112 lines
5.4 KiB
HTML
112 lines
5.4 KiB
HTML
<fieldset class="rows" id="memberentry_altaddress">
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<legend id="alt_contact_lgd">Alternate contact</legend><ol>
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[% UNLESS noaltcontactsurname %]
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<li>
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[% IF ( mandatoryaltcontactsurname ) %]
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<label for="altcontactsurname" class="required">
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[% ELSE %]
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<label for="altcontactsurname">
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[% END %]
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Surname:</label>
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<input type="text" name="altcontactsurname" id="altcontactsurname" value="[% altcontactsurname %]" />
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[% IF ( mandatoryaltcontactsurname ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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[% UNLESS noaltcontactfirstname %]
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<li>
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[% IF ( mandatoryaltcontactfirstname ) %]
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<label for="altcontactfirstname" class="required">
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[% ELSE %]
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<label for="altcontactfirstname">
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[% END %]
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First name:</label>
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<input type="text" name="altcontactfirstname" id="altcontactfirstname" value="[% altcontactfirstname %]" />
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[% IF ( mandatoryaltcontactfirstname ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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[% UNLESS noaltcontactaddress1 %]
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<li>
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[% IF ( mandatoryaltcontactaddress1 ) %]
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<label for="altcontactaddress1" class="required">
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[% ELSE %]
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<label for="altcontactaddress1">
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[% END %]
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Address:</label>
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<input type="text" name="altcontactaddress1" id="altcontactaddress1" value="[% altcontactaddress1 %]" size="40" />
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[% IF ( mandatoryaltcontactaddress1 ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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[% UNLESS noaltcontactaddress2 %]
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<li>
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[% IF ( mandatoryaltcontactaddress2 ) %]
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<label for="altcontactaddress2" class="required">
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[% ELSE %]
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<label for="altcontactaddress2">
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[% END %]
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Address 2:</label>
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<input type="text" name="altcontactaddress2" id="altcontactaddress2" value="[% altcontactaddress2 %]" size="40" />
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[% IF ( mandatoryaltcontactaddress2 ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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[% UNLESS noaltcontactzipcode %]
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<li>
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[% IF ( mandatoryaltcontactzipcode ) %]
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<label for="altcontactzipcode" class="required">
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[% ELSE %]
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<label for="altcontactzipcode">
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[% END %]
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Zip/Postal code:</label>
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<input type="text" name="altcontactzipcode" id="altcontactzipcode" value="[% altcontactzipcode %]" size="5" />
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[% IF ( mandatoryaltcontactzipcode ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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[% UNLESS noaltcontactaddress3 %]
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<li>
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[% IF ( mandatoryaltcontactaddress3 ) %]
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<label for="altcontactaddress3" class="required">
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[% ELSE %]
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<label for="altcontactaddress3">
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[% END %]
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City:</label>
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<input type="text" name="altcontactaddress3" id="altcontactaddress3" value="[% altcontactaddress3 %]" size="20" />
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[% IF ( mandatoryaltcontactaddress3 ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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[% UNLESS noaltcontactstate %]
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<li>
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[% IF ( mandatoryaltcontactstate ) %]
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<label for="altcontactstate" class="required">
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[% ELSE %]
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<label for="altcontactstate">
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[% END %]
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State:</label>
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<input type="text" name="altcontactstate" id="altcontactstate" value="[% altcontactstate %]" size="20" />
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[% IF ( mandatoryaltcontactstate ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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[% UNLESS noaltcontactcountry %]
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<li>
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[% IF ( mandatoryaltcontactcountry ) %]
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<label for="altcontactcountry" class="required">
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[% ELSE %]
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<label for="altcontactcountry">
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[% END %]
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Country:</label>
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<input type="text" name="altcontactcountry" id="altcontactcountry" value="[% altcontactcountry %]" size="20" />
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[% IF ( mandatoryaltcontactcountry ) %]<span class="required">Required</span>[% END %]
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</li>
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[% END %]
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[% UNLESS noaltcontactphone %]
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<li>
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[% IF ( mandatoryaltcontactphone ) %]
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<label for="altcontactphone" class="required">
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[% ELSE %]
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<label for="altcontactphone">
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[% END %]
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Phone:</label>
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<input type="text" name="altcontactphone" id="altcontactphone" value="[% altcontactphone %]" />
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[% IF ( mandatoryaltcontactphone ) %]<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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