_y2=2014&page_len=100&page_no=1&idm=20086101433&page=result&select_soc=true&submit=Choisir">F0007653</a></i>-->
</footer>
</body>
</html>
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