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

   1 [% USE KohaDates %]
   2 [% SET userupdateview = 1 %]
   3
   4     [% INCLUDE 'doc-head-open.inc' %]
   5         [% IF ( LibraryNameTitle ) %][% LibraryNameTitle %][% ELSE %]Koha online[% END %] catalog &rsaquo; [% IF action == 'edit' %]Update your personal details[% ELSE %]Register a new account[% END %]
   6     [% INCLUDE 'doc-head-close.inc' %]
   7     [% INCLUDE 'calendar.inc' %]
   8
   9     <script type="text/javascript">
  10         //<![CDATA[
  11         $(document).ready(function() {
  12             [% IF action == 'edit' && !OPACPatronDetails %]
  13                 $("#memberentry-form :input").attr('readonly', true);
  14                 $("#borrower_branchcode").attr('disabled',true);
  15                 $("#borrower_title").attr('disabled',true);
  16                 $('#memberentry-form :radio').attr('disabled',true);
  17                 $('span.required').remove();
  18                 $('label.required').removeClass('required');
  19             [% ELSE %]
  20                 $( "#borrower_dateofbirth" ).datepicker({ yearRange: "c-120:c" });
  21             [% END %]
  22         });
  23     //]]>
  24     </script>
  25 </head>
  26 [% IF action == 'edit' %]
  27 <body id="opac-patron-update">
  28 [% ELSE %]
  29 <body id="opac-patron-registration">
  30 [% END %]
  31     <div id="doc3" class="yui-t1">
  32         <div id="bd">
  33             [% INCLUDE 'masthead.inc' %]
  34
  35             <div id="yui-main">
  36                 <div class="yui-b">
  37                     <div class="yui-g">
  38                         [% IF action == 'edit' %]
  39                         <div id="update-account" class="container">
  40                         [% ELSE %]
  41                         <div id="add-account" class="container">
  42                         [% END %]
  43                         [% IF action == 'edit' %]
  44                             <h3><a href="/cgi-bin/koha/opac-user.pl">[% borrower.firstname %] [% borrower.surname %]'s account</a> &#8674; Personal details</h3>
  45                         [% ELSE %]
  46                             <h3>Register a new account</h3>
  47                         [% END %]
  48
  49                             [% IF action == 'edit' %]
  50                             [% UNLESS OPACPatronDetails %]
  51                                 <div class="dialog message">To make changes to your record please contact the library.</div>
  52                             [% END %]
  53                             [% END %]
  54
  55                             [% IF empty_mandatory_fields %]
  56                                 <div class="dialog alert">You have not filled out all required fields. Please fill in all missing fields and resubmit.</div>
  57                             [% END %]
  58
  59                             [% IF failed_captcha %]
  60                                 <div class="dialog alert">You typed in the wrong characters in the box before submitting. Please try again.</div>
  61                             [% END %]
  62
  63                             <form method="post" action="/cgi-bin/koha/opac-memberentry.pl" id="memberentry-form">
  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                                             [% UNLESS hidden.defined('branchcode') %]
  74                                                 <li>
  75                                                     [% IF mandatory.defined('branchcode') %]
  76                                                         <label for="borrower_branchcode" class="required">
  77                                                     [% ELSE %]
  78                                                         <label for="borrower_branchcode">
  79                                                     [% END %]
  80                                                     Home Library:</label>
  81
  82                                                     <select id="borrower_branchcode" name="borrower_branchcode">
  83                                                         [% FOREACH b IN branches %]
  84                                                             [% IF b.value == borrower.branchcode %]
  85                                                                 <option value="[% b.value %]" selected="selected">[% b.branchname %]</option>
  86                                                             [% ELSE %]
  87                                                                 <option value="[% b.value %]">[% b.branchname %]</option>
  88                                                             [% END %]
  89                                                         [% END %]
  90                                                     </select>
  91                                                 </li>
  92                                             [% END %]
  93                                         </ol>
  94                                     </fieldset>
  95                                 [% END %]
  96
  97                                 [% UNLESS
  98                                     hidden.defined('title') && hidden.defined('surname') && hidden.defined('firstname') &&
  99                                     hidden.defined('dateofbirth') && hidden.defined('initials') && hidden.defined('othernames') &&
 100                                     hidden.defined('sex')
 101                                 %]
 102                                     <fieldset class="rows" id="memberentry_identity">
 103                                         <legend id="identity_legend">Identity</legend>
 104
 105                                         <ol>
 106                                             [% UNLESS hidden.defined('title') %]
 107                                                 <li>
 108                                                     [% IF mandatory.defined('title') %]
 109                                                         <label for="borrower_title" class="required">
 110                                                     [% ELSE %]
 111                                                         <label for="borrower_title">
 112                                                     [% END %]
 113                                                     Salutation:</label>
 114
 115                                                     <select id="borrower_title" name="borrower_title">
 116                                                         <option value="">&nbsp;</option>
 117                                                         [% FOREACH mt IN member_titles %]
 118                                                             [% IF mt == borrower.title %]
 119                                                                 <option value="[% mt %]" selected="selected">[% mt %]</option>
