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

   1 [% USE Koha %]
   2 [% USE KohaDates %]
   3 [% SET userupdateview = 1 %]
   4
   5     [% INCLUDE 'doc-head-open.inc' %]
   6         [% IF ( LibraryNameTitle ) %][% LibraryNameTitle %][% ELSE %]Koha online[% END %] catalog &rsaquo; [% IF action == 'edit' %]Update your personal details[% ELSE %]Register a new account[% END %]
   7     [% INCLUDE 'doc-head-close.inc' %]
   8     [% INCLUDE 'calendar.inc' %]
   9
  10     <script type="text/javascript">
  11         //<![CDATA[
  12         $(document).ready(function() {
  13             [% IF action == 'edit' && !OPACPatronDetails %]
  14                 $("#memberentry-form :input").attr('readonly', true);
  15                 $("#borrower_branchcode").attr('disabled',true);
  16                 $("#borrower_title").attr('disabled',true);
  17                 $('#memberentry-form :radio').attr('disabled',true);
  18                 $('span.required').remove();
  19                 $('label.required').removeClass('required');
  20             [% ELSE %]
  21                 $( "#borrower_dateofbirth" ).datepicker({ yearRange: "c-120:c" });
  22             [% END %]
  23         });
  24     //]]>
  25     </script>
  26 </head>
  27 [% IF action == 'edit' %]
  28 <body id="opac-patron-update">
  29 [% ELSE %]
  30 <body id="opac-patron-registration">
  31 [% END %]
  32     <div id="doc3" class="yui-t1">
  33         <div id="bd">
  34             [% INCLUDE 'masthead.inc' %]
  35
  36             <div id="yui-main">
  37                 <div class="yui-b">
  38                     <form method="post" action="/cgi-bin/koha/opac-memberentry.pl" id="memberentry-form">
  39                     [% IF action == 'edit' %]
  40                     <div id="update-account" class="container">
  41                     [% ELSE %]
  42                     <div id="add-account" class="container">
  43                     [% END %]
  44                         <div class="yui-g">
  45                         [% IF action == 'edit' %]
  46                             <h3><a href="/cgi-bin/koha/opac-user.pl">[% borrower.firstname %] [% borrower.surname %]'s account</a> &#8674; Personal details</h3>
  47                         [% ELSE %]
  48                             <h3>Register a new account</h3>
  49                         [% END %]
  50
  51                             [% IF action == 'edit' %]
  52                             [% UNLESS OPACPatronDetails %]
  53                                 <div class="dialog message">To make changes to your record please contact the library.</div>
  54                             [% END %]
  55                             [% END %]
  56
  57                             [% IF empty_mandatory_fields %]
  58                                 <div class="dialog alert">You have not filled out all required fields. Please fill in all missing fields and resubmit.</div>
  59                             [% END %]
  60
  61                             [% IF failed_captcha %]
  62                                 <div class="dialog alert">You typed in the wrong characters in the box before submitting. Please try again.</div>
  63                             [% END %]
  64
  65                                 [% UNLESS
  66                                     hidden.defined('branchcode')
  67                                 %]
  68
  69                                 <fieldset class="rows" id="memberentry_library">
  70
  71                                     <legend id="library_legend">Library</legend>
  72                                         <ol>
  73                                             <li>
  74                                                 <label>Card number</label>
  75                                                 <input type="text" value="[% borrower.cardnumber %]" disabled="disabled"/>
  76                                             </li>
  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 %]
 101                         </div>
 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="yui-g">
 108                                     [% IF ( display_patron_image ) %]
 109                                         <div class="yui-u first">
 110                                     [% END %]
 111                                     <fieldset class="rows" id="memberentry_identity">
 112                                         <legend id="identity_legend">Identity</legend>
 113
 114                                         <ol>
 115                                             [% UNLESS hidden.defined('title') || !member_titles %]
 116                                                 <li>
 117                                                     [% IF mandatory.defined('title') %]
 118                                                         <label for="borrower_title" class="required">
 119                                                     [% ELSE %]
 120                                                         <label for="borrower_title">
 121                                                     [% END %]
 122                                                     Salutation:</label>
 123
 124                                                     <select id="borrower_title" name="borrower_title">
 125                                                         [% FOREACH mt IN member_titles %]
 126                                                             [% IF mt == borrower.title %]
 127                                                                 <option value="[% mt %]" selected="selected">[% mt %]</option>
 128                                                             [% ELSE %]
 129                                                                 <option value="[% mt %]">[% mt %]</option>
 130                                                             [% END %]
 131                                                         [% END %]
 132                                                     </select>
 133                                                 </li>
 134                                             [% END %]
 135
 136                                             [% UNLESS hidden.defined('surname') %]
 137                                                 <li>
 138                                                     [% IF mandatory.defined('surname') %]
 139                                                         <label for="borrower_surname" class="required">
 140                                                     [% ELSE %]
 141                                                         <label for="borrower_surname">
 142                                                     [% END %]
 143                                                     Surname:</label>
 144
