39 lines
2.3 KiB
Cheetah
39 lines
2.3 KiB
Cheetah
<!-- TMPL_INCLUDE name="doc-head-open.inc" --><!-- TMPL_VAR NAME="LibraryName" --> Catalog -- Updating Details for <!-- TMPL_LOOP name="BORROWER_INFO" --><!-- TMPL_VAR name="firstname" --> <!-- TMPL_VAR name="surname" --><!-- /TMPL_LOOP -->
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<!-- TMPL_INCLUDE name="doc-head-close.inc" -->
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<!-- TMPL_INCLUDE name="masthead-user.inc" -->
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<!-- TMPL_INCLUDE name="navigation.inc" -->
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<!--CONTENT-->
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<div id="main">
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<!-- TMPL_LOOP name="BORROWER_INFO" -->
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<h3>Updating Details for <!-- TMPL_VAR name="firstname" --> <!-- TMPL_VAR name="surname" --></h3>
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<p>Please make any necessary changes to your record. Submitting the form will notify a library staff member, who will make the changes permanent.</p>
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<form action="/cgi-bin/koha/opac-userupdate.pl" method="get">
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<input type="hidden" name="title" value="">
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<div class="form">
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<table>
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<tr><th><label for="surname">Last Name</label></th><td><input id="surname" type="text" size="25" value="<!-- TMPL_VAR name="surname" -->" name="surname"></td></tr>
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<tr><th><label for="firstname">First Name</label></th><td><input id="firstname" type="text" size="25" value="<!-- TMPL_VAR name="firstname" -->" name="firstname"></td></tr>
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<tr><th><label for="streetaddress">Mailing Address</label></th><td><input id="streetaddress" type="text" size="25" value="<!-- TMPL_VAR name="streetaddress" -->" name="streetaddress"></td></tr>
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<tr><th><label for="city">City, State</label></th><td><input id="city" type="text" size="25" value="<!-- TMPL_VAR name="city" -->" name="city"></td></tr>
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<tr><th><label for="phone">Home Phone</label></th><td><input id="phone" type="text" size="25" value="<!-- TMPL_VAR name="phone" -->" name="phone"></td></tr>
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<tr><th><label for="faxnumber">Work/Fax phone</label></th><td><input id="faxnumber" type="text" size="25" value="<!-- TMPL_VAR name="faxnumber" -->" name="faxnumber"></td></tr>
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<tr><th><label for="emailaddress">Email</label></th><td><input id="emailaddress" type="text" size="40" value="<!-- TMPL_VAR name="emailaddress" -->" name="emailaddress"></td></tr>
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</table>
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</div>
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<p>Clicking 'Submit Changes' will send an email to a library staff member with the information you've entered. You will then be returned to your patron record.</p>
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<p><input type="submit" value="Submit Changes" class="submit"></p>
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</form>
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<!-- /TMPL_LOOP -->
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</div>
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</body>
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</html>
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