 120                                                             [% ELSE %]
 121                                                                 <option value="[% mt %]">[% mt %]</option>
 122                                                             [% END %]
 123                                                         [% END %]
 124                                                     </select>
 125                                                 </li>
 126                                             [% END %]
 127
 128                                             [% UNLESS hidden.defined('surname') %]
 129                                                 <li>
 130                                                     [% IF mandatory.defined('surname') %]
 131                                                         <label for="borrower_surname" class="required">
 132                                                     [% ELSE %]
 133                                                         <label for="borrower_surname">
 134                                                     [% END %]
 135                                                     Surname:</label>
 136
 137                                                     <input type="text" id="borrower_surname" name="borrower_surname" value="[% borrower.surname %]" />
 138                                                     [% IF mandatory.defined('surname') %]<span class="required">Required</span>[% END %]
 139                                                 </li>
 140                                             [% END %]
 141
 142                                             [% UNLESS hidden.defined('firstname') %]
 143                                                 <li>
 144                                                     [% IF mandatory.defined('firstname') %]
 145                                                         <label for="borrower_firstname" class="required">
 146                                                     [% ELSE %]
 147                                                         <label for="borrower_firstname">
 148                                                     [% END %]
 149                                                     First name:</label>
 150
 151                                                     <input type="text" id="borrower_firstname" name="borrower_firstname" value="[% borrower.firstname %]" />
 152                                                     [% IF mandatory.defined('firstname') %]<span class="required">Required</span>[% END %]
 153                                                 </li>
 154                                             [% END %]
 155
 156                                             [% UNLESS hidden.defined('dateofbirth') %]
 157                                                 <li>
 158                                                     [% IF mandatory.defined('dateofbirth') %]
 159                                                         <label for="borrower_dateofbirth" class="required">
 160                                                     [% ELSE %]
 161                                                         <label for="borrower_dateofbirth">
 162                                                     [% END %]
 163                                                     Date of birth:</label>
 164
 165                                                     <input type="text" id="borrower_dateofbirth" name="borrower_dateofbirth" value="[% borrower.dateofbirth | $KohaDates %]" size="10" />
 166
 167                                                     [% UNLESS action == 'edit' && !OPACPatronDetails %]
 168                                                         <a href="#" style="font-size:85%;text-decoration:none;" onclick="document.getElementById('borrower_dateofbirth').value='';return false;">Clear date</a><p></p>
 169                                                     [% END %]
 170
 171                                                     [% IF mandatory.defined('dateofbirth') %]<span class="required">Required</span>[% END %]
 172                                                 </li>
 173                                             [% END %]
 174
 175                                             [% UNLESS hidden.defined('initials') %]
 176                                                 <li>
 177                                                     [% IF mandatory.defined('initials') %]
 178                                                         <label for="borrower_initials" class="required">
 179                                                     [% ELSE %]
 180                                                         <label for="borrower_initials">
 181                                                     [% END %]
 182                                                     Initials:</label>
 183
 184                                                     <input type="text" id="borrower_initials" name="borrower_initials" value="[% borrower.initials %]" />
 185                                                     [% IF mandatory.defined('initials') %]<span class="required">Required</span>[% END %]
 186                                                 </li>
 187                                             [% END %]
 188
 189                                             [% UNLESS hidden.defined('othernames') %]
 190                                                 <li>
 191                                                     [% IF mandatory.defined('othernames') %]
 192                                                         <label for="borrower_othernames" class="required">
 193                                                     [% ELSE %]
 194                                                         <label for="borrower_othernames">
 195                                                     [% END %]
 196                                                     Other names:</label>
 197
 198                                                     <input type="text" id="borrower_othernames" name="borrower_othernames" value="[% borrower.othernames %]" />
 199                                                     [% IF mandatory.defined('othernames') %]<span class="required">Required</span>[% END %]
 200                                                 </li>
 201                                             [% END %]
 202
 203                                             [% UNLESS hidden.defined('sex') %]
 204                                                 <li class="radio">
 205                                                     <label for="sex-female">Female:</label>
 206                                                     [% IF borrower.sex == 'F' %]
 207                                                         <input type="radio" name="borrower_sex" id="sex-female" value="F" checked="checked" />
 208                                                     [% ELSE %]