 145                                                     <input type="text" id="borrower_surname" name="borrower_surname" value="[% borrower.surname %]" />
 146                                                     [% IF mandatory.defined('surname') %]<span class="required">Required</span>[% END %]
 147                                                 </li>
 148                                             [% END %]
 149
 150                                             [% UNLESS hidden.defined('firstname') %]
 151                                                 <li>
 152                                                     [% IF mandatory.defined('firstname') %]
 153                                                         <label for="borrower_firstname" class="required">
 154                                                     [% ELSE %]
 155                                                         <label for="borrower_firstname">
 156                                                     [% END %]
 157                                                     First name:</label>
 158
 159                                                     <input type="text" id="borrower_firstname" name="borrower_firstname" value="[% borrower.firstname %]" />
 160                                                     [% IF mandatory.defined('firstname') %]<span class="required">Required</span>[% END %]
 161                                                 </li>
 162                                             [% END %]
 163
 164                                             [% UNLESS hidden.defined('dateofbirth') %]
 165                                                 <li>
 166                                                     [% IF mandatory.defined('dateofbirth') %]
 167                                                         <label for="borrower_dateofbirth" class="required">
 168                                                     [% ELSE %]
 169                                                         <label for="borrower_dateofbirth">
 170                                                     [% END %]
 171                                                     Date of birth:</label>
 172
 173                                                     <input type="text" id="borrower_dateofbirth" name="borrower_dateofbirth" value="[% borrower.dateofbirth | $KohaDates %]" size="10" />
 174
 175                                                     [% UNLESS action == 'edit' && !OPACPatronDetails %]
 176                                                         [% UNLESS ( mandatory.defined('dateofbirth') ) %]
 177                                                             <a href="#" style="font-size:85%;text-decoration:none;" onclick="document.getElementById('borrower_dateofbirth').value='';return false;">Clear date</a>
 178                                                         [% END %]
 179                                                     [% END %]
 180
 181                                                     [% IF mandatory.defined('dateofbirth') %]<span class="required">Required</span>[% END %]
 182                                                 </li>
 183                                             [% END %]
 184
 185                                             [% UNLESS hidden.defined('initials') %]
 186                                                 <li>
 187                                                     [% IF mandatory.defined('initials') %]
 188                                                         <label for="borrower_initials" class="required">
 189                                                     [% ELSE %]
 190                                                         <label for="borrower_initials">
 191                                                     [% END %]
 192                                                     Initials:</label>
 193
 194                                                     <input type="text" id="borrower_initials" name="borrower_initials" value="[% borrower.initials %]" />
 195                                                     [% IF mandatory.defined('initials') %]<span class="required">Required</span>[% END %]
 196                                                 </li>
 197                                             [% END %]
 198
 199                                             [% UNLESS hidden.defined('othernames') %]
 200                                                 <li>
 201                                                     [% IF mandatory.defined('othernames') %]
 202                                                         <label for="borrower_othernames" class="required">
 203                                                     [% ELSE %]
 204                                                         <label for="borrower_othernames">
 205                                                     [% END %]
 206                                                     Other names:</label>
 207
 208                                                     <input type="text" id="borrower_othernames" name="borrower_othernames" value="[% borrower.othernames %]" />
 209                                                     [% IF mandatory.defined('othernames') %]<span class="required">Required</span>[% END %]
 210                                                 </li>
 211                                             [% END %]
 212
 213                                             [% UNLESS hidden.defined('sex') %]
 214                                                 <li class="radio">
 215                                                     <label for="sex-female">Female:</label>
 216                                                     [% IF borrower.sex == 'F' %]
 217                                                         <input type="radio" name="borrower_sex" id="sex-female" value="F" checked="checked" />
 218                                                     [% ELSE %]
 219                                                         <input type="radio" name="borrower_sex" id="sex-female" value="F" />
 220                                                     [% END %]
 221
 222                                                     <label for="sex-male">Male:</label>
 223                                                     [% IF borrower.sex == 'M' %]
 224                                                         <input type="radio" name="borrower_sex" id="sex-male" value="M" checked="checked" />
 225                                                     [% ELSE %]
 226                                                         <input type="radio" name="borrower_sex" id="sex-male" value="M" />
 227                                                     [% END %]
 228
 229                                                     <label for="sex-none">N/A:</label>
 230                                                     [% IF borrower.sex == '' %]
