koha-tmpl/opac-tmpl/bootstrap/en/modules/opac-memberentry.tt

   1 [% USE Koha %]
   2 [% USE KohaDates %]
   3 [% SET userupdateview = 1 %]
   4
   5 [% INCLUDE 'doc-head-open.inc' %]
   6     <title>[% IF ( LibraryNameTitle ) %][% LibraryNameTitle %][% ELSE %]Koha online[% END %] catalog &rsaquo; [% IF action == 'edit' %]Update your personal details[% ELSE %]Register a new account[% END %]</title>
   7 [% INCLUDE 'doc-head-close.inc' %]
   8 [% BLOCK cssinclude %][% END %]
   9 </head>
  10
  11 [% IF action == 'edit' %]
  12 [% INCLUDE 'bodytag.inc' bodyid='opac-patron-update' %]
  13 [% ELSE %]
  14 <body id="opac-patron-registration" class="opac">
  15 [% END %]
  16 [% INCLUDE 'masthead.inc' %]
  17
  18 <div class="main">
  19     <ul class="breadcrumb">
  20         <li><a href="/cgi-bin/koha/opac-main.pl">Home</a> <span class="divider">&rsaquo;</span></li>
  21         [% IF action == 'edit' %]
  22             <li><a href="/cgi-bin/koha/opac-user.pl">[% borrower.firstname %] [% borrower.surname %]</a> <span class="divider">&rsaquo;</span></li>
  23             <li><a href="#">Your personal details</a></li>
  24         [% ELSE %]
  25             <li><a href="#">Register a new account</a></li>
  26         [% END %]
  27     </ul>
  28
  29     <div class="container-fluid">
  30         <div class="row-fluid">
  31             <div class="span2">
  32                 <div id="navigation">
  33                     [% INCLUDE 'navigation.inc' IsPatronPage=1 %]
  34                 </div>
  35             </div>
  36             <div class="span10">
  37                 [% IF action == 'edit' %]
  38                     <div id="update-account">
  39                 [% ELSE %]
  40                     <div id="add-account">
  41                 [% END %]
  42
  43                 [% IF action == 'edit' %]
  44                     [% UNLESS OPACPatronDetails %]
  45                         <div class="alert alert-info">To make changes to your record please contact the library.</div>
  46                     [% END %]
  47                 [% END %]
  48
  49                 [% IF empty_mandatory_fields %]
  50                     <div class="alert">You have not filled out all required fields. Please fill in all missing fields and resubmit.</div>
  51                 [% END %]
  52
  53                 [% IF failed_captcha %]
  54                     <div class="alert">You typed in the wrong characters in the box before submitting. Please try again.</div>
  55                 [% END %]
  56
  57                 <form method="post" action="/cgi-bin/koha/opac-memberentry.pl" id="memberentry-form">
  58
  59                 [% UNLESS hidden.defined('branchcode') %]
  60                     <fieldset class="rows" id="memberentry_library">
  61
  62                         <legend id="library_legend">Library</legend>
  63                             <ol>
  64                                 [% UNLESS hidden.defined('cardnumber') %]
  65                                 <li>
  66                                     <label>Card number:</label>
  67                                     [% borrower.cardnumber %]
  68                                 </li>
  69                                 [% END %]
  70
  71                                 [% UNLESS hidden.defined('dateexpiry') %]
  72                                 <li>
  73                                     <label>Expiration date:</label>
  74                                     [% borrower.dateexpiry | $KohaDates  %]
  75                                 </li>
  76                                 [% END %]
  77
  78                                 [% UNLESS hidden.defined('branchcode') %]
  79                                     <li>
  80                                         [% IF mandatory.defined('branchcode') %]
  81                                             <label for="borrower_branchcode" class="required">
  82                                         [% ELSE %]
  83                                             <label for="borrower_branchcode">
  84                                         [% END %]
  85                                         Home library:</label>
  86
  87                                         <select id="borrower_branchcode" name="borrower_branchcode">
  88                                             [% FOREACH b IN branches %]
  89                                                 [% IF b.value == borrower.branchcode %]
  90                                                     <option value="[% b.value %]" selected="selected">[% b.branchname %]</option>
  91                                                 [% ELSE %]
  92                                                     <option value="[% b.value %]">[% b.branchname %]</option>
  93                                                 [% END %]
  94                                             [% END %]
  95                                         </select>
  96                                     </li>
  97                                 [% END %]
  98                             </ol>
  99                         </fieldset>
 100                 [% END # / defined 'branchcode' %]
 101
 102                 [% UNLESS
 103                     hidden.defined('title') && hidden.defined('surname') && hidden.defined('firstname') &&
 104                     hidden.defined('dateofbirth') && hidden.defined('initials') && hidden.defined('othernames') &&
 105                     hidden.defined('sex')
 106                 %]
 107                     <div class="row-fluid">
 108                         [% IF ( display_patron_image ) %]
 109                             <div class="span8">
 110                         [% ELSE %]
 111                             <div class="span12">
 112                         [% END %]
 113                             <fieldset class="rows" id="memberentry_identity">
 114                                 <legend id="identity_legend">Identity</legend>
 115
 116                                 <ol>
 117                                     [% UNLESS hidden.defined('title') || !member_titles %]
 118                                         <li>
 119                                             [% IF mandatory.defined('title') %]