 209                                                         <input type="radio" name="borrower_sex" id="sex-female" value="F" />
 210                                                     [% END %]
 211
 212                                                     <label for="sex-male">Male:</label>
 213                                                     [% IF borrower.sex == 'M' %]
 214                                                         <input type="radio" name="borrower_sex" id="sex-male" value="M" checked="checked" />
 215                                                     [% ELSE %]
 216                                                         <input type="radio" name="borrower_sex" id="sex-male" value="M" />
 217                                                     [% END %]
 218
 219                                                     <label for="sex-none">N/A:</label>
 220                                                     [% IF borrower.sex == '' %]
 221                                                         <input type="radio" name="borrower_sex" id="sex-none" value="" checked="checked" />
 222                                                     [% ELSE %]
 223                                                         <input type="radio" name="borrower_sex" id="sex-none" value="" />
 224                                                     [% END %]
 225
 226                                                     [% IF mandatory.defined('sex') %]<span class="required">Required</span>[% END %]
 227                                                 </li>
 228                                             [% END %]
 229                                         </ol>
 230                                     </fieldset>
 231                                 [% END %]
 232
 233                                 [% UNLESS
 234                                     hidden.defined('streetnumber') && hidden.defined('address') && hidden.defined('address2') &&
 235                                     hidden.defined('city') && hidden.defined('state') && hidden.defined('zipcode') &&
 236                                     hidden.defined('country')
 237                                 %]
 238                                     <fieldset class="rows" id="memberentry_mainaddress">
 239                                         <legend id="mainaddress_legend">Main address</legend>
 240
 241                                         <ol>
 242                                             [% UNLESS hidden.defined('streetnumber') %]
 243                                                 <li>
 244                                                     [% IF mandatory.defined('streetnumber') %]
 245                                                         <label for="borrower_streetnumber" class="required">
 246                                                     [% ELSE %]
 247                                                         <label for="borrower_streetnumber">
 248                                                     [% END %]
 249                                                     Street number:</label>
 250
 251                                                     <input type="text" id="borrower_streetnumber" name="borrower_streetnumber" value="[% borrower.streetnumber %]" />
 252                                                     [% IF mandatory.defined('streetnumber') %]<span class="required">Required</span>[% END %]
 253                                                 </li>
 254                                             [% END %]
 255
 256                                             [% UNLESS hidden.defined('address') %]
 257                                                 <li>
 258                                                     [% IF mandatory.defined('address') %]
 259                                                         <label for="borrower_address" class="required">
 260                                                     [% ELSE %]
 261                                                         <label for="borrower_address">
 262                                                     [% END %]
 263                                                     Address:</label>
 264
 265                                                     <input type="text" id="borrower_address" name="borrower_address" value="[% borrower.address %]" />
 266                                                     [% IF mandatory.defined('address') %]<span class="required">Required</span>[% END %]
 267                                                 </li>
 268                                             [% END %]
 269
 270                                             [% UNLESS hidden.defined('address2') %]
 271                                                 <li>
 272                                                     [% IF mandatory.defined('address2') %]
 273                                                         <label for="borrower_address2" class="required">
 274                                                     [% ELSE %]
 275                                                         <label for="borrower_address2">
 276                                                     [% END %]
 277                                                     Address 2:</label>
 278
 279                                                     <input type="text" id="borrower_address2" name="borrower_address2" value="[% borrower.address2 %]" />
 280                                                     [% IF mandatory.defined('address2') %]<span class="required">Required</span>[% END %]
 281                                                 </li>
 282                                             [% END %]
 283
 284                                             [% UNLESS hidden.defined('city') %]
 285                                                 <li>
 286                                                     [% IF mandatory.defined('city') %]
 287                                                         <label for="borrower_city" class="required">
 288                                                     [% ELSE %]
 289                                                         <label for="borrower_city">
 290                                                     [% END %]
 291                                                     City:</label>
 292
 293                                                     <input type="text" id="borrower_city" name="borrower_city" value="[% borrower.city %]" />
 294                                                     [% IF mandatory.defined('city') %]<span class="required">Required</span>[% END %]
 295                                                 </li>
 296                                             [% END %]
 297
 298                                             [% UNLESS hidden.defined('state') %]
 299                                                 <li>