 231                                                         <input type="radio" name="borrower_sex" id="sex-none" value="" checked="checked" />
 232                                                     [% ELSE %]
 233                                                         <input type="radio" name="borrower_sex" id="sex-none" value="" />
 234                                                     [% END %]
 235
 236                                                     [% IF mandatory.defined('sex') %]<span class="required">Required</span>[% END %]
 237                                                 </li>
 238                                             [% END %]
 239                                         </ol>
 240                                     </fieldset>
 241                                     [% IF ( display_patron_image ) %]
 242                                         </div>
 243                                         <div class="yui-u">
 244                                             <p class="patronimage">
 245                                                 <img src="/cgi-bin/koha/opac-patron-image.pl" alt="" />
 246                                             </p>
 247                                         </div>
 248                                     [% END %]
 249                                 </div>
 250                                 [% END %]
 251
 252                             <div class="yui-g">
 253                                 [% UNLESS
 254                                     hidden.defined('streetnumber') && hidden.defined('address') && hidden.defined('address2') &&
 255                                     hidden.defined('city') && hidden.defined('state') && hidden.defined('zipcode') &&
 256                                     hidden.defined('country')
 257                                 %]
 258                                     <fieldset class="rows" id="memberentry_mainaddress">
 259                                         <legend id="mainaddress_legend">Main address</legend>
 260
 261                                         <ol>
 262                                             [% UNLESS hidden.defined('streetnumber') %]
 263                                                 <li>
 264                                                     [% IF mandatory.defined('streetnumber') %]
 265                                                         <label for="borrower_streetnumber" class="required">
 266                                                     [% ELSE %]
 267                                                         <label for="borrower_streetnumber">
 268                                                     [% END %]
 269                                                     Street number:</label>
 270
 271                                                     <input type="text" id="borrower_streetnumber" name="borrower_streetnumber" value="[% borrower.streetnumber %]" />
 272                                                     [% IF mandatory.defined('streetnumber') %]<span class="required">Required</span>[% END %]
 273                                                 </li>
 274                                             [% END %]
 275
 276                                             [% UNLESS hidden.defined('address') %]
 277                                                 <li>
 278                                                     [% IF mandatory.defined('address') %]
 279                                                         <label for="borrower_address" class="required">
 280                                                     [% ELSE %]
 281                                                         <label for="borrower_address">
 282                                                     [% END %]
 283                                                     Address:</label>
 284
 285                                                     <input type="text" id="borrower_address" name="borrower_address" value="[% borrower.address %]" />
 286                                                     [% IF mandatory.defined('address') %]<span class="required">Required</span>[% END %]
 287                                                 </li>
 288                                             [% END %]
 289
 290                                             [% UNLESS hidden.defined('address2') %]
 291                                                 <li>
 292                                                     [% IF mandatory.defined('address2') %]
 293                                                         <label for="borrower_address2" class="required">
 294                                                     [% ELSE %]
 295                                                         <label for="borrower_address2">
 296                                                     [% END %]
 297                                                     Address 2:</label>
 298
 299                                                     <input type="text" id="borrower_address2" name="borrower_address2" value="[% borrower.address2 %]" />
 300                                                     [% IF mandatory.defined('address2') %]<span class="required">Required</span>[% END %]
 301                                                 </li>
 302                                             [% END %]
 303
 304                                             [% UNLESS hidden.defined('city') %]
 305                                                 <li>
 306                                                     [% IF mandatory.defined('city') %]
 307                                                         <label for="borrower_city" class="required">
 308                                                     [% ELSE %]
 309                                                         <label for="borrower_city">
 310                                                     [% END %]
 311                                                     City:</label>
 312
 313                                                     <input type="text" id="borrower_city" name="borrower_city" value="[% borrower.city %]" />
 314                                                     [% IF mandatory.defined('city') %]<span class="required">Required</span>[% END %]
 315                                                 </li>
 316                                             [% END %]
 317
 318                                             [% UNLESS hidden.defined('state') %]
 319                                                 <li>
 320                                                     [% IF mandatory.defined('state') %]
 321                                                         <label for="borrower_state" class="required">
 322                                                     [% ELSE %]
 323                                                         <label for="borrower_state">
