211 lines
7.7 KiB
Cheetah
211 lines
7.7 KiB
Cheetah
<!-- TMPL_INCLUDE NAME="members-top.inc" -->
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<!-- TMPL_IF NAME=addAction -->
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<h1>
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Add member
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</h1>
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<!-- TMPL_ELSE -->
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<h1>
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Update Member Details
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</h1>
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<!-- /TMPL_IF -->
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<br>
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<form action=/cgi-bin/koha/newmember.pl method=post>
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<input type=hidden name=joining value="<!-- TMPL_VAR NAME=dateenrolled -->">
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<input type=hidden name=expiry value="<!-- TMPL_VAR NAME=expiry -->">
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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="<!-- TMPL_VAR NAME=updtype -->">
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<table border=0 cellspacing=0 cellpadding=5 >
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<tr valign=top>
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<td COLSPAN=2><input type=reset value="Clear all Fields"></td>
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<td COLSPAN=3 ALIGN=RIGHT><font size=4 face='arial,helvetica'>Member# <!-- TMPL_VAR NAME=member -->, Card number* <input type=text name=cardnumber size=10 value="<!-- TMPL_VAR NAME=cardnumber -->"><br></td>
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</tr>
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<tr valign=top>
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<td COLSPAN=3 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif"><B>MEMBER PERSONAL DETAILS</b></td>
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<td COLSPAN=2 ALIGN=RIGHT background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif">*
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<input type="radio" name="sex" value="F"<!-- TMPL_IF NAME=female --> checked<!-- /TMPL_IF -->>F
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<input type="radio" name="sex" value="M"<!-- TMPL_UNLESS NAME=female --> checked<!-- /TMPL_UNLESS -->> M
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<B>Date of Birth</B> (<!-- TMPL_VAR NAME=dateformat -->)
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<input type=text name=dateofbirth size=10 value="<!-- TMPL_VAR NAME=dateofbirth -->">
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</td>
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</tr>
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<tr valign=top bgcolor=white>
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<td><FONT SIZE=2>Salutation</FONT></td>
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<td><FONT SIZE=2>Initials</FONT></td>
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<td><FONT SIZE=2><b> Given Names*</b></FONT></td>
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<td><FONT SIZE=2><b> Surname*</b></FONT></td>
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<td><FONT SIZE=2> Prefered Name</FONT></td>
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</tr>
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<tr valign=top bgcolor=white>
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<td><!-- TMPL_VAR name="Mr" -->
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<SELECT NAME="title">
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<option <!-- TMPL_VAR name="title_selected_ " --> value=" ">No Title</option>
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<option value="Miss" <!-- TMPL_VAR name="title_Miss" -->>Miss</option>
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<option value="Mrs" <!-- TMPL_VAR name="title_Mrs" -->>Mrs</option>
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<option value="Ms" <!-- TMPL_VAR name="title_Ms" -->>Ms</option>
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<option <!-- TMPL_VAR name="title_Mr" --> value="Mr" >Mr</option>
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<option value="Dr" <!-- TMPL_VAR name="title_Dr" -->>Dr</option>
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<option value="Sir" <!-- TMPL_VAR name="title_Sir" -->>Sir</option>
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</SELECT>
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</td>
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<td><input type=text name=initials size=5 value="<!-- TMPL_VAR NAME=initials -->"></td>
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<td><input type=text name=firstname size=20 value="<!-- TMPL_VAR NAME=firstname -->"></td>
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<td><input type=text name=surname size=20 value="<!-- TMPL_VAR NAME=surname -->"></td>
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<td><input type=text name=othernames size=20 value="<!-- TMPL_VAR NAME=othernames -->"></td>
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</tr>
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<tr valign=top bgcolor=white>
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<!-- TMPL_IF NAME=ethcatpopup --><!-- TMPL_VAR NAME=ethcatpopup -->
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<td colspan=2><FONT SIZE=2>Ethnicity</FONT></td>
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<td colspan=2><FONT SIZE=2>Ethnicity Notes</FONT></td>
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<!-- TMPL_ELSE -->
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<td colspan=2> </td><td colspan=2> </td>
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<!-- /TMPL_IF -->
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<td><FONT SIZE=2><b>Membership Category*</b></FONT></td>
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</tr>
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<tr valign=top bgcolor=white>
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<td colspan=2>
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<!-- TMPL_IF name="ethcatpopup" -->
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<select name="ethnicity" size=1>
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<!-- TMPL_LOOP NAME=ethnicityloop -->
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<option value=<!-- TMPL_VAR NAME=value --><!-- TMPL_VAR NAME=selected -->><!-- TMPL_VAR NAME=label -->
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<!-- /TMPL_LOOP -->
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</select>
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<!-- /TMPL_IF -->
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</td>
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<!-- TMPL_IF NAME=ethcatpopup --><!-- TMPL_VAR NAME=ethcatpopup -->
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<td colspan=2><input type=text name=ethnicnotes size=40 ></td>
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<!-- TMPL_ELSE -->
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<td colspan=2> </td>
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<!-- /TMPL_IF -->
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<td><!-- TMPL_VAR NAME=catcodepopup --></td>
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</tr>
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<tr valign=top bgcolor="99cc33" >
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<td COLSPAN=5 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif"><B>MEMBER ADDRESS</b></td>
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</tr>
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<tr valign=top bgcolor=white>
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<td COLSPAN=3><FONT SIZE=2><b>Postal Address*</b></FONT></td>
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<td><FONT SIZE=2><b>Zipcode / Town*</b></FONT></td>
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<td><FONT SIZE=2>Joining Branch</FONT></td>
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</tr>
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<tr valign=top bgcolor=white>
