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<!DOCTYPE html>
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<head>
<meta charset="utf-8" />
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" />
<title>Din information | Gåva | Greenpeace Sverige</title>
<meta name="description" content="" />
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<script src="http://gpdonate.eu/staticmedia/donations_assets/js/vendor/modernizr-2.6.2-respond-1.1.0.min.js"></script>
</head>
<body class="enterinfo">
<div class="navbar navbar-inverse navbar-fixed-top">
<div class="navbar-inner">
<div class="container">
<a class="brand" href="http://www.greenpeace.org/sweden/se/"><img src="http://gpdonate.eu/staticmedia/donations_assets/img/logo.gif" /></a>
<span class="brand-sub">Stöd oss</span>
</div><!--/.nav-collapse -->
</div>
</div>
<div class="container">
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<div class="row">
<div class="span6 box">
<div class="shadow left hidden-tablet hidden-phone"></div>
<div class="inner tabs">
<ul class="nav nav-tabs" id="subTab">
<li class="active" id="manadTab"><a href="#manadsgivare" data-toggle="tab">Bli månadsgivare</a><div class="arrow-down"></div></li>
<li class="active" id="giftTab"><a href="#gava" data-toggle="tab">Ge en gåva</a><div class="arrow-down"></div></li>
<li class="hidden-phone hidden-tablet pull-right"><p class="summa">Summa: </p></li>
</ul>
</div>
<div class="hidden-desktop amountToDonate">
<div class="inner">
<p class="summa">Summa: </p>
</div>
</div>
<div class="tab-content">
<div id="gava" class="inner enterinfo">
<h1 class="big">Din information</h1>
<div class="row-fluid">
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<form id="donation-form" action="http://greenpeace.cc/payex/se/2013_redirect.php" method="post">
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<input type="hidden" name="country" id="hidden_country" value="SE" />
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<fieldset>
<div class="controls-row">
<div class="control-group forename pull-left">
<p>Förnamn</p>
<input type="text" name="name" placeholder="" required />
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<div class="control-group surname pull-left">
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</div>
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<p>Adress</p>
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<input class="street" name="address" type="text" placeholder="Gatuadress" required />
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<div class="control-group zipcode" style="display: inline;">
<input class="zipcode" name="zip" type="text" data-validation-regex-regex="^[0-9]{3,20}$" placeholder="Postnummer" required />
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</div>
<div class="control-group city" style="display: inline;">
<input class="city" name="city" type="text" placeholder="Ort" required />
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<div class="ico error"></div>
</div>
<!-- <select class="country required">
<option>Land</option>
</select>-->
</div>
<div class="controls controls-row">
<div class="control-group email pull-left">
<p>E-post</p>
<input class="email" name="email" type="email" placeholder="[email protected]" required />
<div class="ico success"></div>
<div class="ico warning"></div>
<div class="ico error"></div>
</div>
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<div class="controls controls-row">
<div class="control-group phone pull-left">
<p>Telefon</p>
<input class="phone" name="phone" type="text" placeholder="" />
</div>
<div class="checkbox_parent pull-left">
<label class="checkbox">
<input type="checkbox" name="greenpeace_contact_me" value="Ja" /> Jag vill ha information från Greenpeace.
</label>
</div>
</div>
<div class="clearfix"></div>
<button type="submit" class="btn btn-gp btn-gp-special">Nästa <i class="icon-arrow-right icon-white"></i></button>
</fieldset>
</form>
</div>
</div>
</div>
</div>
<div class="shadow right hidden-phone"></div>
</div>
<div class="span6 box right">
<div class="shadow left hidden-tablet hidden-phone"></div>
<div class="inner">
<div class="image_info">
</div>
<div class="text">
<h1 class="big">Ditt stöd är viktigt</h1>
<p>Greenpeace är en oberoende organisation och tar inte emot bidrag från stater, politiska partier eller företag. Ditt stöd är mycket viktigt för oss. Din gåva gör skillnad!</p>
</div>
</div>
<div class="shadow right hidden-tablet hidden-phone"></div>
</div>
<div class="clearfix"></div>
</div>
<div class="push"></div>
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</div> <!-- /container -->
<footer>
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<div class="span6">
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<img class="padlock" src="http://gpdonate.eu/staticmedia/donations_assets/img/padlock.png" />
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</div>
</div>
<div class="span6">
<div class="row">
<div class="span6">
<ul class="nav nav-pills">
<li><a href="http://www.greenpeace.org/sweden/se/Stod-oss/Givarservice/">Kontakta Oss</a></li>
<li><a href="http://www.greenpeace.org/sweden/se/footer-links/privacy-policy/">Säkerhetspolicy</a></li>
</ul>
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<p>Copyright © 2013 Greenpeace</p>
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