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<!--
 This file is part of GNU Taler
 (C) 2021--2023 Taler Systems S.A.

 GNU Taler is free software; you can redistribute it and/or modify it under the
 terms of the GNU General Public License as published by the Free Software
 Foundation; either version 3, or (at your option) any later version.

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 A PARTICULAR PURPOSE.  See the GNU General Public License for more details.

 You should have received a copy of the GNU General Public License along with
 GNU Taler; see the file COPYING.  If not, see <http://www.gnu.org/licenses/>

 @author Sebastian Javier Marchano
-->
<!DOCTYPE html>
<html lang="en" class="h-full">

<head>
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  <script type="module" src="main.js"></script>
  <title>Enter contact details</title>
</head>

<body class="min-h-full flex flex-col">
  <header class="bg-indigo-600 w-full mx-auto px-2 border-b border-opacity-25 border-indigo-400">
    <div class="flex flex-row h-16 items-center ">
      <div class="flex px-2 justify-start">
        <div class="flex-shrink-0 bg-white rounded-lg"><a href="#"><img class="h-8 w-auto"
              src="data:image/svg+xml,<?xml version=&quot;1.0&quot; encoding=&quot;UTF-8&quot; standalone=&quot;no&quot;?>%0A<svg xmlns=&quot;http://www.w3.org/2000/svg&quot; viewBox=&quot;0 0 201 90&quot;>%0A  <g fill=&quot;%230042b3&quot; fill-rule=&quot;evenodd&quot; stroke-width=&quot;.3&quot;>%0A    <path d=&quot;M86.7 1.1c15.6 0 29 9.4 36 23.2h-5.9A35.1 35.1 0 0086.7 6.5C67 6.5 51 23.6 51 44.7c0 10.4 3.8 19.7 10 26.6a31.4 31.4 0 01-4.2 3A45.2 45.2 0 0146 44.7c0-24 18.2-43.6 40.7-43.6zm35.8 64.3a40.4 40.4 0 01-39 22.8c3-1.5 6-3.5 8.6-5.7a35.6 35.6 0 0024.6-17.1z&quot; />%0A    <path d=&quot;M64.2 1.1l3.1.1c-3 1.6-5.9 3.5-8.5 5.8a37.5 37.5 0 00-30.2 37.7c0 14.3 7.3 26.7 18 33.3a29.6 29.6 0 01-8.5.2c-9-8-14.6-20-14.6-33.5 0-24 18.2-43.6 40.7-43.6zm5.4 81.4a35.6 35.6 0 0024.6-17.1h5.9a40.4 40.4 0 01-39 22.8c3-1.5 5.9-3.5 8.5-5.7zm24.8-58.2a37 37 0 00-12.6-12.8 29.6 29.6 0 018.5-.2c4 3.6 7.4 8 9.9 13z&quot; />%0A    <path d=&quot;M41.8 1.1c1 0 2 0 3.1.2-3 1.5-5.9 3.4-8.5 5.6A37.5 37.5 0 006.1 44.7c0 21.1 16 38.3 35.7 38.3 12.6 0 23.6-7 30-17.6h5.8a40.4 40.4 0 01-35.8 23C19.3 88.4 1 68.8 1 44.7c0-24 18.2-43.6 40.7-43.6zm30.1 23.2a38.1 38.1 0 00-4.5-6.1c1.3-1.2 2.7-2.2 4.3-3 2.3 2.7 4.4 5.8 6 9.1z&quot; />%0A  </g>%0A  <path d=&quot;M76.1 34.4h9.2v-5H61.9v5H71v26h5.1zM92.6 52.9h13.7l3 7.4h5.3l-12.7-31.2h-4.7L84.5 60.3h5.2zm11.8-4.9h-9.9l5-12.4zM123.8 29.4h-4.6v31h20.6v-5h-16zM166.5 29.4H145v31h21.6v-5H150v-8.3h14.5v-4.9h-14.5v-8h16.4zM191.2 39.5c0 1.6-.5 2.8-1.6 3.8s-2.6 1.4-4.4 1.4h-7.4V34.3h7.4c1.9 0 3.4.4 4.4 1.3 1 .9 1.6 2.2 1.6 3.9zm6 20.8l-7.7-11.7c1-.3 1.9-.7 2.7-1.3a8.8 8.8 0 003.6-4.6c.4-1 .5-2.2.5-3.5 0-1.5-.2-2.9-.7-4.1a8.4 8.4 0 00-2.1-3.1c-1-.8-2-1.5-3.4-2-1.3-.4-2.8-.6-4.5-.6h-12.9v31h5V49.4h6.5l7 10.8z&quot; />%0A</svg>"
              alt="GNU Taler" style="height: 1.5rem; margin: 0.5rem;"></a></div><span
          class="flex items-center text-white text-lg font-bold ml-4">Challenger</span>
      </div>
      <div class="block flex-1 ml-6 "></div>
      <div class="flex justify-end">
      </div>
    </div>
  </header>

