Koha/koha-tmpl/intranet-tmpl/default/en/newmember.tmpl
2003-04-08 11:43:44 +00:00

245 lines
4.8 KiB
Cheetah

<TMPL_INCLUDE Name="members-top.inc">
<H1> Confirm Record </H1>
<TMPL_IF Name="OK">
<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="membercat">
</td>
</tr>
<tr valign=top bgcolor="white" >
<td>
<B>Area </B>
</td>
<td>
<TMPL_VAR Name="area">
</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>Ethnicity</B>
</td>
<td>
<TMPL_VAR Name="ethnic">
</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>
<TMPL_VAR Name="string">
</TMPL_IF>
<TMPL_INCLUDE Name="members-bottom.inc">