 120                                                 <label for="borrower_title" class="required">
 121                                             [% ELSE %]
 122                                                 <label for="borrower_title">
 123                                             [% END %]
 124                                             Salutation:</label>
 125
 126                                             <select id="borrower_title" name="borrower_title">
 127                                                 [% FOREACH mt IN member_titles %]
 128                                                     [% IF mt == borrower.title %]
 129                                                         <option value="[% mt %]" selected="selected">[% mt %]</option>
 130                                                     [% ELSE %]
 131                                                         <option value="[% mt %]">[% mt %]</option>
 132                                                     [% END %]
 133                                                 [% END %]
 134                                             </select>
 135                                         </li>
 136                                     [% END %]
 137
 138                                     [% UNLESS hidden.defined('surname') %]
 139                                         <li>
 140                                             [% IF mandatory.defined('surname') %]
 141                                                 <label for="borrower_surname" class="required">
 142                                             [% ELSE %]
 143                                                 <label for="borrower_surname">
 144                                             [% END %]
 145                                             Surname:</label>
 146
 147                                             <input type="text" id="borrower_surname" name="borrower_surname" value="[% borrower.surname %]" />
 148                                             [% IF mandatory.defined('surname') %]<span class="required">Required</span>[% END %]
 149                                         </li>
 150                                     [% END %]
 151
 152                                     [% UNLESS hidden.defined('firstname') %]
 153                                         <li>
 154                                             [% IF mandatory.defined('firstname') %]
 155                                                 <label for="borrower_firstname" class="required">
 156                                             [% ELSE %]
 157                                                 <label for="borrower_firstname">
 158                                             [% END %]
 159                                             First name:</label>
 160
 161                                             <input type="text" id="borrower_firstname" name="borrower_firstname" value="[% borrower.firstname %]" />
 162                                             [% IF mandatory.defined('firstname') %]<span class="required">Required</span>[% END %]
 163                                         </li>
 164                                     [% END %]
 165
 166                                     [% UNLESS hidden.defined('dateofbirth') %]
 167                                         <li>
 168                                             [% IF mandatory.defined('dateofbirth') %]
 169                                                 <label for="borrower_dateofbirth" class="required">
 170                                             [% ELSE %]
 171                                                 <label for="borrower_dateofbirth">
 172                                             [% END %]
 173                                             Date of birth:</label>
 174
 175                                             <input type="text" id="borrower_dateofbirth" name="borrower_dateofbirth" value="[% borrower.dateofbirth | $KohaDates %]" size="10" />
 176
 177                                             [% UNLESS action == 'edit' && !OPACPatronDetails %]
 178                                                 [% UNLESS ( mandatory.defined('dateofbirth') ) %]
 179                                                     <a href="#" style="font-size:85%;text-decoration:none;" onclick="document.getElementById('borrower_dateofbirth').value='';return false;">Clear date</a>
 180                                                 [% END %]
 181                                             [% END %]
 182
 183                                             [% IF mandatory.defined('dateofbirth') %]<span class="required">Required</span>[% END %]
 184                                         </li>
 185                                     [% END %]
 186
 187                                     [% UNLESS hidden.defined('initials') %]
 188                                         <li>
 189                                             [% IF mandatory.defined('initials') %]
 190                                                 <label for="borrower_initials" class="required">
 191                                             [% ELSE %]
 192                                                 <label for="borrower_initials">
 193                                             [% END %]
 194                                             Initials:</label>
 195
 196                                             <input type="text" id="borrower_initials" name="borrower_initials" value="[% borrower.initials %]" />
 197                                             [% IF mandatory.defined('initials') %]<span class="required">Required</span>[% END %]
 198                                         </li>
 199                                     [% END %]
 200
 201                                     [% UNLESS hidden.defined('othernames') %]
 202                                         <li>
 203                                             [% IF mandatory.defined('othernames') %]
 204                                                 <label for="borrower_othernames" class="required">
 205                                             [% ELSE %]
 206                                                 <label for="borrower_othernames">
 207                                             [% END %]