 324                                                     [% END %]
 325                                                     State:</label>
 326
 327                                                     <input type="text" id="borrower_state" name="borrower_state" value="[% borrower.state %]" />
 328                                                     [% IF mandatory.defined('state') %]<span class="required">Required</span>[% END %]
 329                                                 </li>
 330                                             [% END %]
 331
 332                                             [% UNLESS hidden.defined('zipcode') %]
 333                                                 <li>
 334                                                     [% IF mandatory.defined('zipcode') %]
 335                                                         <label for="borrower_zipcode" class="required">
 336                                                     [% ELSE %]
 337                                                         <label for="borrower_zipcode">
 338                                                     [% END %]
 339                                                     Zip/Postal code:</label>
 340
 341                                                     <input type="text" id="borrower_zipcode" name="borrower_zipcode" value="[% borrower.zipcode %]" />
 342                                                     [% IF mandatory.defined('zipcode') %]<span class="required">Required</span>[% END %]
 343                                                 </li>
 344                                             [% END %]
 345
 346                                             [% UNLESS hidden.defined('country') %]
 347                                                 <li>
 348                                                     [% IF mandatory.defined('country') %]
 349                                                         <label for="borrower_country" class="required">
 350                                                     [% ELSE %]
 351                                                         <label for="borrower_country">
 352                                                     [% END %]
 353                                                     Country:</label>
 354
 355                                                     <input type="text" id="borrower_country" name="borrower_country" value="[% borrower.country %]" />
 356                                                     [% IF mandatory.defined('country') %]<span class="required">Required</span>[% END %]
 357                                                 </li>
 358                                             [% END %]
 359
 360                                         </ol>
 361                                     </fieldset>
 362                                 [% END %]
 363
 364                                 [% UNLESS
 365                                     hidden.defined('phone') && hidden.defined('phonepro') && hidden.defined('mobile') &&
 366                                     hidden.defined('email') && hidden.defined('emailpro') && hidden.defined('fax')
 367                                 %]
 368                                     <fieldset class="rows" id="memberentry_contact">
 369                                         <legend id="contact_legend">Contact information</legend>
 370
 371                                         <ol>
 372                                             [% UNLESS hidden.defined('phone') %]
 373                                                 <li>
 374                                                     [% IF mandatory.defined('phone') %]
 375                                                         <label for="borrower_phone" class="required">
 376                                                     [% ELSE %]
 377                                                         <label for="borrower_phone">
 378                                                     [% END %]
 379                                                     Primary phone:</label>
 380
 381                                                     <input type="text" id="borrower_phone" name="borrower_phone" value="[% borrower.phone %]" />
 382                                                     [% IF mandatory.defined('phone') %]<span class="required">Required</span>[% END %]
 383                                                 </li>
 384                                             [% END %]
 385
 386                                             [% UNLESS hidden.defined('phonepro') %]
 387                                                 <li>
 388                                                     [% IF mandatory.defined('phonepro') %]
 389                                                         <label for="borrower_phonepro" class="required">
 390                                                     [% ELSE %]
 391                                                         <label for="borrower_phonepro">
 392                                                     [% END %]
 393                                                     Secondary phone:</label>
 394
 395                                                     <input type="text" id="borrower_phonepro" name="borrower_phonepro" value="[% borrower.phonepro %]" />
 396                                                     [% IF mandatory.defined('phonepro') %]<span class="required">Required</span>[% END %]
 397                                                 </li>
 398                                             [% END %]
 399
 400                                             [% UNLESS hidden.defined('mobile') %]
 401                                                 <li>
 402                                                     [% IF mandatory.defined('mobile') %]
 403                                                         <label for="borrower_mobile" class="required">
 404                                                     [% ELSE %]
 405                                                         <label for="borrower_mobile">
 406                                                     [% END %]
 407                                                     Mobile phone:</label>
 408
 409                                                     <input type="text" id="borrower_mobile" name="borrower_mobile" value="[% borrower.mobile %]" />
 410                                                     [% IF mandatory.defined('mobile') %]<span class="required">Required</span>[% END %]
 411                                                 </li>
 412                                             [% END %]
 413
 414                                             [% UNLESS hidden.defined('email') %]
 415                                                 <li>
 416                                                     [% IF mandatory.defined('email') %]
