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@ -1,98 +1,98 @@ |
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<!-- TMPL_INCLUDE Name="members-top.inc" --> |
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<!-- TMPL_IF Name="OK" --> |
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<H1> Confirm Record </H1> |
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<table border=0 cellspacing=0 cellpadding=5> |
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<tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" > |
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<td colspan=2 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif"> |
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<B> NEW MEMBER </B> |
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<h1> Confirm Record </h1> |
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<table border="0" cellspacing="0" cellpadding="5"> |
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<tr valign="top" bgcolor="<!-- TMPL_VAR NAME="main" -->" > |
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<td colspan="2" background="<!-- TMPL_VAR NAME="themelang" -->/images/background-mem.gif"> |
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<b> NEW MEMBER </b> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Name</B> |
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<b>Name</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="name" --> |
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<!-- TMPL_VAR NAME="name" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" > |
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<td colspan=2 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif"> |
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<B> MEMBERSHIP DETAILS </B> |
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<tr valign="top" bgcolor="<!-- TMPL_VAR NAME="main" -->" > |
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<td colspan="2" background="<!-- TMPL_VAR NAME="themelang" -->/images/background-mem.gif"> |
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<b> MEMBERSHIP DETAILS </b> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Membership Number</B> |
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<b>Membership Number</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="bornum" --> |
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<!-- TMPL_VAR NAME="bornum" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Card number</B> |
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<b>Card number</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="cardnum" --> |
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<!-- TMPL_VAR NAME="cardnum" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Membership Category</B> |
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<b>Membership Category</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="memcat" --> |
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<!-- TMPL_VAR NAME="memcat" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Fee</B> |
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<b>Fee</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="fee" --> |
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<!-- TMPL_VAR NAME="fee" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Joining Date</B> |
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<b>Joining Date</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="joindate" --> |
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<!-- TMPL_VAR NAME="joindate" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Expiry Date</B> |
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<b>Expiry Date</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="expdate" --> |
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<!-- TMPL_VAR NAME="expdate" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Joining Branch</B> |
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<b>Joining Branch</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="branchcode" --> |
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<!-- TMPL_VAR NAME="branchcode" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" > |
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<td colspan=2 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif"> |
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<B>PERSONAL DETAILS</B> |
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<tr valign="top" bgcolor="<!-- TMPL_VAR NAME="main" -->" > |
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<td colspan="2" background="<!-- TMPL_VAR NAME="themelang" -->/images/background-mem.gif"> |
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<b>PERSONAL DETAILS</b> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Date of birth</B> |
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<b>Date of birth</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="dob" --> |
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<!-- TMPL_VAR NAME="dob" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Sex</B> |
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<b>Sex</b> |
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</td> |
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<td> |
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<!-- TMPL_IF Name="sex" --> |
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@ -102,151 +102,151 @@ |
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<!-- /TMPL_IF --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" > |
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<td colspan=2 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif"> |
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<B>MEMBER ADDRESS</B> |
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<tr valign="top" bgcolor="<!-- TMPL_VAR NAME="main" -->" > |
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<td colspan="2" background="<!-- TMPL_VAR NAME="themelang" -->/images/background-mem.gif"> |
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<b>MEMBER ADDRESS</b> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Postal Address</B> |
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<b>Postal Address</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="postal" --> |
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<!-- TMPL_VAR NAME="postal" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Home Address</B> |
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<b>Home Address</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="home" --> |
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<!-- TMPL_VAR NAME="home" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" > |
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<td colspan=2 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif"> |
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<B>MEMBER CONTACT DETAIL</B> |
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<tr valign="top" bgcolor="<!-- TMPL_VAR NAME="main" -->" > |
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<td colspan="2" background="<!-- TMPL_VAR NAME="themelang" -->/images/background-mem.gif"> |
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<b>MEMBER CONTACT DETAIL</b> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Phone home</B> |
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<b>Phone home</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="phone" --> |
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<!-- TMPL_VAR NAME="phone" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Phone daytime</B> |
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<b>Phone daytime</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="phoneday" --> |
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<!-- TMPL_VAR NAME="phoneday" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Fax</B> |