 208                                             Other names:</label>
 209
 210                                             <input type="text" id="borrower_othernames" name="borrower_othernames" value="[% borrower.othernames %]" />
 211                                             [% IF mandatory.defined('othernames') %]<span class="required">Required</span>[% END %]
 212                                         </li>
 213                                     [% END %]
 214
 215                                     [% UNLESS hidden.defined('sex') %]
 216                                         <li class="lradio">
 217                                             <label for="sex-female" class="radio inline">Female:</label>
 218                                             [% IF borrower.sex == 'F' %]
 219                                                 <input type="radio" name="borrower_sex" id="sex-female" value="F" checked="checked" />
 220                                             [% ELSE %]
 221                                                 <input type="radio" name="borrower_sex" id="sex-female" value="F" />
 222                                             [% END %]
 223
 224                                             <label for="sex-male" class="radio inline">Male:</label>
 225                                             [% IF borrower.sex == 'M' %]
 226                                                 <input type="radio" name="borrower_sex" id="sex-male" value="M" checked="checked" />
 227                                             [% ELSE %]
 228                                                 <input type="radio" name="borrower_sex" id="sex-male" value="M" />
 229                                             [% END %]
 230
 231                                             <label for="sex-none" class="radio inline">N/A:</label>
 232                                             [% IF borrower.sex == '' %]
 233                                                 <input type="radio" name="borrower_sex" id="sex-none" value="" checked="checked" />
 234                                             [% ELSE %]
 235                                                 <input type="radio" name="borrower_sex" id="sex-none" value="" />
 236                                             [% END %]
 237
 238                                             [% IF mandatory.defined('sex') %]<span class="required">Required</span>[% END %]
 239                                         </li>
 240                                     [% END %]
 241                                 </ol>
 242                             </fieldset>
 243                            </div>
 244                         [% IF ( display_patron_image ) %]
 245                             <div class="span4">
 246                                 <p class="patronimage">
 247                                    <img src="/cgi-bin/koha/opac-patron-image.pl" alt="" />
 248                                 </p>
 249                             </div>
 250                         [% END %]
 251                     </div>
 252                 [% END # /UNLESS fields hidden %]
 253
 254                 [% UNLESS
 255                     hidden.defined('streetnumber') && hidden.defined('address') && hidden.defined('address2') &&
 256                     hidden.defined('city') && hidden.defined('state') && hidden.defined('zipcode') &&
 257                     hidden.defined('country')
 258                 %]
 259                     <fieldset class="rows" id="memberentry_mainaddress">
 260                         <legend id="mainaddress_legend">Main address</legend>
 261
 262                         <ol>
 263                             [% UNLESS hidden.defined('streetnumber') %]
 264                                 <li>
 265                                     [% IF mandatory.defined('streetnumber') %]
 266                                         <label for="borrower_streetnumber" class="required">
 267                                     [% ELSE %]
 268                                         <label for="borrower_streetnumber">
 269                                     [% END %]
 270                                     Street number:</label>
 271
 272                                     <input type="text" id="borrower_streetnumber" name="borrower_streetnumber" value="[% borrower.streetnumber %]" />
 273                                     [% IF mandatory.defined('streetnumber') %]<span class="required">Required</span>[% END %]
 274                                 </li>
 275                             [% END %]
 276
 277                             [% UNLESS hidden.defined('address') %]
 278                                 <li>
 279                                     [% IF mandatory.defined('address') %]
 280                                         <label for="borrower_address" class="required">
 281                                     [% ELSE %]
 282                                         <label for="borrower_address">
 283                                     [% END %]
 284                                     Address:</label>
 285
 286                                     <input type="text" id="borrower_address" name="borrower_address" value="[% borrower.address %]" />
 287                                     [% IF mandatory.defined('address') %]<span class="required">Required</span>[% END %]
 288                                 </li>
 289                             [% END %]
 290
 291                             [% UNLESS hidden.defined('address2') %]
 292                                 <li>
 293                                     [% IF mandatory.defined('address2') %]
 294                                         <label for="borrower_address2" class="required">
 295                                     [% ELSE %]
 296                                         <label for="borrower_address2">
 297                                     [% END %]
 298                                     Address 2:</label>
 299
 300                                     <input type="text" id="borrower_address2" name="borrower_address2" value="[% borrower.address2 %]" />
 301                                     [% IF mandatory.defined('address2') %]<span class="required">Required</span>[% END %]
 302                                 </li>