 417                                                         <label for="borrower_email" class="required">
 418                                                     [% ELSE %]
 419                                                         <label for="borrower_email">
 420                                                     [% END %]
 421                                                     Primary email:</label>
 422
 423                                                     <input type="text" id="borrower_email" name="borrower_email" value="[% borrower.email %]" />
 424                                                     [% IF mandatory.defined('email') %]<span class="required">Required</span>[% END %]
 425                                                 </li>
 426                                             [% END %]
 427
 428                                             [% UNLESS hidden.defined('emailpro') %]
 429                                                 <li>
 430                                                     [% IF mandatory.defined('emailpro') %]
 431                                                         <label for="borrower_emailpro" class="required">
 432                                                     [% ELSE %]
 433                                                         <label for="borrower_emailpro">
 434                                                     [% END %]
 435                                                     Secondary email:</label>
 436
 437                                                     <input type="text" id="borrower_emailpro" name="borrower_emailpro" value="[% borrower.emailpro %]" />
 438                                                     [% IF mandatory.defined('emailpro') %]<span class="required">Required</span>[% END %]
 439                                                 </li>
 440                                             [% END %]
 441
 442                                             [% UNLESS hidden.defined('fax') %]
 443                                                 <li>
 444                                                     [% IF mandatory.defined('fax') %]
 445                                                         <label for="borrower_fax" class="required">
 446                                                     [% ELSE %]
 447                                                         <label for="borrower_fax">
 448                                                     [% END %]
 449                                                     Fax:</label>
 450
 451                                                     <input type="text" id="borrower_fax" name="borrower_fax" value="[% borrower.fax %]" />
 452                                                     [% IF mandatory.defined('fax') %]<span class="required">Required</span>[% END %]
 453                                                 </li>
 454                                             [% END %]
 455                                         </ol>
 456                                     </fieldset>
 457                                 [% END %]
 458
 459                                 [% UNLESS
 460                                     hidden.defined('B_address') && hidden.defined('B_address2') && hidden.defined('B_city') &&
 461                                     hidden.defined('B_state') && hidden.defined('B_zipcode') && hidden.defined('B_country') &&
 462                                     hidden.defined('B_phone') && hidden.defined('B_email') && hidden.defined('contactnote')
 463                                 %]
 464                                     <fieldset class="rows" id="memberentry_alternateaddress">
 465                                         <legend id="alternateaddress_legend">Alternate address</legend>
 466
 467                                         <ol>
 468                                             [% UNLESS hidden.defined('B_address') %]
 469                                                 <li>
 470                                                     [% IF mandatory.defined('B_address') %]
 471                                                         <label for="borrower_B_address" class="required">
 472                                                     [% ELSE %]
 473                                                         <label for="borrower_B_address">
 474                                                     [% END %]
 475                                                     Address:</label>
 476
 477                                                     <input type="text" id="borrower_B_address" name="borrower_B_address" value="[% borrower.B_address %]" />
 478                                                     [% IF mandatory.defined('B_address') %]<span class="required">Required</span>[% END %]
 479                                                 </li>
 480                                             [% END %]
 481
 482                                             [% UNLESS hidden.defined('B_address2') %]
 483                                                 <li>
 484                                                     [% IF mandatory.defined('B_address2') %]
 485                                                         <label for="borrower_B_address2" class="required">
 486                                                     [% ELSE %]
 487                                                         <label for="borrower_B_address2">
 488                                                     [% END %]
 489                                                     Address 2:</label>
 490
 491                                                     <input type="text" id="borrower_B_address2" name="borrower_B_address2" value="[% borrower.B_address2 %]" />
 492                                                     [% IF mandatory.defined('B_address2') %]<span class="required">Required</span>[% END %]
 493                                                 </li>
 494                                             [% END %]
 495
 496                                             [% UNLESS hidden.defined('B_city') %]
 497                                                 <li>
 498                                                     [% IF mandatory.defined('B_city') %]
 499                                                         <label for="borrower_B_city" class="required">
 500                                                     [% ELSE %]
 501                                                         <label for="borrower_B_city">
 502                                                     [% END %]
 503                                                     City:</label>
 504
 505                                                     <input type="text" id="borrower_B_city" name="borrower_B_city" value="[% borrower.B_city %]" />
