{% extends "base.html" %} {% block title %}Request an Account{% endblock %} {% block content %}
{{ form.csrf_token }}
{{ form.givenName() }}
{% for error in form.givenName.errors %} {% endfor %}
{{ form.familyName() }}
{% for error in form.familyName.errors %} {% endfor %}
{{ form.email() }}
{% for error in form.email.errors %} {% endfor %}
{{ form.purpose(rows=5,cols=40) }}
{% for error in form.purpose.errors %} {% endfor %}
{{ form.recaptcha }}
{% for error in form.recaptcha.errors %} {% endfor %}

* Field is required.

{% endblock %}