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<td COLSPAN=3><input type=text name=address size=40 value="<!-- TMPL_VAR NAME=address -->"></td>
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<td>
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<input type=text name="zipcode" size=20 value="<!-- TMPL_VAR NAME="zipcode" -->"><br />
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<input type=text name=city size=20 value="<!-- TMPL_VAR NAME=city -->">
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</td>
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<td>
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<!-- TMPL_VAR name="CGIbranch" -->
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</td>
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</tr>
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<tr valign=top bgcolor=white>
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<td COLSPAN=3><FONT SIZE=2>Street Address if different</FONT></td>
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<td><FONT SIZE=2>Zipcode / Town</FONT></td>
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</tr>
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<tr valign=top bgcolor=white>
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<td COLSPAN=3><input type=text name=streetaddress size=40 value="<!-- TMPL_VAR NAME=streetaddress -->"></td>
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<td>
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<input type=text name="homezipcode" size=20 value="<!-- TMPL_VAR NAME="homezipcode" -->"></br/>
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<input type=text name=streetcity size=20 value="<!-- TMPL_VAR NAME=streetcity -->"></td>
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</tr>
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<tr valign=top bgcolor=white>
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<td COLSPAN=2 ><FONT SIZE=2>Phone home</td>
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<td><FONT SIZE=2>Fax</td>
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<td><FONT SIZE=2>Email</td>
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<td><FONT SIZE=2>Text Messaging</td>
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</tr>
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<tr valign=top bgcolor=white>
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<td COLSPAN=2><input type=text name=phone size=20 value="<!-- TMPL_VAR NAME=phone -->"></td>
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<td><input type=text name=faxnumber size=20 value="<!-- TMPL_VAR NAME=faxnumber -->"></td>
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<td><input type=text name=emailaddress size=20 value="<!-- TMPL_VAR NAME=emailaddress -->"></td>
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<td><input type=text name=textmessaging size=20 value="<!-- TMPL_VAR NAME=textmessaging -->"></td>
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</tr>
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<tr valign=top bgcolor=white>
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<td COLSPAN=2 ><FONT SIZE=2>Phone daytime</td>
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<td></td>
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<td></td>
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<td></td>
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</tr>
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<tr valign=top bgcolor=white>
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<td COLSPAN=2><input type=text name=phoneday size=20 value="<!-- TMPL_VAR NAME=phoneday -->"></td>
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<td></td>
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<td></td>
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<td></td>
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</tr>
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<tr valign=top bgcolor="99cc33">
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<td COLSPAN=5 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif"><B>ALTERNATE CONTACT DETAILS</b></td>
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</tr>
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<tr valign=top bgcolor=white>
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<td COLSPAN=3 ><FONT SIZE=2><b> Surname*</b></td>
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<td><FONT SIZE=2>Phone</td>
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<td><FONT SIZE=2><b>Relationship*</b></td>
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</tr>
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<tr valign=top bgcolor=white>
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<td COLSPAN=3 ><input type=text name=contactname size=40 value="<!-- TMPL_VAR NAME=contactname -->"></td>
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<td><input type=text name=altphone size=20 value="<!-- TMPL_VAR NAME=altphone -->"></td>
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<td>
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<select name=altrelationship size=1>
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<!-- TMPL_LOOP NAME=relshiploop -->
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<OPTION <!-- TMPL_VAR NAME=selected -->><!-- TMPL_VAR NAME=relationship -->
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<!-- /TMPL_LOOP -->
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</select>
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</td>
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</tr>
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<tr valign=top bgcolor=white>
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<td><FONT SIZE=2> Notes</font></td>
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<td COLSPAN=4><textarea name=altnotes wrap=physical cols=70 rows=3><!-- TMPL_VAR NAME=altnotes --></textarea></td>
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</tr>
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<tr valign=top bgcolor="99cc33">
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<td COLSPAN=5 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif"><B>LIBRARY USE</B></td>
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</tr>
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<tr valign=top >
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<td><FONT SIZE=2> Notes</font></td>
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<td COLSPAN=4><textarea name=borrowernotes wrap=physical cols=70 rows=3><!-- TMPL_VAR NAME=borrowernotes --></textarea></td>
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</tr>
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<!-- TMPL_IF NAME=modify -->
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<tr><td COLSPAN=5><Font size=2>FLAGS</font></td></tr>
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<!-- TMPL_LOOP NAME=flagloop -->
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<tr>
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<td COLSPAN=2><!-- TMPL_VAR NAME=html --></td>
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<td COLSPAN=3><input type=radio name="<!-- TMPL_VAR NAME=name -->" value="1" <!-- TMPL_VAR NAME=yes -->>Yes
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<input type=radio name="<!-- TMPL_VAR NAME=name -->" value="0" <!-- TMPL_VAR NAME=no -->>No
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</td>
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</tr>
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<!-- /TMPL_LOOP -->
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<!-- /TMPL_IF -->
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<tr>
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<td></td>
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<td>
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<input type=hidden name=type value=<!-- TMPL_VAR NAME="type" -->>
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<input type="submit" value="save" class="button">
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</td>
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</tr>
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</table>
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</form>
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<!-- TMPL_INCLUDE NAME="members-bottom.inc" -->
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