 506                                                     [% IF mandatory.defined('B_city') %]<span class="required">Required</span>[% END %]
 507                                                 </li>
 508                                             [% END %]
 509
 510                                             [% UNLESS hidden.defined('B_state') %]
 511                                                 <li>
 512                                                     [% IF mandatory.defined('B_state') %]
 513                                                         <label for="borrower_B_state" class="required">
 514                                                     [% ELSE %]
 515                                                         <label for="borrower_B_state">
 516                                                     [% END %]
 517                                                     State:</label>
 518
 519                                                     <input type="text" id="borrower_B_state" name="borrower_B_state" value="[% borrower.B_state %]" />
 520                                                     [% IF mandatory.defined('B_state') %]<span class="required">Required</span>[% END %]
 521                                                 </li>
 522                                             [% END %]
 523
 524                                             [% UNLESS hidden.defined('B_zipcode') %]
 525                                                 <li>
 526                                                     [% IF mandatory.defined('B_zipcode') %]
 527                                                         <label for="borrower_B_zipcode" class="required">
 528                                                     [% ELSE %]
 529                                                         <label for="borrower_B_zipcode">
 530                                                     [% END %]
 531                                                     Zip/Postal code:</label>
 532
 533                                                     <input type="text" id="borrower_B_zipcode" name="borrower_B_zipcode" value="[% borrower.B_zipcode %]" />
 534                                                     [% IF mandatory.defined('B_zipcode') %]<span class="required">Required</span>[% END %]
 535                                                 </li>
 536                                             [% END %]
 537
 538                                             [% UNLESS hidden.defined('B_country') %]
 539                                                 <li>
 540                                                     [% IF mandatory.defined('B_country') %]
 541                                                         <label for="borrower_B_country" class="required">
 542                                                     [% ELSE %]
 543                                                         <label for="borrower_B_country">
 544                                                     [% END %]
 545                                                     Country:</label>
 546
 547                                                     <input type="text" id="borrower_B_country" name="borrower_B_country" value="[% borrower.B_country %]" />
 548                                                     [% IF mandatory.defined('B_country') %]<span class="required">Required</span>[% END %]
 549                                                 </li>
 550                                             [% END %]
 551
 552                                             [% UNLESS hidden.defined('B_phone') %]
 553                                                 <li>
 554                                                     [% IF mandatory.defined('B_phone') %]
 555                                                         <label for="borrower_B_phone" class="required">
 556                                                     [% ELSE %]
 557                                                         <label for="borrower_B_phone">
 558                                                     [% END %]
 559                                                     Phone:</label>
 560
 561                                                     <input type="text" id="borrower_B_phone" name="borrower_B_phone" value="[% borrower.B_phone %]" />
 562                                                     [% IF mandatory.defined('B_phone') %]<span class="required">Required</span>[% END %]
 563                                                 </li>
 564                                             [% END %]
 565
 566                                             [% UNLESS hidden.defined('B_email') %]
 567                                                 <li>
 568                                                     [% IF mandatory.defined('B_email') %]
 569                                                         <label for="borrower_B_email" class="required">
 570                                                     [% ELSE %]
 571                                                         <label for="borrower_B_email">
 572                                                     [% END %]
 573                                                     Email:</label>
 574
 575                                                     <input type="text" id="borrower_B_email" name="borrower_B_email" value="[% borrower.B_email %]" />
 576                                                     [% IF mandatory.defined('B_email') %]<span class="required">Required</span>[% END %]
 577                                                 </li>
 578                                             [% END %]
 579
 580                                             [% UNLESS hidden.defined('contactnote') %]
 581                                                 <li>
 582                                                     [% IF mandatory.defined('contactnote') %]
 583                                                         <label for="borrower_contactnote" class="required">
 584                                                     [% ELSE %]
 585                                                         <label for="borrower_contactnote">
 586                                                     [% END %]
 587                                                     Contact Note:</label>
 588
 589                                                     <textarea id="borrower_contactnote" name="borrower_contactnote" cols="40" rows="2">[% borrower.contactnote %]</textarea>
 590                                                     [% IF mandatory.defined('contactnote') %]<span class="required">Required</span>[% END %]
 591                                                 </li>
 592                                             [% END %]
 593
 594                                         </ol>
 595                                     </fieldset>