 303                             [% END %]
 304
 305                             [% UNLESS hidden.defined('city') %]
 306                                 <li>
 307                                     [% IF mandatory.defined('city') %]
 308                                         <label for="borrower_city" class="required">
 309                                     [% ELSE %]
 310                                         <label for="borrower_city">
 311                                     [% END %]
 312                                     City:</label>
 313
 314                                     <input type="text" id="borrower_city" name="borrower_city" value="[% borrower.city %]" />
 315                                     [% IF mandatory.defined('city') %]<span class="required">Required</span>[% END %]
 316                                 </li>
 317                             [% END %]
 318
 319                             [% UNLESS hidden.defined('state') %]
 320                                 <li>
 321                                     [% IF mandatory.defined('state') %]
 322                                         <label for="borrower_state" class="required">
 323                                     [% ELSE %]
 324                                         <label for="borrower_state">
 325                                     [% END %]
 326                                     State:</label>
 327
 328                                     <input type="text" id="borrower_state" name="borrower_state" value="[% borrower.state %]" />
 329                                     [% IF mandatory.defined('state') %]<span class="required">Required</span>[% END %]
 330                                 </li>
 331                             [% END %]
 332
 333                             [% UNLESS hidden.defined('zipcode') %]
 334                                 <li>
 335                                     [% IF mandatory.defined('zipcode') %]
 336                                         <label for="borrower_zipcode" class="required">
 337                                     [% ELSE %]
 338                                         <label for="borrower_zipcode">
 339                                     [% END %]
 340                                     Zip/Postal code:</label>
 341
 342                                     <input type="text" id="borrower_zipcode" name="borrower_zipcode" value="[% borrower.zipcode %]" />
 343                                     [% IF mandatory.defined('zipcode') %]<span class="required">Required</span>[% END %]
 344                                 </li>
 345                             [% END %]
 346
 347                             [% UNLESS hidden.defined('country') %]
 348                                 <li>
 349                                     [% IF mandatory.defined('country') %]
 350                                         <label for="borrower_country" class="required">
 351                                     [% ELSE %]
 352                                         <label for="borrower_country">
 353                                     [% END %]
 354                                     Country:</label>
 355
 356                                     <input type="text" id="borrower_country" name="borrower_country" value="[% borrower.country %]" />
 357                                     [% IF mandatory.defined('country') %]<span class="required">Required</span>[% END %]
 358                                 </li>
 359                             [% END %]
 360
 361                         </ol>
 362                     </fieldset>
 363                 [% END %]
 364
 365                 [% UNLESS
 366                     hidden.defined('phone') && hidden.defined('phonepro') && hidden.defined('mobile') &&
 367                     hidden.defined('email') && hidden.defined('emailpro') && hidden.defined('fax')
 368                 %]
 369                     <fieldset class="rows" id="memberentry_contact">
 370                         <legend id="contact_legend">Contact information</legend>
 371
 372                         <ol>
 373                             [% UNLESS hidden.defined('phone') %]
 374                                 <li>
 375                                     [% IF mandatory.defined('phone') %]
 376                                         <label for="borrower_phone" class="required">
 377                                     [% ELSE %]
 378                                         <label for="borrower_phone">
 379                                     [% END %]
 380                                     Primary phone:</label>
 381
 382                                     <input type="text" id="borrower_phone" name="borrower_phone" value="[% borrower.phone %]" />
 383                                     [% IF mandatory.defined('phone') %]<span class="required">Required</span>[% END %]
 384                                 </li>
 385                             [% END %]
 386
 387                             [% UNLESS hidden.defined('phonepro') %]
 388                                 <li>
 389                                     [% IF mandatory.defined('phonepro') %]
 390                                         <label for="borrower_phonepro" class="required">
 391                                     [% ELSE %]
 392                                         <label for="borrower_phonepro">
 393                                     [% END %]
 394                                     Secondary phone:</label>
 395
 396                                     <input type="text" id="borrower_phonepro" name="borrower_phonepro" value="[% borrower.phonepro %]" />
 397                                     [% IF mandatory.defined('phonepro') %]<span class="required">Required</span>[% END %]
 398                                 </li>
 399                             [% END %]
 400
 401                             [% UNLESS hidden.defined('mobile') %]
 402                                 <li>
 403                                     [% IF mandatory.defined('mobile') %]
 404                                         <label for="borrower_mobile" class="required">
 405                                     [% ELSE %]
 406                                         <label for="borrower_mobile">
