koha-tmpl/opac-tmpl/prog/en/modules/opac-memberentry.tt

   1 [% USE KohaDates %]
   2 [% SET userupdateview = 1 %]
   3
   4     [% INCLUDE 'doc-head-open.inc' %]
   5         [% IF ( LibraryNameTitle ) %][% LibraryNameTitle %][% ELSE %]Koha online[% END %] catalog &rsaquo; [% IF action == 'edit' %]Update your personal details[% ELSE %]Register a new account[% END %]
   6     [% INCLUDE 'doc-head-close.inc' %]
   7
   8     <script type="text/javascript">
   9         //<![CDATA[
  10         $(document).ready(function() {
  11             [% IF action == 'edit' && !OPACPatronDetails %]
  12                 $("#memberentry-form :input").attr('readonly', true);
  13                 $("#borrower_branchcode").attr('disabled',true);
  14                 $("#borrower_title").attr('disabled',true);
  15                 $('#memberentry-form :radio').attr('disabled',true);
  16                 $('span.required').remove();
  17                 $('label.required').removeClass('required');
  18             [% ELSE %]
  19                 $( "#borrower_dateofbirth" ).datepicker({ yearRange: "c-120:c" });
  20             [% END %]
  21         });
  22     //]]>
  23     </script>
  24 </head>
  25 [% IF action == 'edit' %]
  26 <body id="opac-patron-update">
  27 [% ELSE %]
  28 <body id="opac-patron-registration">
  29 [% END %]
  30     <div id="doc3" class="yui-t1">
  31         <div id="bd">
  32             [% INCLUDE 'masthead.inc' %]
  33
  34             <div id="yui-main">
  35                 <div class="yui-b">
  36                     <div class="yui-g">
  37                         [% IF action == 'edit' %]
  38                         <div id="update-account" class="container">
  39                         [% ELSE %]
  40                         <div id="add-account" class="container">
  41                         [% END %]
  42                         [% IF action == 'edit' %]
  43                             <h3><a href="/cgi-bin/koha/opac-user.pl">[% borrower.firstname %] [% borrower.surname %]'s account</a> &#8674; Personal details</h3>
  44                         [% ELSE %]
  45                             <h3>Register a new account</h3>
  46                         [% END %]
  47
  48                             [% IF action == 'edit' %]
  49                             [% UNLESS OPACPatronDetails %]
  50                                 <div class="dialog message">To make changes to your record please contact the library.</div>
  51                             [% END %]
  52                             [% END %]
  53
  54                             [% IF empty_mandatory_fields %]
  55                                 <div class="dialog alert">You have not filled out all required fields. Please fill in all missing fields and resubmit.</div>
  56                             [% END %]
  57
  58                             [% IF failed_captcha %]
  59                                 <div class="dialog alert">You typed in the wrong characters in the box before submitting. Please try again.</div>
  60                             [% END %]
  61
  62                             <form method="post" action="/cgi-bin/koha/opac-memberentry.pl" id="memberentry-form">
  63
  64                                 [% UNLESS
  65                                     hidden.defined('branchcode')
  66                                 %]
  67
  68                                 <fieldset class="rows" id="memberentry_library">
  69
  70                                     <legend id="library_legend">Library</legend>
  71                                         <ol>
  72                                             [% UNLESS hidden.defined('branchcode') %]
  73                                                 <li>
  74                                                     [% IF mandatory.defined('branchcode') %]
  75                                                         <label for="borrower_branchcode" class="required">
  76                                                     [% ELSE %]
  77                                                         <label for="borrower_branchcode">
  78                                                     [% END %]
  79                                                     Home Library:</label>
  80
  81                                                     <select id="borrower_branchcode" name="borrower_branchcode">
  82                                                         [% FOREACH b IN branches %]
  83                                                             [% IF b.value == borrower.branchcode %]
  84                                                                 <option value="[% b.value %]" selected="selected">[% b.branchname %]</option>
  85                                                             [% ELSE %]
  86                                                                 <option value="[% b.value %]">[% b.branchname %]</option>
  87                                                             [% END %]
  88                                                         [% END %]
  89                                                     </select>
  90                                                 </li>
  91                                             [% END %]
  92                                         </ol>
  93                                     </fieldset>
  94                                 [% END %]
  95
  96                                 [% UNLESS
  97                                     hidden.defined('title') && hidden.defined('surname') && hidden.defined('firstname') &&
  98                                     hidden.defined('dateofbirth') && hidden.defined('initials') && hidden.defined('othernames') &&
  99                                     hidden.defined('sex')
 100                                 %]
 101                                     <fieldset class="rows" id="memberentry_identity">
 102                                         <legend id="identity_legend">Identity</legend>
 103
 104                                         <ol>
 105                                             [% UNLESS hidden.defined('title') %]
 106                                                 <li>
 107                                                     [% IF mandatory.defined('title') %]
 108                                                         <label for="borrower_title" class="required">
 109                                                     [% ELSE %]
 110                                                         <label for="borrower_title">
 111                                                     [% END %]
 112                                                     Salutation:</label>
 113
 114                                                     <select id="borrower_title" name="borrower_title">
 115                                                         <option value="">&nbsp;</option>
 116                                                         [% FOREACH mt IN member_titles %]