 596                                 [% END %]
 597
 598                                 [% UNLESS
 599                                     hidden.defined('altcontactsurname') && hidden.defined('altcontactfirstname') && hidden.defined('altcontactaddress1') &&
 600                                     hidden.defined('altcontactaddress2') && hidden.defined('altcontactaddress3') && hidden.defined('altcontactstate') &&
 601                                     hidden.defined('altcontactzipcode') && hidden.defined('altcontactcountry') && hidden.defined('altcontactphone')
 602                                 %]
 603                                     <fieldset class="rows" id="memberentry_alternatecontact">
 604                                         <legend id="alternatecontact_legend">Alternate contact</legend>
 605
 606                                         <ol>
 607                                             [% UNLESS hidden.defined('altcontactsurname') %]
 608                                                 <li>
 609                                                     [% IF mandatory.defined('altcontactsurname') %]
 610                                                         <label for="borrower_altcontactsurname" class="required">
 611                                                     [% ELSE %]
 612                                                         <label for="borrower_altcontactsurname">
 613                                                     [% END %]
 614                                                     Surname:</label>
 615
 616                                                     <input type="text" id="borrower_altcontactsurname" name="borrower_altcontactsurname" value="[% borrower.altcontactsurname %]" />
 617                                                     [% IF mandatory.defined('altcontactsurname') %]<span class="required">Required</span>[% END %]
 618                                                 </li>
 619                                             [% END %]
 620
 621                                             [% UNLESS hidden.defined('altcontactfirstname') %]
 622                                                 <li>
 623                                                     [% IF mandatory.defined('altcontactfirstname') %]
 624                                                         <label for="borrower_altcontactfirstname" class="required">
 625                                                     [% ELSE %]
 626                                                         <label for="borrower_altcontactfirstname">
 627                                                     [% END %]
 628                                                     First name:</label>
 629
 630                                                     <input type="text" id="borrower_altcontactfirstname" name="borrower_altcontactfirstname" value="[% borrower.altcontactfirstname %]" />
 631                                                     [% IF mandatory.defined('altcontactfirstname') %]<span class="required">Required</span>[% END %]
 632                                                 </li>
 633                                             [% END %]
 634
 635                                             [% UNLESS hidden.defined('altcontactaddress1') %]
 636                                                 <li>
 637                                                     [% IF mandatory.defined('altcontactaddress1') %]
 638                                                         <label for="borrower_altcontactaddress1" class="required">
 639                                                     [% ELSE %]
 640                                                         <label for="borrower_altcontactaddress1">
 641                                                     [% END %]
 642                                                     Address:</label>
 643
 644                                                     <input type="text" id="borrower_altcontactaddress1" name="borrower_altcontactaddress1" value="[% borrower.altcontactaddress1 %]" />
 645                                                     [% IF mandatory.defined('altcontactaddress1') %]<span class="required">Required</span>[% END %]
 646                                                 </li>
 647                                             [% END %]
 648
 649                                             [% UNLESS hidden.defined('altcontactaddress2') %]
 650                                                 <li>
 651                                                     [% IF mandatory.defined('altcontactaddress2') %]
 652                                                         <label for="borrower_altcontactaddress2" class="required">
 653                                                     [% ELSE %]
 654                                                         <label for="borrower_altcontactaddress2">
 655                                                     [% END %]
 656                                                     Address 2:</label>
 657
 658                                                     <input type="text" id="borrower_altcontactaddress2" name="borrower_altcontactaddress2" value="[% borrower.altcontactaddress2 %]" />
 659                                                     [% IF mandatory.defined('altcontactaddress2') %]<span class="required">Required</span>[% END %]
 660                                                 </li>
 661                                             [% END %]
 662
 663                                             [% UNLESS hidden.defined('altcontactaddress3') %]
 664                                                 <li>
 665                                                     [% IF mandatory.defined('altcontactaddress3') %]
 666                                                         <label for="borrower_altcontactaddress3" class="required">
 667                                                     [% ELSE %]
 668                                                         <label for="borrower_altcontactaddress3">
 669                                                     [% END %]
 670                                                     City:</label>
 671
 672                                                     <input type="text" id="borrower_altcontactaddress3" name="borrower_altcontactaddress3" value="[% borrower.altcontactaddress3 %]" />
 673                                                     [% IF mandatory.defined('altcontactaddress3') %]<span class="required">Required</span>[% END %]
 674                                                 </li>
 675                                             [% END %]
 676
 677                                             [% UNLESS hidden.defined('altcontactstate') %]
 678                                                 <li>
 679                                                     [% IF mandatory.defined('altcontactstate') %]
