111 lines
4.7 KiB
HTML
111 lines
4.7 KiB
HTML
<fieldset class="rows" id="memberentry_address">
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<legend id="alt_address_lgd">Alternate address</legend><ol>
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[% UNLESS noB_address %]
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<li>
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[% IF ( mandatoryB_address ) %]
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<label for="B_address" class="required">
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[% ELSE %]
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<label for="B_address">
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[% END %]
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Address: </label>
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<input type="text" id="B_address" name="B_address" size="40" value="[% B_address %]" />
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[% IF ( mandatoryB_address ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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[% UNLESS noB_address2 %]
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<li>
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[% IF ( mandatoryB_address2 ) %]
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<label for="B_address2" class="required">
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[% ELSE %]
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<label for="B_address2">
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[% END %]
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Address 2: </label>
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<input type="text" id="B_address2" name="B_address2" size="40" value="[% B_address2 %]" />
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[% IF ( mandatoryB_address2 ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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[% UNLESS noB_zipcode %]
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<li>
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[% IF ( mandatoryB_zipcode ) %]
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<label for="B_zipcode" class="required">
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[% ELSE %]
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<label for="B_zipcode">
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[% END %]
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Zip/Postal code: </label>
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<input type="text" id="B_zipcode" name="B_zipcode" maxlength="10" size="10" value="[% B_zipcode %]" />
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[% IF ( mandatoryB_zipcode ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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[% UNLESS noB_city %]
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<li>
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[% IF ( mandatoryB_city ) %]
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<label for="B_city" class="required" >
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[% ELSE %]
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<label for="B_city">
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[% END %]
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City: </label>
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<input type="text" id="B_city" name="B_city" size="20" value="[% B_city %]" />
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[% IF ( mandatoryB_city ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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[% UNLESS noB_state %]
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<li>
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[% IF ( mandatoryB_state ) %]
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<label for="B_state" class="required" >
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[% ELSE %]
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<label for="B_state">
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[% END %]
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State: </label>
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<input type="text" id="B_state" name="B_state" size="20" value="[% B_state %]" />
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[% IF ( mandatoryB_state ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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[% UNLESS noB_country %]
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<li>
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[% IF ( mandatoryB_country ) %]
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<label for="B_country" class="required">
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[% ELSE %]
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<label for="B_country">
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[% END %]
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Country: </label>
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<input type="text" id="B_country" name="B_country" size="20" value="[% B_country %]" />
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[% IF ( mandatoryB_country ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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[% UNLESS noB_phone %]
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<li>
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[% IF ( mandatoryB_phone ) %]
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<label for="B_phone" class="required">
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[% ELSE %]
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<label for="B_phone">
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[% END %]
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Phone: </label>
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<input type="text" id="B_phone" name="B_phone" value="[% B_phone %]" />
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[% IF ( mandatoryB_phone ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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[% UNLESS noB_email %]
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<li>
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[% IF ( mandatoryB_email ) %]
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<label for="B_email" class="required">
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[% ELSE %]
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<label for="B_email">
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[% END %]
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Email: </label>
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<input type="text" id="B_email" name="B_email" size="45" value="[% B_email %]" />
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[% IF ( mandatoryB_email ) %]<span class="required">Required</span>[% END %] </li>
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[% END %]
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[% UNLESS nocontactnote %]
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<li>
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[% IF ( mandatorycontactnote ) %]
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<label for="contactnote" class="required">
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[% ELSE %]
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<label for="contactnote">
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[% END %]
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Contact note: </label>
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<textarea id="contactnote" name="contactnote" cols="40" rows="2">[% contactnote %]</textarea>
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[% IF ( mandatorycontactnote ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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</ol>
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</fieldset>
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