51 lines
No EOL
3.4 KiB
Cheetah
51 lines
No EOL
3.4 KiB
Cheetah
<!-- TMPL_INCLUDE NAME="doc-head-open.inc" -->Koha -- Patrons: <!-- TMPL_IF NAME="surname" -->Edit Record for <!-- TMPL_VAR NAME="surname" --> (<!-- TMPL_VAR NAME="cardnumber" -->)<!-- TMPL_ELSE -->Add New Institution<!-- /TMPL_IF --><!-- TMPL_INCLUDE NAME="doc-head-close.inc" -->
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<!-- TMPL_INCLUDE NAME="masthead.inc" -->
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<!-- TMPL_INCLUDE NAME="members-topmenu.inc" -->
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<!-- TMPL_INCLUDE NAME="intranet-nav.inc" -->
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<div id="main">
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<form action="/cgi-bin/koha/newimember.pl" method="post">
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<!-- TMPL_IF name="surname" -->
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<h1>Edit Institution</h1>
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<!-- TMPL_ELSE -->
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<h1>Add New Institution</h1>
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<!-- /TMPL_IF -->
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<input type="hidden" name="joining" value="" />
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<input type="hidden" name="expiry" value="" />
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<input type="hidden" name="type" value="borrowers" />
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<input type="hidden" name="borrowernumber" value="<!-- TMPL_VAR NAME="member" -->" />
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<input type="hidden" name="updtype" value="I" />
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<div class="table"><table>
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<tr><td><label for="institution_name">Institution Name: </label></td><td><input type="text" id="institution_name" name="institution_name" size="50" value="<!-- TMPL_VAR name="surname" -->" /></td></tr>
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<tr><td><label for="address">Postal Address: </label></td><td><input type="text" id="address" name="address" size="40" value="<!-- TMPL_VAR name="streetaddress" -->" /></td></tr>
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<tr><td><label for="city">City, State:</label></td><td><input type="text" id="city" name="city" size="20" value="<!-- TMPL_VAR name="city" -->" /></td></tr>
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<tr><td><label for="zipcode">Zipcode: </label></td><td><input type="text" id="zipcode" name="zipcode" size="20" value="<!-- TMPL_VAR name="zipcode" -->" /></td></tr>
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<tr><td><label for="borrowernotes">Notes:</label> </td><td><textarea id="borrowernotes" name="borrowernotes" cols="30" rows="3"><!-- TMPL_VAR name="borrowernotes" --></textarea></td></tr>
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</table></div>
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<div class="table"><table>
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<caption>Contact Details</caption>
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<tr><td><label for="contactname">Contact Name:</label> </td><td><input type="text" id="contactname" name="contactname" size="40" value="<!-- TMPL_VAR name="contactname" -->" /></td></tr>
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<tr><td><label for="phoneday">Phone:</label> </td><td><input type="text" id="phoneday" name="phoneday" size="20" value="<!-- TMPL_VAR name="phoneday" -->" /></td></tr>
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<tr><td><label for="faxnumber">Fax:</label> </td><td><input type="text" id="faxnumber" name="faxnumber" size="20" value="<!-- TMPL_VAR name="faxnumber" -->" /></td></tr>
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<tr><td><label for="emailaddress">Email:</label> </td><td><input type="text" id="emailaddress" name="emailaddress" size="40" value="<!-- TMPL_VAR name="emailaddress" -->" /></td></tr>
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<tr><td><label for="altnotes">Notes:</label> </td><td><textarea id="altnotes" name="altnotes" cols="30" rows="3"><!-- TMPL_VAR name="altnotes" --></textarea></td></tr>
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</table></div>
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<div class="table"><table>
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<caption>Institution Details</caption>
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<tr><td><label>Member Number:</label> </td><td><!-- TMPL_VAR NAME="member" --></td></tr>
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<tr><td><label for="branchcode">Branch:</label> </td><td><!-- TMPL_VAR name="CGIbranch" --></td></tr>
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<tr><td><label for="cardnumber_institution">Card Number: </label></td><td><input type="text" id="cardnumber_institution" name="cardnumber_institution" size="7" maxlength="7" value="<!-- TMPL_VAR NAME="cardnumber_institution" -->" /></td></tr>
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</table></div>
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<p><input type="submit" class="submit" value="Add this Member" /></p>
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</form>
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<!-- TMPL_VAR NAME="endmenumember" -->
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</div>
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<!-- TMPL_INCLUDE NAME="intranet-bottom.inc" --> |