  <main class="flex-1">

    <div class="isolate bg-white px-6 py-12">
      <div class="mx-auto max-w-2xl text-center">
        <h2 class="text-3xl font-bold tracking-tight text-gray-900 sm:text-4xl">
          Enter contact details
        </h2>
        <p class="mt-2 text-lg leading-8 text-gray-600">
          You will receive a letter with a TAN code that must be provided on the next page.
        </p>
      </div>
      <form action="/challenge/{{nonce}}" method="POST" class="mx-auto mt-16 max-w-xl sm:mt-20">
        <div class="grid grid-cols-1 gap-x-8 gap-y-6">
          <div class="sm:col-span-2">
            <label for="address" class="block text-sm font-semibold leading-6 text-gray-900">
              Street address
            </label>
            <div class="mt-2.5">
              <textarea name="address" id="address" rows="3" autocomplete="shipping street-address"
                class="block w-full rounded-md border-0 py-1.5 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400 focus:ring-2 focus:ring-inset focus:ring-indigo-600 sm:text-sm sm:leading-6"></textarea>

            </div>
          </div>

          <div class="sm:col-span-2">
            <label for="city" class="block text-sm font-semibold leading-6 text-gray-900">
              City
            </label>
            <div class="mt-2.5">
              <input type="text" name="city" id="city" maxlength="512" autocomplete="address-level2"
                class="block w-full rounded-md border-0 px-3.5 py-2 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400 focus:ring-2 focus:ring-inset focus:ring-indigo-600 sm:text-sm sm:leading-6">
            </div>
          </div>

          <div class="sm:col-span-2">
            <label for="postal-code" class="block text-sm font-semibold leading-6 text-gray-900">
              Postal code
            </label>
            <div class="mt-2.5">
              <input type="text" name="postal-code" id="postal-code" maxlength="512" autocomplete="postal-code"
                class="block w-full rounded-md border-0 px-3.5 py-2 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400 focus:ring-2 focus:ring-inset focus:ring-indigo-600 sm:text-sm sm:leading-6">
            </div>
          </div>

          <div class="sm:col-span-2">
            <label for="country" class="block text-sm font-semibold leading-6 text-gray-900">
              Country
            </label>
            <div class="mt-2.5">
              <input type="text" name="country" id="country" maxlength="512" autocomplete="country"
                class="block w-full rounded-md border-0 px-3.5 py-2 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400 focus:ring-2 focus:ring-inset focus:ring-indigo-600 sm:text-sm sm:leading-6">
            </div>
          </div>

          <p class="mt-3 text-sm leading-6 text-gray-400">
            You can change address another {{changes_left}} times.
          </p>
        </div>

        <div class="mt-10">
          <button type="submit"
            class="block w-full rounded-md bg-indigo-600 px-3.5 py-2.5 text-center text-sm font-semibold text-white shadow-sm hover:bg-indigo-500 focus-visible:outline focus-visible:outline-2 focus-visible:outline-offset-2 focus-visible:outline-indigo-600">
            Send mail
          </button>
        </div>
      </form>
    </div>
  </main>


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