Koha/koha-tmpl/intranet-tmpl/default/en/newmember.tmpl

<!-- TMPL_INCLUDE Name="members-top.inc" -->

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


<!-- TMPL_INCLUDE Name="members-bottom.inc" -->