 117                                                             [% IF mt == borrower.title %]
 118                                                                 <option value="[% mt %]" selected="selected">[% mt %]</option>
 119                                                             [% ELSE %]
 120                                                                 <option value="[% mt %]">[% mt %]</option>
 121                                                             [% END %]
 122                                                         [% END %]
 123                                                     </select>
 124                                                 </li>
 125                                             [% END %]
 126
 127                                             [% UNLESS hidden.defined('surname') %]
 128                                                 <li>
 129                                                     [% IF mandatory.defined('surname') %]
 130                                                         <label for="borrower_surname" class="required">
 131                                                     [% ELSE %]
 132                                                         <label for="borrower_surname">
 133                                                     [% END %]
 134                                                     Surname:</label>
 135
 136                                                     <input type="text" id="borrower_surname" name="borrower_surname" value="[% borrower.surname %]" />
 137                                                     [% IF mandatory.defined('surname') %]<span class="required">Required</span>[% END %]
 138                                                 </li>
 139                                             [% END %]
 140
 141                                             [% UNLESS hidden.defined('firstname') %]
 142                                                 <li>
 143                                                     [% IF mandatory.defined('firstname') %]
 144                                                         <label for="borrower_firstname" class="required">
 145                                                     [% ELSE %]
 146                                                         <label for="borrower_firstname">
 147                                                     [% END %]
 148                                                     First name:</label>
 149
 150                                                     <input type="text" id="borrower_firstname" name="borrower_firstname" value="[% borrower.firstname %]" />
 151                                                     [% IF mandatory.defined('firstname') %]<span class="required">Required</span>[% END %]
 152                                                 </li>
 153                                             [% END %]
 154
 155                                             [% UNLESS hidden.defined('dateofbirth') %]
 156                                                 <li>
 157                                                     [% IF mandatory.defined('dateofbirth') %]
 158                                                         <label for="borrower_dateofbirth" class="required">
 159                                                     [% ELSE %]
 160                                                         <label for="borrower_dateofbirth">
 161                                                     [% END %]
 162                                                     Date of birth:</label>
 163
 164                                                     <input type="text" id="borrower_dateofbirth" name="borrower_dateofbirth" value="[% borrower.dateofbirth | $KohaDates %]" size="10" />
 165
 166                                                     [% UNLESS action == 'edit' && !OPACPatronDetails %]
 167                                                         <a href="#" style="font-size:85%;text-decoration:none;" onclick="document.getElementById('borrower_dateofbirth').value='';return false;">Clear date</a><p></p>
 168                                                     [% END %]
 169
 170                                                     [% IF mandatory.defined('dateofbirth') %]<span class="required">Required</span>[% END %]
 171                                                 </li>
 172                                             [% END %]
 173
 174                                             [% UNLESS hidden.defined('initials') %]
 175                                                 <li>
 176                                                     [% IF mandatory.defined('initials') %]
 177                                                         <label for="borrower_initials" class="required">
 178                                                     [% ELSE %]
 179                                                         <label for="borrower_initials">
 180                                                     [% END %]
 181                                                     Initials:</label>
 182
 183                                                     <input type="text" id="borrower_initials" name="borrower_initials" value="[% borrower.initials %]" />
 184                                                     [% IF mandatory.defined('initials') %]<span class="required">Required</span>[% END %]
 185                                                 </li>
 186                                             [% END %]
 187
 188                                             [% UNLESS hidden.defined('othernames') %]
 189                                                 <li>
 190                                                     [% IF mandatory.defined('othernames') %]
 191                                                         <label for="borrower_othernames" class="required">
 192                                                     [% ELSE %]
 193                                                         <label for="borrower_othernames">
 194                                                     [% END %]
 195                                                     Other names:</label>
 196
 197                                                     <input type="text" id="borrower_othernames" name="borrower_othernames" value="[% borrower.othernames %]" />
 198                                                     [% IF mandatory.defined('othernames') %]<span class="required">Required</span>[% END %]
 199                                                 </li>
 200                                             [% END %]
 201
 202                                             [% UNLESS hidden.defined('sex') %]
 203                                                 <li class="radio">
 204                                                     <label for="sex-female">Female:</label>
 205                                                     [% IF borrower.sex == 'F' %]
 206                                                         <input type="radio" name="borrower_sex" id="sex-female" value="F" checked="checked" />