 300                                                     [% IF mandatory.defined('state') %]
 301                                                         <label for="borrower_state" class="required">
 302                                                     [% ELSE %]
 303                                                         <label for="borrower_state">
 304                                                     [% END %]
 305                                                     State:</label>
 306
 307                                                     <input type="text" id="borrower_state" name="borrower_state" value="[% borrower.state %]" />
 308                                                     [% IF mandatory.defined('state') %]<span class="required">Required</span>[% END %]
 309                                                 </li>
 310                                             [% END %]
 311
 312                                             [% UNLESS hidden.defined('zipcode') %]
 313                                                 <li>
 314                                                     [% IF mandatory.defined('zipcode') %]
 315                                                         <label for="borrower_zipcode" class="required">
 316                                                     [% ELSE %]
 317                                                         <label for="borrower_zipcode">
 318                                                     [% END %]
 319                                                     Zip/Postal code:</label>
 320
 321                                                     <input type="text" id="borrower_zipcode" name="borrower_zipcode" value="[% borrower.zipcode %]" />
 322                                                     [% IF mandatory.defined('zipcode') %]<span class="required">Required</span>[% END %]
 323                                                 </li>
 324                                             [% END %]
 325
 326                                             [% UNLESS hidden.defined('country') %]
 327                                                 <li>
 328                                                     [% IF mandatory.defined('country') %]
 329                                                         <label for="borrower_country" class="required">
 330                                                     [% ELSE %]
 331                                                         <label for="borrower_country">
 332                                                     [% END %]
 333                                                     Country:</label>
 334
 335                                                     <input type="text" id="borrower_country" name="borrower_country" value="[% borrower.country %]" />
 336                                                     [% IF mandatory.defined('country') %]<span class="required">Required</span>[% END %]
 337                                                 </li>
 338                                             [% END %]
 339
 340                                         </ol>
 341                                     </fieldset>
 342                                 [% END %]
 343
 344                                 [% UNLESS
 345                                     hidden.defined('phone') && hidden.defined('phonepro') && hidden.defined('mobile') &&
 346                                     hidden.defined('email') && hidden.defined('emailpro') && hidden.defined('fax')
 347                                 %]
 348                                     <fieldset class="rows" id="memberentry_contact">
 349                                         <legend id="contact_legend">Contact information</legend>
 350
 351                                         <ol>
 352                                             [% UNLESS hidden.defined('phone') %]
 353                                                 <li>
 354                                                     [% IF mandatory.defined('phone') %]
 355                                                         <label for="borrower_phone" class="required">
 356                                                     [% ELSE %]
 357                                                         <label for="borrower_phone">
 358                                                     [% END %]
 359                                                     Primary phone:</label>
 360
 361                                                     <input type="text" id="borrower_phone" name="borrower_phone" value="[% borrower.phone %]" />
 362                                                     [% IF mandatory.defined('phone') %]<span class="required">Required</span>[% END %]
 363                                                 </li>
 364                                             [% END %]
 365
 366                                             [% UNLESS hidden.defined('phonepro') %]
 367                                                 <li>
 368                                                     [% IF mandatory.defined('phonepro') %]
 369                                                         <label for="borrower_phonepro" class="required">
 370                                                     [% ELSE %]
 371                                                         <label for="borrower_phonepro">
 372                                                     [% END %]
 373                                                     Secondary phone:</label>
 374
 375                                                     <input type="text" id="borrower_phonepro" name="borrower_phonepro" value="[% borrower.phonepro %]" />
 376                                                     [% IF mandatory.defined('phonepro') %]<span class="required">Required</span>[% END %]
 377                                                 </li>
 378                                             [% END %]
 379
 380                                             [% UNLESS hidden.defined('mobile') %]
 381                                                 <li>
 382                                                     [% IF mandatory.defined('mobile') %]
 383                                                         <label for="borrower_mobile" class="required">
 384                                                     [% ELSE %]
 385                                                         <label for="borrower_mobile">
 386                                                     [% END %]
 387                                                     Mobile phone:</label>
 388
 389                                                     <input type="text" id="borrower_mobile" name="borrower_mobile" value="[% borrower.mobile %]" />
 390                                                     [% IF mandatory.defined('mobile') %]<span class="required">Required</span>[% END %]
 391                                                 </li>
