koha-tmpl/intranet-tmpl/default/en/newmember.tmpl

   1 <!-- TMPL_INCLUDE Name="members-top.inc" -->
   2
   3 <!-- TMPL_IF Name="OK" -->
   4         <H1> Confirm Record </H1>
   5         <table border=0 cellspacing=0 cellpadding=5>
   6                 <tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" >
   7                         <td colspan=2 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif">
   8                                 <B> NEW MEMBER </B>
   9                         </td>
  10                 </tr>
  11                 <tr valign=top bgcolor="white" >
  12                         <td>
  13                                 <B>Name</B>
  14                         </td>
  15                         <td>
  16                                 <!-- TMPL_VAR Name="name" -->
  17                         </td>
  18                 </tr>
  19                 <tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" >
  20                         <td colspan=2 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif">
  21                                 <B> MEMBERSHIP DETAILS </B>
  22                         </td>
  23                 </tr>
  24                 <tr valign=top bgcolor="white" >
  25                         <td>
  26                                 <B>Membership Number</B>
  27                         </td>
  28                         <td>
  29                                 <!-- TMPL_VAR Name="bornum" -->
  30                         </td>
  31                 </tr>
  32                 <tr valign=top bgcolor="white" >
  33                         <td>
  34                                 <B>Card Number</B>
  35                         </td>
  36                         <td>
  37                                 <!-- TMPL_VAR Name="cardnum" -->
  38                         </td>
  39                 </tr>
  40                 <tr valign=top bgcolor="white" >
  41                         <td>
  42                                 <B>Membership Category</B>
  43                         </td>
  44                         <td>
  45                                 <!-- TMPL_VAR Name="memcat" -->
  46                         </td>
  47                 </tr>
  48                 <tr valign=top bgcolor="white" >
  49                         <td>
  50                                 <B>Fee</B>
  51                         </td>
  52                         <td>
  53                                 <!-- TMPL_VAR Name="fee" -->
  54                         </td>
  55                 </tr>
  56                 <tr valign=top bgcolor="white" >
  57                         <td>
  58                                 <B>Joining Date</B>
  59                         </td>
  60                         <td>
  61                                 <!-- TMPL_VAR Name="joindate" -->
  62                         </td>
  63                 </tr>
  64                 <tr valign=top bgcolor="white" >
  65                         <td>
  66                                 <B>Expiry Date</B>
  67                         </td>
  68                         <td>
  69                                 <!-- TMPL_VAR Name="expdate" -->
  70                         </td>
  71                 </tr>
  72                 <tr valign=top bgcolor="white" >
  73                         <td>
  74                                 <B>Joining Branch</B>
  75                         </td>
  76                         <td>
  77                                 <!-- TMPL_VAR Name="branchcode" -->
  78                         </td>
  79                 </tr>
  80                 <tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" >
  81                         <td colspan=2 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif">
  82                                 <B>PERSONAL DETAILS</B>
  83                         </td>
  84                 </tr>
  85                 <tr valign=top bgcolor="white" >
  86                         <td>
  87                                 <B>Date Of Birth</B>
  88                         </td>
  89                         <td>
  90                                 <!-- TMPL_VAR Name="dob" -->
  91                         </td>
  92                 </tr>
  93                 <tr valign=top bgcolor="white" >
  94                         <td>
  95                                 <B>Sex</B>
  96                         </td>
  97                         <td>
  98                                 <!-- TMPL_VAR Name="sex" -->
  99                         </td>
 100                 </tr>
 101                 <tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" >
 102                         <td colspan=2 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif">
 103                                 <B>MEMBER ADDRESS</B>
 104                         </td>
 105                 </tr>
 106                 <tr valign=top bgcolor="white" >
 107                         <td>
 108                                 <B>Postal Address</B>
 109                         </td>
 110                         <td>
 111                                 <!-- TMPL_VAR Name="postal" -->
 112                         </td>
 113                 </tr>
 114                 <tr valign=top bgcolor="white" >
 115                         <td>
 116                                 <B>Home Address</B>
 117                         </td>
 118                         <td>
 119                                 <!-- TMPL_VAR Name="home" -->
 120                         </td>
 121                 </tr>
 122                 <tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" >
 123                         <td colspan=2 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif">