 207                                                     [% ELSE %]
 208                                                         <input type="radio" name="borrower_sex" id="sex-female" value="F" />
 209                                                     [% END %]
 210
 211                                                     <label for="sex-male">Male:</label>
 212                                                     [% IF borrower.sex == 'M' %]
 213                                                         <input type="radio" name="borrower_sex" id="sex-male" value="M" checked="checked" />
 214                                                     [% ELSE %]
 215                                                         <input type="radio" name="borrower_sex" id="sex-male" value="M" />
 216                                                     [% END %]
 217
 218                                                     <label for="sex-none">N/A:</label>
 219                                                     [% IF borrower.sex == '' %]
 220                                                         <input type="radio" name="borrower_sex" id="sex-none" value="" checked="checked" />
 221                                                     [% ELSE %]
 222                                                         <input type="radio" name="borrower_sex" id="sex-none" value="" />
 223                                                     [% END %]
 224
 225                                                     [% IF mandatory.defined('sex') %]<span class="required">Required</span>[% END %]
 226                                                 </li>
 227                                             [% END %]
 228                                         </ol>
 229                                     </fieldset>
 230                                 [% END %]
 231
 232                                 [% UNLESS
 233                                     hidden.defined('streetnumber') && hidden.defined('address') && hidden.defined('address2') &&
 234                                     hidden.defined('city') && hidden.defined('state') && hidden.defined('zipcode') &&
 235                                     hidden.defined('country')
 236                                 %]
 237                                     <fieldset class="rows" id="memberentry_mainaddress">
 238                                         <legend id="mainaddress_legend">Main address</legend>
 239
 240                                         <ol>
 241                                             [% UNLESS hidden.defined('streetnumber') %]
 242                                                 <li>
 243                                                     [% IF mandatory.defined('streetnumber') %]
 244                                                         <label for="borrower_streetnumber" class="required">
 245                                                     [% ELSE %]
 246                                                         <label for="borrower_streetnumber">
 247                                                     [% END %]
 248                                                     Street number:</label>
 249
 250                                                     <input type="text" id="borrower_streetnumber" name="borrower_streetnumber" value="[% borrower.streetnumber %]" />
 251                                                     [% IF mandatory.defined('streetnumber') %]<span class="required">Required</span>[% END %]
 252                                                 </li>
 253                                             [% END %]
 254
 255                                             [% UNLESS hidden.defined('address') %]
 256                                                 <li>
 257                                                     [% IF mandatory.defined('address') %]
 258                                                         <label for="borrower_address" class="required">
 259                                                     [% ELSE %]
 260                                                         <label for="borrower_address">
 261                                                     [% END %]
 262                                                     Address:</label>
 263
 264                                                     <input type="text" id="borrower_address" name="borrower_address" value="[% borrower.address %]" />
 265                                                     [% IF mandatory.defined('address') %]<span class="required">Required</span>[% END %]
 266                                                 </li>
 267                                             [% END %]
 268
 269                                             [% UNLESS hidden.defined('address2') %]
 270                                                 <li>
 271                                                     [% IF mandatory.defined('address2') %]
 272                                                         <label for="borrower_address2" class="required">
 273                                                     [% ELSE %]
 274                                                         <label for="borrower_address2">
 275                                                     [% END %]
 276                                                     Address 2:</label>
 277
 278                                                     <input type="text" id="borrower_address2" name="borrower_address2" value="[% borrower.address2 %]" />
 279                                                     [% IF mandatory.defined('address2') %]<span class="required">Required</span>[% END %]
 280                                                 </li>
 281                                             [% END %]
 282
 283                                             [% UNLESS hidden.defined('city') %]
 284                                                 <li>
 285                                                     [% IF mandatory.defined('city') %]
 286                                                         <label for="borrower_city" class="required">
 287                                                     [% ELSE %]
 288                                                         <label for="borrower_city">
 289                                                     [% END %]
 290                                                     City:</label>
 291
 292                                                     <input type="text" id="borrower_city" name="borrower_city" value="[% borrower.city %]" />
 293                                                     [% IF mandatory.defined('city') %]<span class="required">Required</span>[% END %]
 294                                                 </li>
 295                                             [% END %]
 296
 297                                             [% UNLESS hidden.defined('state') %]
 298                                                 <li>