 680                                                         <label for="borrower_altcontactstate" class="required">
 681                                                     [% ELSE %]
 682                                                         <label for="borrower_altcontactstate">
 683                                                     [% END %]
 684                                                     State:</label>
 685
 686                                                     <input type="text" id="borrower_altcontactstate" name="borrower_altcontactstate" value="[% borrower.altcontactstate %]" />
 687                                                     [% IF mandatory.defined('altcontactstate') %]<span class="required">Required</span>[% END %]
 688                                                 </li>
 689                                             [% END %]
 690
 691                                             [% UNLESS hidden.defined('altcontactzipcode') %]
 692                                                 <li>
 693                                                     [% IF mandatory.defined('altcontactzipcode') %]
 694                                                         <label for="borrower_altcontactzipcode" class="required">
 695                                                     [% ELSE %]
 696                                                         <label for="borrower_altcontactzipcode">
 697                                                     [% END %]
 698                                                     Zip/Postal code:</label>
 699
 700                                                     <input type="text" id="borrower_altcontactzipcode" name="borrower_altcontactzipcode" value="[% borrower.altcontactzipcode %]" />
 701                                                     [% IF mandatory.defined('altcontactzipcode') %]<span class="required">Required</span>[% END %]
 702                                                 </li>
 703                                             [% END %]
 704
 705                                             [% UNLESS hidden.defined('altcontactcountry') %]
 706                                                 <li>
 707                                                     [% IF mandatory.defined('altcontactcountry') %]
 708                                                         <label for="borrower_altcontactcountry" class="required">
 709                                                     [% ELSE %]
 710                                                         <label for="borrower_altcontactcountry">
 711                                                     [% END %]
 712                                                     Country:</label>
 713
 714                                                     <input type="text" id="borrower_altcontactcountry" name="borrower_altcontactcountry" value="[% borrower.altcontactcountry %]" />
 715                                                     [% IF mandatory.defined('altcontactcountry') %]<span class="required">Required</span>[% END %]
 716                                                 </li>
 717                                             [% END %]
 718
 719                                             [% UNLESS hidden.defined('altcontactphone') %]
 720                                                 <li>
 721                                                     [% IF mandatory.defined('altcontactphone') %]
 722                                                         <label for="borrower_altcontactphone" class="required">
 723                                                     [% ELSE %]
 724                                                         <label for="borrower_altcontactphone">
 725                                                     [% END %]
 726                                                     Phone:</label>
 727
 728                                                     <input type="text" id="borrower_altcontactphone" name="borrower_altcontactphone" value="[% borrower.altcontactphone %]" />
 729                                                     [% IF mandatory.defined('altcontactphone') %]<span class="required">Required</span>[% END %]
 730                                                 </li>
 731                                             [% END %]
 732                                         </ol>
 733                                     </fieldset>
 734                                 [% END %]
 735
 736                                 [% UNLESS action == 'edit' %]
 737                                     <fieldset class="rows" id="memberentry_captcha">
 738                                         <ol>
 739                                             <li>
 740                                                 <label for="captcha" class="required">Verification:</label>
 741
 742                                                 <input type="text" name="captcha" id="captcha" />
 743                                                 <input type="hidden" name="captcha_digest" value="[% captcha_digest %]" />
 744
 745                                                 <span class="hint">Please type this following characters into the preceding box: <strong>[% captcha %]</strong></span>
 746                                             </li>
 747                                         </ol>
 748                                     </fieldset>
 749                                 [% END %]
 750
 751                                 [% IF action == 'edit' %]
 752                                     [% IF OPACPatronDetails %]
 753                                         <fieldset class="action">
 754                                             <input type="hidden" name="action" value="update" />
 755                                             <input type="submit" value="Submit update request" />
 756                                         </fieldset>
 757                                     [% END %]
 758                                 [% ELSE %]
 759                                     <fieldset class="action">
 760                                         <input type="hidden" name="action" value="create" />
 761                                         <input type="submit" value="Submit" />
 762                                     </fieldset>
 763                                 [% END %]
 764                             </div>
 765                         </div><!--/div id="update-account" -->
 766                     </form>
 767                 </div>
 768             </div>
 769
 770             <div class="yui-b">
 771                 <div id="leftmenus" class="container">
 772                     [% INCLUDE 'navigation.inc' IsPatronPage=1 %]
 773                 </div>
 774             </div>
 775         </div>
 776 [% INCLUDE 'opac-bottom.inc' %]