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<b>Fax</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="faxnumber" --> |
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<!-- TMPL_VAR NAME="faxnumber" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>E-mail</B> |
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<b>E-mail</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="emailaddress" --> |
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<!-- TMPL_VAR NAME="emailaddress" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Text messaging</B> |
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<b>Text messaging</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR NAME=textmessaging --> |
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<!-- TMPL_VAR NAME="textmessaging" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" > |
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<td colspan=2 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif"> |
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<B>ALTERNATIVE CONTACT DETAIL</B> |
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<tr valign="top" bgcolor="<!-- TMPL_VAR NAME="main" -->" > |
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<td colspan="2" background="<!-- TMPL_VAR NAME="themelang" -->/images/background-mem.gif"> |
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<b>ALTERNATIVE CONTACT DETAIL</b> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Name</B> |
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<b>Name</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="contactname" --> |
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<!-- TMPL_VAR NAME="contactname" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Phone</B> |
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<b>Phone</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="altphone" --> |
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<!-- TMPL_VAR NAME="altphone" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Relationship</B> |
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<b>Relationship</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="altrelationship" --> |
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<!-- TMPL_VAR NAME="altrelationship" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>Notes</B> |
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<b>Notes</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="altnotes" --> |
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<!-- TMPL_VAR NAME="altnotes" --> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" > |
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<td colspan=2 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif"> |
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<B>NOTES</B> |
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<tr valign="top" bgcolor="<!-- TMPL_VAR NAME="main" -->" > |
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<td colspan="2" background="<!-- TMPL_VAR NAME="themelang" -->/images/background-mem.gif"> |
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<b>NOTES</b> |
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</td> |
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</tr> |
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<tr valign=top bgcolor="white" > |
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<tr valign="top" bgcolor="white" > |
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<td> |
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<B>General Notes</B> |
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<b>General Notes</b> |
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</td> |
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<td> |
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<!-- TMPL_VAR Name="bornotes" --> |
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<!-- TMPL_VAR NAME="bornotes" --> |
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</td> |
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</tr> |
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</TABLE><p> |
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<form action="/cgi-bin/koha/members/insertdata.pl" method=post> |
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<!-- TMPL_LOOP NAME=inputsloop --> |
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<input type=hidden name="<!-- TMPL_VAR NAME="key" -->" value="<!-- TMPL_VAR NAME="value" -->"> |
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</table><p> |
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<form action="/cgi-bin/koha/members/insertdata.pl" method="post"> |
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<!-- TMPL_LOOP NAME="inputsloop" --> |
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<input type="hidden" name="<!-- TMPL_VAR NAME="key" -->" value="<!-- TMPL_VAR NAME="value" -->"> |
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<!-- /TMPL_LOOP --> |
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<input type=submit name=submit value=Submit> |
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<input type="submit" name="submit" value="Submit"> |
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</form> |
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<!-- TMPL_ELSE --> |
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<h1>ERROR</H1> |
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<h1>ERROR</h1> |
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<p>The following fields have a forbidden value. Please push the back button and try again : </p> |
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<!-- TMPL_IF name="cardnumber" --> |
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<!-- TMPL_IF NAME="cardnumber" --> |
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Card number<br/> |
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<!-- /TMPL_IF --> |
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<!-- TMPL_IF name="invalid_cardnumber" --> |
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<!-- TMPL_IF NAME="invalid_cardnumber" --> |
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Invalid cardnumber<br/> |
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<!-- /TMPL_IF --> |
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<!-- TMPL_IF name="gender" --> |
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<!-- TMPL_IF NAME="gender" --> |
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Gender<br/> |
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<!-- /TMPL_IF --> |
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<!-- TMPL_IF name="firstname" --> |
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<!-- TMPL_IF NAME="firstname" --> |
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Given Names<br/> |
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<!-- /TMPL_IF --> |
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<!-- TMPL_IF name="surname" --> |
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<!-- TMPL_IF NAME="surname" --> |
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Surname<br/> |
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<!-- /TMPL_IF --> |
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<!-- TMPL_IF name="address" --> |
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<!-- TMPL_IF NAME="address" --> |
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Postal Street Address<br/> |
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<!-- /TMPL_IF --> |
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<!-- TMPL_IF name="city" --> |
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<!-- TMPL_IF NAME="city" --> |
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Postal city<br/> |
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<!-- /TMPL_IF --> |
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<!-- /TMPL_IF --> |
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