1 <!-- TMPL_INCLUDE name="opac-top.inc" -->
4 <h2>Member information change</h2>
5 <p><i>Please change what's needed. An email will be sent to the library.<br />
6 Your changes won't appear until the library has validated them.</i></p>
8 <!-- TMPL_LOOP name="BORROWER_INFO" -->
9 <form action="/cgi-bin/koha/opac-userupdate.pl" method="get">
10 <p><label>Surname</label><input type="text" size="35" value="<!-- TMPL_VAR name='surname' -->" name="surname" /></p>
11 <p><label>First name</label><input type="text" size="35" value="<!-- TMPL_VAR name='firstname' -->" name="firstname" /></p>
12 <p><label>Home address</label><input type="text" size="35" value="<!-- TMPL_VAR name='physstreet' -->" name="physstreet" /></p>
13 <p><label>Work address</label><input type="text" size="35" value="<!-- TMPL_VAR name='streetaddress' -->" name="streetaddress" /></p>
14 <p><label>City</label><input type="text" size="35" value="<!-- TMPL_VAR name='city' -->" name="city" /></p>
15 <p><label>Home phone</label><input type="text" size="35" value="<!-- TMPL_VAR name='phone' -->" name="phone" /></p>
16 <p><label>Work/Fax phone</label><input type="text" size="35" value="<!-- TMPL_VAR name='faxnumber' -->" name="faxnumber" /></p>
17 <p><label>Email</label><input type="text" size="35" value="<!-- TMPL_VAR name='emailaddress' -->" name="emailaddress" /></p>
18 <p><label>Notes</label><input type="text" size="35" value="<!-- TMPL_VAR name='title' -->" name="title" /></p>
19 <p><input type="submit" value="Submit" class="button" /></p>
23 <!-- TMPL_INCLUDE name="opac-bottom.inc" -->