{% trans username=form.username.data %}Membership Application

{% trans %}Username:{% endtrans %}

{% trans %}E-Mail:{% endtrans %}

{% trans %}Full Name:{% endtrans %}

{% trans %}Birthday:{% endtrans %}

{% trans %}Street:{% endtrans %}

{{ form.street.data if form.street.data else "".join(["",_("Not specified"),""])|safe }}

{% trans %}ZIP-Code:{% endtrans %}

{{ form.zip.data if form.zip.data else "".join(["",_("Not specified"),""])|safe }}

{% trans %}City:{% endtrans %}

{{ form.city.data if form.city.data else "".join(["",_("Not specified"),""])|safe }}

{% trans %}State/County/Province:{% endtrans %}

{{ form.state.data if form.state.data else "".join(["",_("Not specified"),""])|safe }}

{% trans %}Country:{% endtrans %}

{{ form.country.data if form.country.data else "".join(["",_("Not specified"),""])|safe }}

{% trans %}Membership Plan:{% endtrans%}

{% trans %}Student:{% endtrans %}

{% trans %}Starving:{% endtrans %}

{% trans %}Payment:{% endtrans %}

{% trans %}Agreed to Terms & Conditions:{% endtrans %}

{% trans %}Minor Member:{% endtrans %}

{% trans %}Send this document to the Chaos Computer Club Lëtzebuerg!{% endtrans %}

{% trans %}Please bring {{ price }}€ with you the next time you meet us!{% endtrans %}

{% trans %}Address:{% endtrans %} {{ config["CRYPTOCURRENCIES"][form.payment.data]["ADDRESS"] }}
{% trans %}Label:{% endtrans %} Membership Fee
{% trans %}Message:{% endtrans %} {{ year }} {{ form.username.data }}
{% trans %}Amount:{% endtrans %} {{ price }} {{ config["CRYPTOCURRENCIES"][form.payment.data]["COMMODITY"] }}

{% set crypto_url={{ config["CRYPTOCURRENCIES"][form.payment.data]["URL"] }}.format(amount=price, year=year, username=form.username.data) %}

{% set digicash_url='https://pos.digica.sh/qrcode/generator?merchantId=CHAOSPC1&amount={amount}&transactionReference=Membership_{username}'.format(amount=price, username=form.username.data) %}

{% trans %}Pay with digicash!{% endtrans %}

{% trans %}Membership Application{% endtrans %}