 407                                     [% END %]
 408                                     Other phone:</label>
 409
 410                                     <input type="text" id="borrower_mobile" name="borrower_mobile" value="[% borrower.mobile %]" />
 411                                     [% IF mandatory.defined('mobile') %]<span class="required">Required</span>[% END %]
 412                                 </li>
 413                             [% END %]
 414
 415                             [% UNLESS hidden.defined('email') %]
 416                                 <li>
 417                                     [% IF mandatory.defined('email') %]
 418                                         <label for="borrower_email" class="required">
 419                                     [% ELSE %]
 420                                         <label for="borrower_email">
 421                                     [% END %]
 422                                     Primary email:</label>
 423
 424                                     <input type="text" id="borrower_email" name="borrower_email" value="[% borrower.email %]" />
 425                                     [% IF mandatory.defined('email') %]<span class="required">Required</span>[% END %]
 426                                 </li>
 427                             [% END %]
 428
 429                             [% UNLESS hidden.defined('emailpro') %]
 430                                 <li>
 431                                     [% IF mandatory.defined('emailpro') %]
 432                                         <label for="borrower_emailpro" class="required">
 433                                     [% ELSE %]
 434                                         <label for="borrower_emailpro">
 435                                     [% END %]
 436                                     Secondary email:</label>
 437
 438                                     <input type="text" id="borrower_emailpro" name="borrower_emailpro" value="[% borrower.emailpro %]" />
 439                                     [% IF mandatory.defined('emailpro') %]<span class="required">Required</span>[% END %]
 440                                 </li>
 441                             [% END %]
 442
 443                             [% UNLESS hidden.defined('fax') %]
 444                                 <li>
 445                                     [% IF mandatory.defined('fax') %]
 446                                         <label for="borrower_fax" class="required">
 447                                     [% ELSE %]
 448                                         <label for="borrower_fax">
 449                                     [% END %]
 450                                     Fax:</label>
 451
 452                                     <input type="text" id="borrower_fax" name="borrower_fax" value="[% borrower.fax %]" />
 453                                     [% IF mandatory.defined('fax') %]<span class="required">Required</span>[% END %]
 454                                 </li>
 455                             [% END %]
 456                         </ol>
 457                     </fieldset>
 458                 [% END %]
 459
 460                 [% UNLESS
 461                     hidden.defined('B_address') && hidden.defined('B_address2') && hidden.defined('B_city') &&
 462                     hidden.defined('B_state') && hidden.defined('B_zipcode') && hidden.defined('B_country') &&
 463                     hidden.defined('B_phone') && hidden.defined('B_email') && hidden.defined('contactnote')
 464                 %]
 465                     <fieldset class="rows" id="memberentry_alternateaddress">
 466                         <legend id="alternateaddress_legend">Alternate address</legend>
 467
 468                         <ol>
 469                             [% UNLESS hidden.defined('B_address') %]
 470                                 <li>
 471                                     [% IF mandatory.defined('B_address') %]
 472                                         <label for="borrower_B_address" class="required">
 473                                     [% ELSE %]
 474                                         <label for="borrower_B_address">
 475                                     [% END %]
 476                                     Address:</label>
 477
 478                                     <input type="text" id="borrower_B_address" name="borrower_B_address" value="[% borrower.B_address %]" />
 479                                     [% IF mandatory.defined('B_address') %]<span class="required">Required</span>[% END %]
 480                                 </li>
 481                             [% END %]
 482
 483                             [% UNLESS hidden.defined('B_address2') %]
 484                                 <li>
 485                                     [% IF mandatory.defined('B_address2') %]
 486                                         <label for="borrower_B_address2" class="required">
 487                                     [% ELSE %]
 488                                         <label for="borrower_B_address2">
 489                                     [% END %]
 490                                     Address 2:</label>
 491
 492                                     <input type="text" id="borrower_B_address2" name="borrower_B_address2" value="[% borrower.B_address2 %]" />
 493                                     [% IF mandatory.defined('B_address2') %]<span class="required">Required</span>[% END %]
 494                                 </li>
 495                             [% END %]
 496
 497                             [% UNLESS hidden.defined('B_city') %]
 498                                 <li>
 499                                     [% IF mandatory.defined('B_city') %]
 500                                         <label for="borrower_B_city" class="required">
 501                                     [% ELSE %]
 502                                         <label for="borrower_B_city">
 503                                     [% END %]
 504                                     City:</label>
 505
 506                                     <input type="text" id="borrower_B_city" name="borrower_B_city" value="[% borrower.B_city %]" />