 299                                                     [% IF mandatory.defined('state') %]
 300                                                         <label for="borrower_state" class="required">
 301                                                     [% ELSE %]
 302                                                         <label for="borrower_state">
 303                                                     [% END %]
 304                                                     State:</label>
 305
 306                                                     <input type="text" id="borrower_state" name="borrower_state" value="[% borrower.state %]" />
 307                                                     [% IF mandatory.defined('state') %]<span class="required">Required</span>[% END %]
 308                                                 </li>
 309                                             [% END %]
 310
 311                                             [% UNLESS hidden.defined('zipcode') %]
 312                                                 <li>
 313                                                     [% IF mandatory.defined('zipcode') %]
 314                                                         <label for="borrower_zipcode" class="required">
 315                                                     [% ELSE %]
 316                                                         <label for="borrower_zipcode">
 317                                                     [% END %]
 318                                                     Zip/Postal code:</label>
 319
 320                                                     <input type="text" id="borrower_zipcode" name="borrower_zipcode" value="[% borrower.zipcode %]" />
 321                                                     [% IF mandatory.defined('zipcode') %]<span class="required">Required</span>[% END %]
 322                                                 </li>
 323                                             [% END %]
 324
 325                                             [% UNLESS hidden.defined('country') %]
 326                                                 <li>
 327                                                     [% IF mandatory.defined('country') %]
 328                                                         <label for="borrower_country" class="required">
 329                                                     [% ELSE %]
 330                                                         <label for="borrower_country">
 331                                                     [% END %]
 332                                                     Country:</label>
 333
 334                                                     <input type="text" id="borrower_country" name="borrower_country" value="[% borrower.country %]" />
 335                                                     [% IF mandatory.defined('country') %]<span class="required">Required</span>[% END %]
 336                                                 </li>
 337                                             [% END %]
 338
 339                                         </ol>
 340                                     </fieldset>
 341                                 [% END %]
 342
 343                                 [% UNLESS
 344                                     hidden.defined('phone') && hidden.defined('phonepro') && hidden.defined('mobile') &&
 345                                     hidden.defined('email') && hidden.defined('emailpro') && hidden.defined('fax')
 346                                 %]
 347                                     <fieldset class="rows" id="memberentry_contact">
 348                                         <legend id="contact_legend">Contact information</legend>
 349
 350                                         <ol>
 351                                             [% UNLESS hidden.defined('phone') %]
 352                                                 <li>
 353                                                     [% IF mandatory.defined('phone') %]
 354                                                         <label for="borrower_phone" class="required">
 355                                                     [% ELSE %]
 356                                                         <label for="borrower_phone">
 357                                                     [% END %]
 358                                                     Primary phone:</label>
 359
 360                                                     <input type="text" id="borrower_phone" name="borrower_phone" value="[% borrower.phone %]" />
 361                                                     [% IF mandatory.defined('phone') %]<span class="required">Required</span>[% END %]
 362                                                 </li>
 363                                             [% END %]
 364
 365                                             [% UNLESS hidden.defined('phonepro') %]
 366                                                 <li>
 367                                                     [% IF mandatory.defined('phonepro') %]
 368                                                         <label for="borrower_phonepro" class="required">
 369                                                     [% ELSE %]
 370                                                         <label for="borrower_phonepro">
 371                                                     [% END %]
 372                                                     Secondary phone:</label>
 373
 374                                                     <input type="text" id="borrower_phonepro" name="borrower_phonepro" value="[% borrower.phonepro %]" />
 375                                                     [% IF mandatory.defined('phonepro') %]<span class="required">Required</span>[% END %]
 376                                                 </li>
 377                                             [% END %]
 378
 379                                             [% UNLESS hidden.defined('mobile') %]
 380                                                 <li>
 381                                                     [% IF mandatory.defined('mobile') %]
 382                                                         <label for="borrower_mobile" class="required">
 383                                                     [% ELSE %]
 384                                                         <label for="borrower_mobile">
 385                                                     [% END %]
 386                                                     Mobile phone:</label>
 387
 388                                                     <input type="text" id="borrower_mobile" name="borrower_mobile" value="[% borrower.mobile %]" />
 389                                                     [% IF mandatory.defined('mobile') %]<span class="required">Required</span>[% END %]
 390                                                 </li>
 391                                             [% END %]
 392
 393                                             [% UNLESS hidden.defined('email') %]
