Koha/koha-tmpl/opac-tmpl/prog/en/opac-userupdate.tmpl

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<!-- 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 -->
<!-- TMPL_INCLUDE name="doc-head-close.inc" -->
<!-- TMPL_INCLUDE name="masthead.inc" -->
<!-- TMPL_INCLUDE name="navigation.inc" -->
<!--CONTENT-->
<ul><li> <a href="/cgi-bin/koha/opac-account.pl">my fines</a> </li> <li>
<a href="/cgi-bin/koha/opac-userdetails.pl">my personal details</a> <!-- TMPL_IF name="OpacPasswordChange" --> </li> <li> <a href="/cgi-bin/koha/opac-passwd.pl">change my password</a> <!-- /TMPL_IF --><!-- TMPL_IF NAME="opacreadinghistory" --></li> <li> <a href="/cgi-bin/koha/opac-readingrecord.pl">my reading history</a><!-- /TMPL_IF --> <!-- TMPL_IF name="virtualshelves" --> </li> <li> <a href="/cgi-bin/koha/opac-shelves.pl" class="button">my book lists</a> <!-- /TMPL_IF --><!-- TMPL_IF name="suggestion" --></li> <li> <a href="/cgi-bin/koha/opac-suggestions.pl">purchase suggestions</a><!-- /TMPL_IF --></li></ul>
<div id="main">
<!-- TMPL_LOOP name="BORROWER_INFO" -->
<h3>Updating Details for <!-- TMPL_VAR name="firstname" --> <!-- TMPL_VAR name="surname" --></h3>
<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>
<form action="/cgi-bin/koha/opac-userupdate.pl" method="get">
<input type="hidden" name="title" value="">
<table>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
</table>
<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>
<p><input type="submit" value="Submit Changes"></p>
</form>
<!-- /TMPL_LOOP -->
</div>
</body>
</html>