 392                                             [% END %]
 393
 394                                             [% UNLESS hidden.defined('email') %]
 395                                                 <li>
 396                                                     [% IF mandatory.defined('email') %]
 397                                                         <label for="borrower_email" class="required">
 398                                                     [% ELSE %]
 399                                                         <label for="borrower_email">
 400                                                     [% END %]
 401                                                     Primary email:</label>
 402
 403                                                     <input type="text" id="borrower_email" name="borrower_email" value="[% borrower.email %]" />
 404                                                     [% IF mandatory.defined('email') %]<span class="required">Required</span>[% END %]
 405                                                 </li>
 406                                             [% END %]
 407
 408                                             [% UNLESS hidden.defined('emailpro') %]
 409                                                 <li>
 410                                                     [% IF mandatory.defined('emailpro') %]
 411                                                         <label for="borrower_emailpro" class="required">
 412                                                     [% ELSE %]
 413                                                         <label for="borrower_emailpro">
 414                                                     [% END %]
 415                                                     Secondary email:</label>
 416
 417                                                     <input type="text" id="borrower_emailpro" name="borrower_emailpro" value="[% borrower.emailpro %]" />
 418                                                     [% IF mandatory.defined('emailpro') %]<span class="required">Required</span>[% END %]
 419                                                 </li>
 420                                             [% END %]
 421
 422                                             [% UNLESS hidden.defined('fax') %]
 423                                                 <li>
 424                                                     [% IF mandatory.defined('fax') %]
 425                                                         <label for="borrower_fax" class="required">
 426                                                     [% ELSE %]
 427                                                         <label for="borrower_fax">
 428                                                     [% END %]
 429                                                     Fax:</label>
 430
 431                                                     <input type="text" id="borrower_fax" name="borrower_fax" value="[% borrower.fax %]" />
 432                                                     [% IF mandatory.defined('fax') %]<span class="required">Required</span>[% END %]
 433                                                 </li>
 434                                             [% END %]
 435                                         </ol>
 436                                     </fieldset>
 437                                 [% END %]
 438
 439                                 [% UNLESS
 440                                     hidden.defined('B_address') && hidden.defined('B_address2') && hidden.defined('B_city') &&
 441                                     hidden.defined('B_state') && hidden.defined('B_zipcode') && hidden.defined('B_county') &&
 442                                     hidden.defined('B_phone') && hidden.defined('B_email') && hidden.defined('contactnote')
 443                                 %]
 444                                     <fieldset class="rows" id="memberentry_alternateaddress">
 445                                         <legend id="alternateaddress_legend">Alternate address</legend>
 446
 447                                         <ol>
 448                                             [% UNLESS hidden.defined('B_address') %]
 449                                                 <li>
 450                                                     [% IF mandatory.defined('B_address') %]
 451                                                         <label for="borrower_B_address" class="required">
 452                                                     [% ELSE %]
 453                                                         <label for="borrower_B_address">
 454                                                     [% END %]
 455                                                     Address:</label>
 456
 457                                                     <input type="text" id="borrower_B_address" name="borrower_B_address" value="[% borrower.B_address %]" />
 458                                                     [% IF mandatory.defined('B_address') %]<span class="required">Required</span>[% END %]
 459                                                 </li>
 460                                             [% END %]
 461
 462                                             [% UNLESS hidden.defined('B_address2') %]
 463                                                 <li>
 464                                                     [% IF mandatory.defined('B_address2') %]
 465                                                         <label for="borrower_B_address2" class="required">
 466                                                     [% ELSE %]
 467                                                         <label for="borrower_B_address2">
 468                                                     [% END %]
 469                                                     Address 2:</label>
 470
 471                                                     <input type="text" id="borrower_B_address2" name="borrower_B_address2" value="[% borrower.B_address2 %]" />
 472                                                     [% IF mandatory.defined('B_address2') %]<span class="required">Required</span>[% END %]
 473                                                 </li>
 474                                             [% END %]
 475
 476                                             [% UNLESS hidden.defined('B_city') %]
 477                                                 <li>
 478                                                     [% IF mandatory.defined('B_city') %]
 479                                                         <label for="borrower_B_city" class="required">
 480                                                     [% ELSE %]
 481                                                         <label for="borrower_B_city">
 482                                                     [% END %]
 483                                                     City:</label>
