1 <fieldset class="rows" id="memberentry_address">
2 <legend id="alt_address_lgd">Alternate address</legend><ol>
3 [% UNLESS noB_address %]
5 [% IF ( mandatoryB_address ) %]
6 <label for="B_address" class="required">
8 <label for="B_address">
11 <input type="text" id="B_address" name="B_address" size="40" value="[% B_address %]" />
12 [% IF ( mandatoryB_address ) %]<span class="required">Required</span>[% END %]
18 [% IF ( mandatoryB_streettype ) %]
19 <label for="B_streettype" class="required">
21 <label for="B_streettype">
24 <select name="B_streettype">
25 <option value=""></option>
26 [% FOR roadtype IN roadtypes %]
27 [% IF roadtype.authorised_value == B_streettype %]
28 <option value="[% roadtype.authorised_value %]" selected="selected">[% roadtype.lib %]</option>
30 <option value="[% roadtype.authorised_value %]">[% roadtype.lib %]</option>
34 [% IF ( mandatoryB_streettype ) %]<span class="required">Required</span>[% END %]
38 [% UNLESS noB_streetnumber %]
40 [% IF ( mandatoryB_streetnumber ) %]
41 <label for="B_streetnumber" class="required">
43 <label for="B_streetnumber">
45 Street Number: </label>
46 <input type="text" id="B_address" name="B_streetnumber" size="5" value="[% B_streetnumber %]" />
47 [% IF ( mandatoryB_streetnumber ) %]<span class="required">Required</span>[% END %]
51 [% UNLESS noB_address2 %]
53 [% IF ( mandatoryB_address2 ) %]
54 <label for="B_address2" class="required">
56 <label for="B_address2">
59 <input type="text" id="B_address2" name="B_address2" size="40" value="[% B_address2 %]" />
60 [% IF ( mandatoryB_address2 ) %]<span class="required">Required</span>[% END %]
63 [% UNLESS noB_zipcode %]
65 [% IF ( mandatoryB_zipcode ) %]
66 <label for="B_zipcode" class="required">
68 <label for="B_zipcode">
70 ZIP/Postal code: </label>
71 <input type="text" id="B_zipcode" name="B_zipcode" maxlength="10" size="10" value="[% B_zipcode %]" />
72 [% IF ( mandatoryB_zipcode ) %]<span class="required">Required</span>[% END %]
77 [% IF ( mandatoryB_city ) %]
78 <label for="B_city" class="required" >
83 <input type="text" id="B_city" name="B_city" size="20" value="[% B_city %]" />
84 [% IF ( mandatoryB_city ) %]<span class="required">Required</span>[% END %]
87 [% UNLESS noB_state %]
89 [% IF ( mandatoryB_state ) %]
90 <label for="B_state" class="required" >
95 <input type="text" id="B_state" name="B_state" size="20" value="[% B_state %]" />
96 [% IF ( mandatoryB_state ) %]<span class="required">Required</span>[% END %]
99 [% UNLESS noB_country %]
101 [% IF ( mandatoryB_country ) %]
102 <label for="B_country" class="required">
104 <label for="B_country">
107 <input type="text" id="B_country" name="B_country" size="20" value="[% B_country %]" />
108 [% IF ( mandatoryB_country ) %]<span class="required">Required</span>[% END %]
111 [% UNLESS noB_phone %]
113 [% IF ( mandatoryB_phone ) %]
114 <label for="B_phone" class="required">
116 <label for="B_phone">
119 <input type="text" id="B_phone" name="B_phone" value="[% B_phone %]" />
120 [% IF ( mandatoryB_phone ) %]<span class="required">Required</span>[% END %]
123 [% UNLESS noB_email %]
125 [% IF ( mandatoryB_email ) %]
126 <label for="B_email" class="required">
128 <label for="B_email">
131 <input type="text" id="B_email" name="B_email" size="45" value="[% B_email %]" />
132 [% IF ( mandatoryB_email ) %]<span class="required">Required</span>[% END %] </li>
134 [% UNLESS nocontactnote %]
136 [% IF ( mandatorycontactnote ) %]
137 <label for="contactnote" class="required">
139 <label for="contactnote">
141 Contact note: </label>
142 <textarea id="contactnote" name="contactnote" cols="40" rows="2">[% contactnote %]</textarea>
143 [% IF ( mandatorycontactnote ) %]<span class="required">Required</span>[% END %]