 394                                                 <li>
 395                                                     [% IF mandatory.defined('email') %]
 396                                                         <label for="borrower_email" class="required">
 397                                                     [% ELSE %]
 398                                                         <label for="borrower_email">
 399                                                     [% END %]
 400                                                     Primary email:</label>
 401
 402                                                     <input type="text" id="borrower_email" name="borrower_email" value="[% borrower.email %]" />
 403                                                     [% IF mandatory.defined('email') %]<span class="required">Required</span>[% END %]
 404                                                 </li>
 405                                             [% END %]
 406
 407                                             [% UNLESS hidden.defined('emailpro') %]
 408                                                 <li>
 409                                                     [% IF mandatory.defined('emailpro') %]
 410                                                         <label for="borrower_emailpro" class="required">
 411                                                     [% ELSE %]
 412                                                         <label for="borrower_emailpro">
 413                                                     [% END %]
 414                                                     Secondary email:</label>
 415
 416                                                     <input type="text" id="borrower_emailpro" name="borrower_emailpro" value="[% borrower.emailpro %]" />
 417                                                     [% IF mandatory.defined('emailpro') %]<span class="required">Required</span>[% END %]
 418                                                 </li>
 419                                             [% END %]
 420
 421                                             [% UNLESS hidden.defined('fax') %]
 422                                                 <li>
 423                                                     [% IF mandatory.defined('fax') %]
 424                                                         <label for="borrower_fax" class="required">
 425                                                     [% ELSE %]
 426                                                         <label for="borrower_fax">
 427                                                     [% END %]
 428                                                     Fax:</label>
 429
 430                                                     <input type="text" id="borrower_fax" name="borrower_fax" value="[% borrower.fax %]" />
 431                                                     [% IF mandatory.defined('fax') %]<span class="required">Required</span>[% END %]
 432                                                 </li>
 433                                             [% END %]
 434                                         </ol>
 435                                     </fieldset>
 436                                 [% END %]
 437
 438                                 [% UNLESS
 439                                     hidden.defined('B_address') && hidden.defined('B_address2') && hidden.defined('B_city') &&
 440                                     hidden.defined('B_state') && hidden.defined('B_zipcode') && hidden.defined('B_county') &&
 441                                     hidden.defined('B_phone') && hidden.defined('B_email') && hidden.defined('contactnote')
 442                                 %]
 443                                     <fieldset class="rows" id="memberentry_alternateaddress">
 444                                         <legend id="alternateaddress_legend">Alternate address</legend>
 445
 446                                         <ol>
 447                                             [% UNLESS hidden.defined('B_address') %]
 448                                                 <li>
 449                                                     [% IF mandatory.defined('B_address') %]
 450                                                         <label for="borrower_B_address" class="required">
 451                                                     [% ELSE %]
 452                                                         <label for="borrower_B_address">
 453                                                     [% END %]
 454                                                     Address:</label>
 455
 456                                                     <input type="text" id="borrower_B_address" name="borrower_B_address" value="[% borrower.B_address %]" />
 457                                                     [% IF mandatory.defined('B_address') %]<span class="required">Required</span>[% END %]
 458                                                 </li>
 459                                             [% END %]
 460
 461                                             [% UNLESS hidden.defined('B_address2') %]
 462                                                 <li>
 463                                                     [% IF mandatory.defined('B_address2') %]
 464                                                         <label for="borrower_B_address2" class="required">
 465                                                     [% ELSE %]
 466                                                         <label for="borrower_B_address2">
 467                                                     [% END %]
 468                                                     Address 2:</label>
 469
 470                                                     <input type="text" id="borrower_B_address2" name="borrower_B_address2" value="[% borrower.B_address2 %]" />
 471                                                     [% IF mandatory.defined('B_address2') %]<span class="required">Required</span>[% END %]
 472                                                 </li>
 473                                             [% END %]
 474
 475                                             [% UNLESS hidden.defined('B_city') %]
 476                                                 <li>
 477                                                     [% IF mandatory.defined('B_city') %]
 478                                                         <label for="borrower_B_city" class="required">
 479                                                     [% ELSE %]
 480                                                         <label for="borrower_B_city">
 481                                                     [% END %]
 482                                                     City:</label>
 483
 484                                                     <input type="text" id="borrower_B_city" name="borrower_B_city" value="[% borrower.B_city %]" />