 507                                     [% IF mandatory.defined('B_city') %]<span class="required">Required</span>[% END %]
 508                                 </li>
 509                             [% END %]
 510
 511                             [% UNLESS hidden.defined('B_state') %]
 512                                 <li>
 513                                     [% IF mandatory.defined('B_state') %]
 514                                         <label for="borrower_B_state" class="required">
 515                                     [% ELSE %]
 516                                         <label for="borrower_B_state">
 517                                     [% END %]
 518                                     State:</label>
 519
 520                                     <input type="text" id="borrower_B_state" name="borrower_B_state" value="[% borrower.B_state %]" />
 521                                     [% IF mandatory.defined('B_state') %]<span class="required">Required</span>[% END %]
 522                                 </li>
 523                             [% END %]
 524
 525                             [% UNLESS hidden.defined('B_zipcode') %]
 526                                 <li>
 527                                     [% IF mandatory.defined('B_zipcode') %]
 528                                         <label for="borrower_B_zipcode" class="required">
 529                                     [% ELSE %]
 530                                         <label for="borrower_B_zipcode">
 531                                     [% END %]
 532                                     Zip/Postal code:</label>
 533
 534                                     <input type="text" id="borrower_B_zipcode" name="borrower_B_zipcode" value="[% borrower.B_zipcode %]" />
 535                                     [% IF mandatory.defined('B_zipcode') %]<span class="required">Required</span>[% END %]
 536                                 </li>
 537                             [% END %]
 538
 539                             [% UNLESS hidden.defined('B_country') %]
 540                                 <li>
 541                                     [% IF mandatory.defined('B_country') %]
 542                                         <label for="borrower_B_country" class="required">
 543                                     [% ELSE %]
 544                                         <label for="borrower_B_country">
 545                                     [% END %]
 546                                     Country:</label>
 547
 548                                     <input type="text" id="borrower_B_country" name="borrower_B_country" value="[% borrower.B_country %]" />
 549                                     [% IF mandatory.defined('B_country') %]<span class="required">Required</span>[% END %]
 550                                 </li>
 551                             [% END %]
 552
 553                             [% UNLESS hidden.defined('B_phone') %]
 554                                 <li>
 555                                     [% IF mandatory.defined('B_phone') %]
 556                                         <label for="borrower_B_phone" class="required">
 557                                     [% ELSE %]
 558                                         <label for="borrower_B_phone">
 559                                     [% END %]
 560                                     Phone:</label>
 561
 562                                     <input type="text" id="borrower_B_phone" name="borrower_B_phone" value="[% borrower.B_phone %]" />
 563                                     [% IF mandatory.defined('B_phone') %]<span class="required">Required</span>[% END %]
 564                                 </li>
 565                             [% END %]
 566
 567                             [% UNLESS hidden.defined('B_email') %]
 568                                 <li>
 569                                     [% IF mandatory.defined('B_email') %]
 570                                         <label for="borrower_B_email" class="required">
 571                                     [% ELSE %]
 572                                         <label for="borrower_B_email">
 573                                     [% END %]
 574                                     Email:</label>
 575
 576                                     <input type="text" id="borrower_B_email" name="borrower_B_email" value="[% borrower.B_email %]" />
 577                                     [% IF mandatory.defined('B_email') %]<span class="required">Required</span>[% END %]
 578                                 </li>
 579                             [% END %]
 580
 581                             [% UNLESS hidden.defined('contactnote') %]
 582                                 <li>
 583                                     [% IF mandatory.defined('contactnote') %]
 584                                         <label for="borrower_contactnote" class="required">
 585                                     [% ELSE %]
 586                                         <label for="borrower_contactnote">
 587                                     [% END %]
 588                                     Contact note:</label>
 589
 590                                     <textarea id="borrower_contactnote" name="borrower_contactnote" cols="30" rows="2">[% borrower.contactnote %]</textarea>
 591                                     [% IF mandatory.defined('contactnote') %]<span class="required">Required</span>[% END %]
 592                                 </li>
 593                             [% END %]
 594
 595                         </ol>
 596                     </fieldset>
 597                 [% END %]
 598
 599                 [% UNLESS
 600                     hidden.defined('altcontactsurname') && hidden.defined('altcontactfirstname') && hidden.defined('altcontactaddress1') &&
 601                     hidden.defined('altcontactaddress2') && hidden.defined('altcontactaddress3') && hidden.defined('altcontactstate') &&
 602                     hidden.defined('altcontactzipcode') && hidden.defined('altcontactcountry') && hidden.defined('altcontactphone')
 603                 %]
 604                     <fieldset class="rows" id="memberentry_alternatecontact">
 605                         <legend id="alternatecontact_legend">Alternate contact</legend>