 484
 485                                                     <input type="text" id="borrower_B_city" name="borrower_B_city" value="[% borrower.B_city %]" />
 486                                                     [% IF mandatory.defined('B_city') %]<span class="required">Required</span>[% END %]
 487                                                 </li>
 488                                             [% END %]
 489
 490                                             [% UNLESS hidden.defined('B_state') %]
 491                                                 <li>
 492                                                     [% IF mandatory.defined('B_state') %]
 493                                                         <label for="borrower_B_state" class="required">
 494                                                     [% ELSE %]
 495                                                         <label for="borrower_B_state">
 496                                                     [% END %]
 497                                                     State:</label>
 498
 499                                                     <input type="text" id="borrower_B_state" name="borrower_B_state" value="[% borrower.B_state %]" />
 500                                                     [% IF mandatory.defined('B_state') %]<span class="required">Required</span>[% END %]
 501                                                 </li>
 502                                             [% END %]
 503
 504                                             [% UNLESS hidden.defined('B_zipcode') %]
 505                                                 <li>
 506                                                     [% IF mandatory.defined('B_zipcode') %]
 507                                                         <label for="borrower_B_zipcode" class="required">
 508                                                     [% ELSE %]
 509                                                         <label for="borrower_B_zipcode">
 510                                                     [% END %]
 511                                                     Zip/Postal code:</label>
 512
 513                                                     <input type="text" id="borrower_B_zipcode" name="borrower_B_zipcode" value="[% borrower.B_zipcode %]" />
 514                                                     [% IF mandatory.defined('B_zipcode') %]<span class="required">Required</span>[% END %]
 515                                                 </li>
 516                                             [% END %]
 517
 518                                             [% UNLESS hidden.defined('B_country') %]
 519                                                 <li>
 520                                                     [% IF mandatory.defined('B_country') %]
 521                                                         <label for="borrower_B_country" class="required">
 522                                                     [% ELSE %]
 523                                                         <label for="borrower_B_country">
 524                                                     [% END %]
 525                                                     Country:</label>
 526
 527                                                     <input type="text" id="borrower_B_country" name="borrower_B_country" value="[% borrower.B_country %]" />
 528                                                     [% IF mandatory.defined('B_country') %]<span class="required">Required</span>[% END %]
 529                                                 </li>
 530                                             [% END %]
 531
 532                                             [% UNLESS hidden.defined('B_phone') %]
 533                                                 <li>
 534                                                     [% IF mandatory.defined('B_phone') %]
 535                                                         <label for="borrower_B_phone" class="required">
 536                                                     [% ELSE %]
 537                                                         <label for="borrower_B_phone">
 538                                                     [% END %]
 539                                                     Phone:</label>
 540
 541                                                     <input type="text" id="borrower_B_phone" name="borrower_B_phone" value="[% borrower.B_phone %]" />
 542                                                     [% IF mandatory.defined('B_phone') %]<span class="required">Required</span>[% END %]
 543                                                 </li>
 544                                             [% END %]
 545
 546                                             [% UNLESS hidden.defined('B_email') %]
 547                                                 <li>
 548                                                     [% IF mandatory.defined('B_email') %]
 549                                                         <label for="borrower_B_email" class="required">
 550                                                     [% ELSE %]
 551                                                         <label for="borrower_B_email">
 552                                                     [% END %]
 553                                                     Email:</label>
 554
 555                                                     <input type="text" id="borrower_B_email" name="borrower_B_email" value="[% borrower.B_email %]" />
 556                                                     [% IF mandatory.defined('B_email') %]<span class="required">Required</span>[% END %]
 557                                                 </li>
 558                                             [% END %]
 559
 560                                             [% UNLESS hidden.defined('contactnote') %]
 561                                                 <li>
 562                                                     [% IF mandatory.defined('contactnote') %]
 563                                                         <label for="borrower_contactnote" class="required">
 564                                                     [% ELSE %]
 565                                                         <label for="borrower_contactnote">
 566                                                     [% END %]
 567                                                     Contact Note:</label>
 568
 569                                                     <textarea id="borrower_contactnote" name="borrower_contactnote" cols="40" rows="2">[% borrower.contactnote %]</textarea>
 570                                                     [% IF mandatory.defined('contactnote') %]<span class="required">Required</span>[% END %]
 571                                                 </li>
 572                                             [% END %]
 573
