diff --git a/frontend/src/components/Contributions/ContributionForm.vue b/frontend/src/components/Contributions/ContributionForm.vue
new file mode 100644
index 000000000..a67b4642f
--- /dev/null
+++ b/frontend/src/components/Contributions/ContributionForm.vue
@@ -0,0 +1,79 @@
+<template>
+  <div class="container contribution-form">
+    <b-form @submit="submit">
+      <label>{{ $t('time.month') }}</label>
+      <b-form-radio-group
+        v-model="form.selected"
+        :options="options"
+        class="mb-3"
+        value-field="value"
+        text-field="name"
+        disabled-field="notEnabled"
+      ></b-form-radio-group>
+      <label class="mt-3">{{ $t('contribution.activity') }}</label>
+      <b-form-textarea
+        id="textarea"
+        v-model="form.text"
+        placeholder="Enter something..."
+        rows="3"
+        max-rows="6"
+        required
+        :minlength="minlength"
+      ></b-form-textarea>
+      <div
+        class="text-right"
+        :class="form.text.length < minlength ? 'text-danger' : 'text-success'"
+      >
+        {{ form.text.length }}
+        <span v-if="form.text.length < minlength">{{ $t('math.equalTo') }} {{ minlength }}</span>
+        <span v-else>{{ $t('math.divide') }} {{ maxlength }}</span>
+      </div>
+      <label class="mt-3">{{ $t('form.amount') }}</label>
+      <b-input-group size="lg" prepend="GDD" append=".00">
+        <b-form-input v-model="form.amount" type="number" min="1" max="1000"></b-form-input>
+      </b-input-group>
+
+      <div class="mt-3 text-right">
+        <b-button type="submit" variant="primary" :disabled="disable">
+          {{ $t('contribution.submit') }}
+        </b-button>
+      </div>
+    </b-form>
+  </div>
+</template>
+<script>
+export default {
+  name: 'ContributionForm',
+  data() {
+    return {
+      minlength: 50,
+      maxlength: 500,
+      form: {
+        text: '',
+        selected: this.$moment().format('MMMM'),
+        amount: 0,
+      },
+      options: [
+        {
+          name: this.$moment().subtract(1, 'months').format('MMMM'),
+          value: this.$moment().subtract(1, 'months').format('MMMM'),
+        },
+        { name: this.$moment().format('MMMM'), value: this.$moment().format('MMMM') },
+      ],
+    }
+  },
+  methods: {
+    submit(event) {
+      event.preventDefault()
+      alert(JSON.stringify(this.form))
+    },
+  },
+  computed: {
+    disable() {
+      if (this.form.text.length < this.minlength) return true
+      if (this.form.amount < 1 && this.form.amount < 1000) return true
+      return false
+    },
+  },
+}
+</script>