207 lines
7.7 KiB
Cheetah
207 lines
7.7 KiB
Cheetah
<HTML>
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<TMPL_VAR NAME=sartmenumember>
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<FONT SIZE=6><em><TMPL_VAR NAME=header></em></FONT><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="Wyczy¶æ wszystkie pola"></td>
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<td COLSPAN=3 ALIGN=RIGHT><font size=4 face='arial,helvetica'>Czytelnik# <TMPL_VAR NAME=member>, Numer Karty* <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="/images/background-mem.gif"><B>DANE PERSONALNE CZYTELNIKA</b></td>
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<td COLSPAN=2 ALIGN=RIGHT background="/images/background-mem.gif">*
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<input type="radio" name="sex" value="F"<TMPL_IF NAME=female> zaznaczono</TMPL_IF>>F
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<input type="radio" name="sex" value="M"<TMPL_UNLESS NAME=female> zaznaczono</TMPL_UNLESS>>
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<B>Data ur.</B> (dd/mm/rr)
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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>
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<SELECT NAME="title" SIZE="1">
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<OPTION value=" ">Bez tytu³u
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<TMPL_LOOP NAME=titleloop>
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<OPTION value="<TMPL_VAR NAME=title>"<TMPL_VAR NAME=selected>><TMPL_VAR NAME=title>
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</TMPL_LOOP>
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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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<td><FONT SIZE=2>Tytu³</FONT></td>
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<td><FONT SIZE=2>Inicja³y</FONT></td>
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<td><FONT SIZE=2>Imiona*</FONT></td>
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<td><FONT SIZE=2>Nazwisko*</FONT></td>
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<td><FONT SIZE=2>Preferowane imiê</FONT></td>
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</tr>
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<tr><td> </TD></TR>
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<tr valign=top bgcolor=white>
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<td colspan=2>
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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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</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=white>
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<TMPL_IF NAME=ethcatpopup><TMPL_VAR NAME=ethcatpopup>
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<td colspan=2><FONT SIZE=2>Etniczno¶æ</FONT></td>
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<td colspan=2><FONT SIZE=2>Uwagi dot. etniczno¶ci</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>Kategoria cz³onkowstwa*</FONT></td>
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</tr>
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<tr><td> </TD></TR>
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<tr valign=top bgcolor="99cc33" >
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<td COLSPAN=5 background="/images/background-mem.gif"><B>Adres czetylnika</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=address size=40 value="<TMPL_VAR NAME=streetaddress>"></td>
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<td><input type=text name=city size=20 value="<TMPL_VAR NAME=city>"></td>
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<td>
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<SELECT NAME="area" SIZE="1">
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<TMPL_LOOP NAME=arealoop>
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<OPTION value="<TMPL_VAR NAME=shortcut>"<TMPL_VAR NAME=selected>><TMPL_VAR NAME=shortcut> - <TMPL_VAR NAME=area>
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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 COLSPAN=3><FONT SIZE=2>Adres pocztowy*</FONT></td>
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<td><FONT SIZE=2>Miasto*</FONT></td>
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<td><FONT SIZE=2>Kod</FONT></td>
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</tr>
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<tr><td> </TD></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><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=3><FONT SIZE=2>Ulica, je¶li inna</FONT></td>
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<td><FONT SIZE=2>Miasto</FONT></td>
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</tr>
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<tr><td> </TD></TR>
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<tr valign=top bgcolor="99cc33">
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<td COLSPAN=5 background="/images/background-mem.gif"><B>DANE KONTAKTOWE CZYTELNIKA</b></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=phoneday size=20 value="<TMPL_VAR NAME=phoneday>"></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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</tr>
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<tr valign=top bgcolor=white>
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<td COLSPAN=2 ><FONT SIZE=2>Tel. (dom)</td>
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<td><FONT SIZE=2>Tel. (praca)</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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</tr>
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<tr><td> </TD></TR>
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<tr valign=top bgcolor="99cc33">
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<td COLSPAN=5 background="/images/background-mem.gif"><B>Alternatywne dane kontaktowe</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 COLSPAN=3 ><FONT SIZE=2>Nazwisko*</td>
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<td><FONT SIZE=2>Tel.</td>
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<td><FONT SIZE=2>Pokrewieñstwo*</td>
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</tr>
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<tr><td> </TD></TR>
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<tr valign=top bgcolor=white>
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<td><FONT SIZE=2>Uwagi</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><td> </TD></TR>
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<tr valign=top bgcolor="99cc33">
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<td COLSPAN=5 background="/images/background-mem.gif"><B>NA U¯YTEK BIBLIOTEKI</B></td>
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</tr>
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<tr valign=top >
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<td><FONT SIZE=2>Uwagi</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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<tr><td> </TD></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>>Tak
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<input type=radio name="<TMPL_VAR NAME=name>" value="0" <TMPL_VAR NAME=no>>Nie
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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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<TMPL_UNLESS NAME=modify><!-- Don't know what's this unless for -->
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<td></td><td><input type=image src="/images/save-changes.gif" WIDTH=188 HEIGHT=44 ALT="Add New Member" border=0 ></td>
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<TMPL_ELSE>
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<td></td><td><input type=image src="/images/save-changes.gif" WIDTH=188 HEIGHT=44 ALT="Add New Member" border=0 ></td>
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</TMPL_UNLESS>
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</tr>
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</table>
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</form>
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<TMPL_VAR NAME=endmenumember>
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</body>
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</HTML>
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