 574                                         </ol>
 575                                     </fieldset>
 576                                 [% END %]
 577
 578                                 [% UNLESS
 579                                     hidden.defined('altcontactsurname') && hidden.defined('altcontactfirstname') && hidden.defined('altcontactaddress1') &&
 580                                     hidden.defined('altcontactaddress2') && hidden.defined('altcontactaddress3') && hidden.defined('altcontactstate') &&
 581                                     hidden.defined('altcontactzipcode') && hidden.defined('altcontactcountry') && hidden.defined('altcontactphone')
 582                                 %]
 583                                     <fieldset class="rows" id="memberentry_alternatecontact">
 584                                         <legend id="alternatecontact_legend">Alternate contact</legend>
 585
 586                                         <ol>
 587                                             [% UNLESS hidden.defined('altcontactsurname') %]
 588                                                 <li>
 589                                                     [% IF mandatory.defined('altcontactsurname') %]
 590                                                         <label for="borrower_altcontactsurname" class="required">
 591                                                     [% ELSE %]
 592                                                         <label for="borrower_altcontactsurname">
 593                                                     [% END %]
 594                                                     Surname:</label>
 595
 596                                                     <input type="text" id="borrower_altcontactsurname" name="borrower_altcontactsurname" value="[% borrower.altcontactsurname %]" />
 597                                                     [% IF mandatory.defined('altcontactsurname') %]<span class="required">Required</span>[% END %]
 598                                                 </li>
 599                                             [% END %]
 600
 601                                             [% UNLESS hidden.defined('altcontactfirstname') %]
 602                                                 <li>
 603                                                     [% IF mandatory.defined('altcontactfirstname') %]
 604                                                         <label for="borrower_altcontactfirstname" class="required">
 605                                                     [% ELSE %]
 606                                                         <label for="borrower_altcontactfirstname">
 607                                                     [% END %]
 608                                                     First name:</label>
 609
 610                                                     <input type="text" id="borrower_altcontactfirstname" name="borrower_altcontactfirstname" value="[% borrower.altcontactfirstname %]" />
 611                                                     [% IF mandatory.defined('altcontactfirstname') %]<span class="required">Required</span>[% END %]
 612                                                 </li>
 613                                             [% END %]
 614
 615                                             [% UNLESS hidden.defined('altcontactaddress1') %]
 616                                                 <li>
 617                                                     [% IF mandatory.defined('altcontactaddress1') %]
 618                                                         <label for="borrower_altcontactaddress1" class="required">
 619                                                     [% ELSE %]
 620                                                         <label for="borrower_altcontactaddress1">
 621                                                     [% END %]
 622                                                     Address:</label>
 623
 624                                                     <input type="text" id="borrower_altcontactaddress1" name="borrower_altcontactaddress1" value="[% borrower.altcontactaddress1 %]" />
 625                                                     [% IF mandatory.defined('altcontactaddress1') %]<span class="required">Required</span>[% END %]
 626                                                 </li>
 627                                             [% END %]
 628
 629                                             [% UNLESS hidden.defined('altcontactaddress2') %]
 630                                                 <li>
 631                                                     [% IF mandatory.defined('altcontactaddress2') %]
 632                                                         <label for="borrower_altcontactaddress2" class="required">
 633                                                     [% ELSE %]
 634                                                         <label for="borrower_altcontactaddress2">
 635                                                     [% END %]
 636                                                     Address 2:</label>
 637
 638                                                     <input type="text" id="borrower_altcontactaddress2" name="borrower_altcontactaddress2" value="[% borrower.altcontactaddress2 %]" />
 639                                                     [% IF mandatory.defined('altcontactaddress2') %]<span class="required">Required</span>[% END %]
 640                                                 </li>
 641                                             [% END %]
 642
 643                                             [% UNLESS hidden.defined('altcontactaddress3') %]
 644                                                 <li>
 645                                                     [% IF mandatory.defined('altcontactaddress3') %]
 646                                                         <label for="borrower_altcontactaddress3" class="required">
 647                                                     [% ELSE %]
 648                                                         <label for="borrower_altcontactaddress3">
 649                                                     [% END %]
 650                                                     City:</label>
 651
 652                                                     <input type="text" id="borrower_altcontactaddress3" name="borrower_altcontactaddress3" value="[% borrower.altcontactaddress3 %]" />
 653                                                     [% IF mandatory.defined('altcontactaddress3') %]<span class="required">Required</span>[% END %]
 654                                                 </li>
 655                                             [% END %]
 656
 657                                             [% UNLESS hidden.defined('altcontactstate') %]
 658                                                 <li>