 606
 607                         <ol>
 608                             [% UNLESS hidden.defined('altcontactsurname') %]
 609                                 <li>
 610                                     [% IF mandatory.defined('altcontactsurname') %]
 611                                         <label for="borrower_altcontactsurname" class="required">
 612                                     [% ELSE %]
 613                                         <label for="borrower_altcontactsurname">
 614                                     [% END %]
 615                                     Surname:</label>
 616
 617                                     <input type="text" id="borrower_altcontactsurname" name="borrower_altcontactsurname" value="[% borrower.altcontactsurname %]" />
 618                                     [% IF mandatory.defined('altcontactsurname') %]<span class="required">Required</span>[% END %]
 619                                 </li>
 620                             [% END %]
 621
 622                             [% UNLESS hidden.defined('altcontactfirstname') %]
 623                                 <li>
 624                                     [% IF mandatory.defined('altcontactfirstname') %]
 625                                         <label for="borrower_altcontactfirstname" class="required">
 626                                     [% ELSE %]
 627                                         <label for="borrower_altcontactfirstname">
 628                                     [% END %]
 629                                     First name:</label>
 630
 631                                     <input type="text" id="borrower_altcontactfirstname" name="borrower_altcontactfirstname" value="[% borrower.altcontactfirstname %]" />
 632                                     [% IF mandatory.defined('altcontactfirstname') %]<span class="required">Required</span>[% END %]
 633                                 </li>
 634                             [% END %]
 635
 636                             [% UNLESS hidden.defined('altcontactaddress1') %]
 637                                 <li>
 638                                     [% IF mandatory.defined('altcontactaddress1') %]
 639                                         <label for="borrower_altcontactaddress1" class="required">
 640                                     [% ELSE %]
 641                                         <label for="borrower_altcontactaddress1">
 642                                     [% END %]
 643                                     Address:</label>
 644
 645                                     <input type="text" id="borrower_altcontactaddress1" name="borrower_altcontactaddress1" value="[% borrower.altcontactaddress1 %]" />
 646                                     [% IF mandatory.defined('altcontactaddress1') %]<span class="required">Required</span>[% END %]
 647                                 </li>
 648                             [% END %]
 649
 650                             [% UNLESS hidden.defined('altcontactaddress2') %]
 651                                 <li>
 652                                     [% IF mandatory.defined('altcontactaddress2') %]
 653                                         <label for="borrower_altcontactaddress2" class="required">
 654                                     [% ELSE %]
 655                                         <label for="borrower_altcontactaddress2">
 656                                     [% END %]
 657                                     Address 2:</label>
 658
 659                                     <input type="text" id="borrower_altcontactaddress2" name="borrower_altcontactaddress2" value="[% borrower.altcontactaddress2 %]" />
 660                                     [% IF mandatory.defined('altcontactaddress2') %]<span class="required">Required</span>[% END %]
 661                                 </li>
 662                             [% END %]
 663
 664                             [% UNLESS hidden.defined('altcontactaddress3') %]
 665                                 <li>
 666                                     [% IF mandatory.defined('altcontactaddress3') %]
 667                                         <label for="borrower_altcontactaddress3" class="required">
 668                                     [% ELSE %]
 669                                         <label for="borrower_altcontactaddress3">
 670                                     [% END %]
 671                                     City:</label>
 672
 673                                     <input type="text" id="borrower_altcontactaddress3" name="borrower_altcontactaddress3" value="[% borrower.altcontactaddress3 %]" />
 674                                     [% IF mandatory.defined('altcontactaddress3') %]<span class="required">Required</span>[% END %]
 675                                 </li>
 676                             [% END %]
 677
 678                             [% UNLESS hidden.defined('altcontactstate') %]
 679                                 <li>
 680                                     [% IF mandatory.defined('altcontactstate') %]
 681                                         <label for="borrower_altcontactstate" class="required">
 682                                     [% ELSE %]
 683                                         <label for="borrower_altcontactstate">
 684                                     [% END %]
 685                                     State:</label>
 686
 687                                     <input type="text" id="borrower_altcontactstate" name="borrower_altcontactstate" value="[% borrower.altcontactstate %]" />
 688                                     [% IF mandatory.defined('altcontactstate') %]<span class="required">Required</span>[% END %]
 689                                 </li>
 690                             [% END %]
 691
 692                             [% UNLESS hidden.defined('altcontactzipcode') %]
 693                                 <li>
 694                                     [% IF mandatory.defined('altcontactzipcode') %]
 695                                         <label for="borrower_altcontactzipcode" class="required">
 696                                     [% ELSE %]
 697                                         <label for="borrower_altcontactzipcode">