 124                                 <B>MEMBER CONTACT DETAIL</B>
 125                         </td>
 126                 </tr>
 127                 <tr valign=top bgcolor="white" >
 128                         <td>
 129                                 <B>Phone (Home)</B>
 130                         </td>
 131                         <td>
 132                                 <!-- TMPL_VAR Name="phone" -->
 133                         </td>
 134                 </tr>
 135                 <tr valign=top bgcolor="white" >
 136                         <td>
 137                                 <B>Phone (Daytime)</B>
 138                         </td>
 139                         <td>
 140                                 <!-- TMPL_VAR Name="phoneday" -->
 141                         </td>
 142                 </tr>
 143                 <tr valign=top bgcolor="white" >
 144                         <td>
 145                                 <B>Fax</B>
 146                         </td>
 147                         <td>
 148                                 <!-- TMPL_VAR Name="faxnumber" -->
 149                         </td>
 150                 </tr>
 151                 <tr valign=top bgcolor="white" >
 152                         <td>
 153                                 <B>E-mail</B>
 154                         </td>
 155                         <td>
 156                                 <!-- TMPL_VAR Name="emailaddress" -->
 157                         </td>
 158                 </tr>
 159                 <tr valign=top bgcolor="white" >
 160                         <td>
 161                                 <B>Text messaging</B>
 162                         </td>
 163                         <td>
 164                                 <!-- TMPL_VAR NAME=textmessaging -->
 165                         </td>
 166                 </tr>
 167                 <tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" >
 168                         <td colspan=2 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif">
 169                                 <B>ALTERNATIVE CONTACT DETAIL</B>
 170                         </td>
 171                 </tr>
 172                 <tr valign=top bgcolor="white" >
 173                         <td>
 174                                 <B>Name</B>
 175                         </td>
 176                         <td>
 177                                 <!-- TMPL_VAR Name="contactname" -->
 178                         </td>
 179                 </tr>
 180                 <tr valign=top bgcolor="white" >
 181                         <td>
 182                                 <B>Phone</B>
 183                         </td>
 184                         <td>
 185                                 <!-- TMPL_VAR Name="altphone" -->
 186                         </td>
 187                 </tr>
 188                 <tr valign=top bgcolor="white" >
 189                         <td>
 190                                 <B>Relationship</B>
 191                         </td>
 192                         <td>
 193                                 <!-- TMPL_VAR Name="altrelationship" -->
 194                         </td>
 195                 </tr>
 196                 <tr valign=top bgcolor="white" >
 197                         <td>
 198                                 <B>Notes</B>
 199                         </td>
 200                         <td>
 201                                 <!-- TMPL_VAR Name="altnotes" -->
 202                         </td>
 203                 </tr>
 204                 <tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" >
 205                         <td colspan=2 background="<!-- TMPL_VAR name="themelang" -->/images/background-mem.gif">
 206                                 <B>NOTES</B>
 207                         </td>
 208                 </tr>
 209                 <tr valign=top bgcolor="white" >
 210                         <td>
 211                                 <B>General Notes</B>
 212                         </td>
 213                         <td>
 214                                 <!-- TMPL_VAR Name="bornotes" -->
 215                         </td>
 216                 </tr>
 217                 </TABLE><p>
 218                 <form action="/cgi-bin/koha/insertdata.pl" method=post>
 219                         <!-- TMPL_LOOP NAME=inputsloop -->
 220                                 <input type=hidden name="<!-- TMPL_VAR NAME="key" -->" value="<!-- TMPL_VAR NAME="value" -->">
 221                         <!-- /TMPL_LOOP -->
 222                         <input type=submit name=submit value=Submit>
 223                 </form>
 224 <!-- TMPL_ELSE -->
 225         <h1>ERROR</H1>
 226         <p>The following  fields have a forbidden value. Please push the back button and try again : </p>
 227         <!-- TMPL_IF name="cardnumber" -->
 228                 Cardnumber<br/>
 229         <!-- /TMPL_IF -->
 230         <!-- TMPL_IF name="invalid_cardnumber" -->
 231                 Invalid_cardnumber<br/>
 232         <!-- /TMPL_IF -->
 233         <!-- TMPL_IF name="gender" -->
 234                 Gender<br/>
 235         <!-- /TMPL_IF -->
 236         <!-- TMPL_IF name="firstname" -->
 237                 Given Names<br/>
 238         <!-- /TMPL_IF -->
 239         <!-- TMPL_IF name="surname" -->
 240                 Surname<br/>
 241         <!-- /TMPL_IF -->
 242         <!-- TMPL_IF name="address" -->
 243                 Postal Street Address<br/>
 244         <!-- /TMPL_IF -->
 245         <!-- TMPL_IF name="city" -->
 246                 Postal city<br/>
 247         <!-- /TMPL_IF -->
 248 <!-- /TMPL_IF -->
 249
 250
 251 <!-- TMPL_INCLUDE Name="members-bottom.inc" -->