 659                                                     [% IF mandatory.defined('altcontactstate') %]
 660                                                         <label for="borrower_altcontactstate" class="required">
 661                                                     [% ELSE %]
 662                                                         <label for="borrower_altcontactstate">
 663                                                     [% END %]
 664                                                     State:</label>
 665
 666                                                     <input type="text" id="borrower_altcontactstate" name="borrower_altcontactstate" value="[% borrower.altcontactstate %]" />
 667                                                     [% IF mandatory.defined('altcontactstate') %]<span class="required">Required</span>[% END %]
 668                                                 </li>
 669                                             [% END %]
 670
 671                                             [% UNLESS hidden.defined('altcontactzipcode') %]
 672                                                 <li>
 673                                                     [% IF mandatory.defined('altcontactzipcode') %]
 674                                                         <label for="borrower_altcontactzipcode" class="required">
 675                                                     [% ELSE %]
 676                                                         <label for="borrower_altcontactzipcode">
 677                                                     [% END %]
 678                                                     Zip/Postal code:</label>
 679
 680                                                     <input type="text" id="borrower_altcontactzipcode" name="borrower_altcontactzipcode" value="[% borrower.altcontactzipcode %]" />
 681                                                     [% IF mandatory.defined('altcontactzipcode') %]<span class="required">Required</span>[% END %]
 682                                                 </li>
 683                                             [% END %]
 684
 685                                             [% UNLESS hidden.defined('altcontactcountry') %]
 686                                                 <li>
 687                                                     [% IF mandatory.defined('altcontactcountry') %]
 688                                                         <label for="borrower_altcontactcountry" class="required">
 689                                                     [% ELSE %]
 690                                                         <label for="borrower_altcontactcountry">
 691                                                     [% END %]
 692                                                     Country:</label>
 693
 694                                                     <input type="text" id="borrower_altcontactcountry" name="borrower_altcontactcountry" value="[% borrower.altcontactcountry %]" />
 695                                                     [% IF mandatory.defined('altcontactcountry') %]<span class="required">Required</span>[% END %]
 696                                                 </li>
 697                                             [% END %]
 698
 699                                             [% UNLESS hidden.defined('altcontactphone') %]
 700                                                 <li>
 701                                                     [% IF mandatory.defined('altcontactphone') %]
 702                                                         <label for="borrower_altcontactphone" class="required">
 703                                                     [% ELSE %]
 704                                                         <label for="borrower_altcontactphone">
 705                                                     [% END %]
 706                                                     Phone:</label>
 707
 708                                                     <input type="text" id="borrower_altcontactphone" name="borrower_altcontactphone" value="[% borrower.altcontactphone %]" />
 709                                                     [% IF mandatory.defined('altcontactphone') %]<span class="required">Required</span>[% END %]
 710                                                 </li>
 711                                             [% END %]
 712                                         </ol>
 713                                     </fieldset>
 714                                 [% END %]
 715
 716                                 [% UNLESS action == 'edit' %]
 717                                     <fieldset class="rows" id="memberentry_captcha">
 718                                         <ol>
 719                                             <li>
 720                                                 <label for="captcha" class="required">Verification:</label>
 721
 722                                                 <input type="text" name="captcha" id="captcha" />
 723                                                 <input type="hidden" name="captcha_digest" value="[% captcha_digest %]" />
 724
 725                                                 <span class="hint">Please type this following characters into the preceding box: <strong>[% captcha %]</strong></span>
 726                                             </li>
 727                                         </ol>
 728                                     </fieldset>
 729                                 [% END %]
 730
 731                                 [% IF action == 'edit' %]
 732                                     [% IF OPACPatronDetails %]
 733                                         <fieldset class="action">
 734                                             <input type="hidden" name="action" value="update" />
 735                                             <input type="submit" value="Submit update request" />
 736                                         </fieldset>
 737                                     [% END %]
 738                                 [% ELSE %]
 739                                     <fieldset class="action">
 740                                         <input type="hidden" name="action" value="create" />
 741                                         <input type="submit" value="Submit" />
 742                                     </fieldset>
 743                                 [% END %]
 744
 745                             </form>
 746
 747                         </div><!--/div id="update-account" -->
 748                     </div>
 749                 </div>
 750             </div>
 751
 752             <div class="yui-b">
 753                 <div id="leftmenus" class="container">
 754                     [% INCLUDE 'navigation.inc' IsPatronPage=1 %]
 755                 </div>
 756             </div>
 757         </div>
 758 [% INCLUDE 'opac-bottom.inc' %]