 698                                     [% END %]
 699                                     Zip/Postal code:</label>
 700
 701                                     <input type="text" id="borrower_altcontactzipcode" name="borrower_altcontactzipcode" value="[% borrower.altcontactzipcode %]" />
 702                                     [% IF mandatory.defined('altcontactzipcode') %]<span class="required">Required</span>[% END %]
 703                                 </li>
 704                             [% END %]
 705
 706                             [% UNLESS hidden.defined('altcontactcountry') %]
 707                                 <li>
 708                                     [% IF mandatory.defined('altcontactcountry') %]
 709                                         <label for="borrower_altcontactcountry" class="required">
 710                                     [% ELSE %]
 711                                         <label for="borrower_altcontactcountry">
 712                                     [% END %]
 713                                     Country:</label>
 714
 715                                     <input type="text" id="borrower_altcontactcountry" name="borrower_altcontactcountry" value="[% borrower.altcontactcountry %]" />
 716                                     [% IF mandatory.defined('altcontactcountry') %]<span class="required">Required</span>[% END %]
 717                                 </li>
 718                             [% END %]
 719
 720                             [% UNLESS hidden.defined('altcontactphone') %]
 721                                 <li>
 722                                     [% IF mandatory.defined('altcontactphone') %]
 723                                         <label for="borrower_altcontactphone" class="required">
 724                                     [% ELSE %]
 725                                         <label for="borrower_altcontactphone">
 726                                     [% END %]
 727                                     Phone:</label>
 728
 729                                     <input type="text" id="borrower_altcontactphone" name="borrower_altcontactphone" value="[% borrower.altcontactphone %]" />
 730                                     [% IF mandatory.defined('altcontactphone') %]<span class="required">Required</span>[% END %]
 731                                 </li>
 732                             [% END %]
 733                         </ol>
 734                     </fieldset>
 735                 [% END %]
 736
 737                 [% UNLESS action == 'edit' %]
 738                     <fieldset class="rows" id="memberentry_captcha">
 739                         <ol>
 740                             <li>
 741                                 <label for="captcha" class="required">Verification:</label>
 742
 743                                 <input type="text" name="captcha" id="captcha" />
 744                                 <input type="hidden" name="captcha_digest" value="[% captcha_digest %]" />
 745
 746                                 <span class="hint">Please type the following characters into the preceding box: <strong>[% captcha %]</strong></span>
 747                                 <span class="hint">Note: The preceding box is case-sensitive. Ensure that the entered characters are in all-caps.</span>
 748                             </li>
 749                         </ol>
 750                     </fieldset>
 751                 [% END %]
 752
 753                 [% IF ( borrower.ExtendedPatronAttributes ) %]
 754                     <fieldset class="rows">
 755                         <legend>Additional information</legend>
 756                         <ol>
 757                             [% FOREACH patron_attribute IN borrower.patron_attributes %]
 758                                 <li>
 759                                     <label>[% patron_attribute.description %]:</label>
 760                                     [% IF ( patron_attribute.value_description ) %]
 761                                         [% patron_attribute.value_description %]
 762                                     [% ELSE %]
 763                                         [% patron_attribute.value |html_line_break %]
 764                                     [% END %]
 765                                 </li>
 766                             [% END %]
 767                         </ol>
 768                     </fieldset>
 769                 [% END %]
 770
 771                 [% IF action == 'edit' %]
 772                     [% IF OPACPatronDetails %]
 773                         <fieldset class="action">
 774                             <input type="hidden" name="action" value="update" />
 775                             <input type="submit" class="btn" value="Submit update request" />
 776                         </fieldset>
 777                     [% END %]
 778                 [% ELSE %]
 779                     <fieldset class="action">
 780                         <input type="hidden" name="action" value="create" />
 781                         <input type="submit" class="btn" value="Submit" />
 782                     </fieldset>
 783                 [% END %]
 784
 785                 </form>
 786
 787                     </div><!--/div id="update-account" -->
 788                 </div>
 789             </div>
 790         </div>
 791     </div>
 792
 793 [% INCLUDE 'opac-bottom.inc' %]
 794 [% BLOCK jsinclude %]
 795     <script type="text/javascript">
 796         //<![CDATA[
 797         $(document).ready(function() {
 798             [% IF action == 'edit' && !OPACPatronDetails %]
 799                 $("#memberentry-form :input").attr('readonly', true);
 800                 $("#borrower_branchcode").attr('disabled',true);
 801                 $("#borrower_title").attr('disabled',true);
 802                 $('#memberentry-form :radio').attr('disabled',true);
 803                 $('span.required').remove();
 804                 $('label.required').removeClass('required');
 805             [% ELSE %]
 806                 $( "#borrower_dateofbirth" ).datepicker({ yearRange: "c-120:c" });
 807             [% END %]
 808         });
 809     //]]>
 810     </script>
 811 [% INCLUDE 'calendar.inc' %]
 812 [% END %]