 485                                                     [% IF mandatory.defined('B_city') %]<span class="required">Required</span>[% END %]
 486                                                 </li>
 487                                             [% END %]
 488
 489                                             [% UNLESS hidden.defined('B_state') %]
 490                                                 <li>
 491                                                     [% IF mandatory.defined('B_state') %]
 492                                                         <label for="borrower_B_state" class="required">
 493                                                     [% ELSE %]
 494                                                         <label for="borrower_B_state">
 495                                                     [% END %]
 496                                                     State:</label>
 497
 498                                                     <input type="text" id="borrower_B_state" name="borrower_B_state" value="[% borrower.B_state %]" />
 499                                                     [% IF mandatory.defined('B_state') %]<span class="required">Required</span>[% END %]
 500                                                 </li>
 501                                             [% END %]
 502
 503                                             [% UNLESS hidden.defined('B_zipcode') %]
 504                                                 <li>
 505                                                     [% IF mandatory.defined('B_zipcode') %]
 506                                                         <label for="borrower_B_zipcode" class="required">
 507                                                     [% ELSE %]
 508                                                         <label for="borrower_B_zipcode">
 509                                                     [% END %]
 510                                                     Zip/Postal code:</label>
 511
 512                                                     <input type="text" id="borrower_B_zipcode" name="borrower_B_zipcode" value="[% borrower.B_zipcode %]" />
 513                                                     [% IF mandatory.defined('B_zipcode') %]<span class="required">Required</span>[% END %]
 514                                                 </li>
 515                                             [% END %]
 516
 517                                             [% UNLESS hidden.defined('B_country') %]
 518                                                 <li>
 519                                                     [% IF mandatory.defined('B_country') %]
 520                                                         <label for="borrower_B_country" class="required">
 521                                                     [% ELSE %]
 522                                                         <label for="borrower_B_country">
 523                                                     [% END %]
 524                                                     Country:</label>
 525
 526                                                     <input type="text" id="borrower_B_country" name="borrower_B_country" value="[% borrower.B_country %]" />
 527                                                     [% IF mandatory.defined('B_country') %]<span class="required">Required</span>[% END %]
 528                                                 </li>
 529                                             [% END %]
 530
 531                                             [% UNLESS hidden.defined('B_phone') %]
 532                                                 <li>
 533                                                     [% IF mandatory.defined('B_phone') %]
 534                                                         <label for="borrower_B_phone" class="required">
 535                                                     [% ELSE %]
 536                                                         <label for="borrower_B_phone">
 537                                                     [% END %]
 538                                                     Phone:</label>
 539
 540                                                     <input type="text" id="borrower_B_phone" name="borrower_B_phone" value="[% borrower.B_phone %]" />
 541                                                     [% IF mandatory.defined('B_phone') %]<span class="required">Required</span>[% END %]
 542                                                 </li>
 543                                             [% END %]
 544
 545                                             [% UNLESS hidden.defined('B_email') %]
 546                                                 <li>
 547                                                     [% IF mandatory.defined('B_email') %]
 548                                                         <label for="borrower_B_email" class="required">
 549                                                     [% ELSE %]
 550                                                         <label for="borrower_B_email">
 551                                                     [% END %]
 552                                                     Email:</label>
 553
 554                                                     <input type="text" id="borrower_B_email" name="borrower_B_email" value="[% borrower.B_email %]" />
 555                                                     [% IF mandatory.defined('B_email') %]<span class="required">Required</span>[% END %]
 556                                                 </li>
 557                                             [% END %]
 558
 559                                             [% UNLESS hidden.defined('contactnote') %]
 560                                                 <li>
 561                                                     [% IF mandatory.defined('contactnote') %]
 562                                                         <label for="borrower_contactnote" class="required">
 563                                                     [% ELSE %]
 564                                                         <label for="borrower_contactnote">
 565                                                     [% END %]
 566                                                     Contact Note:</label>
 567
 568                                                     <textarea id="borrower_contactnote" name="borrower_contactnote" cols="40" rows="2">[% borrower.contactnote %]</textarea>
 569                                                     [% IF mandatory.defined('contactnote') %]<span class="required">Required</span>[% END %]
 570                                                 </li>
 571                                             [% END %]
 572
 573                                         </ol>
 574                                     </fieldset>
 575                                 [% END %]
 576
 577                                 [% UNLESS
 578                                     hidden.defined('altcontactsurname') && hidden.defined('altcontactfirstname') && hidden.defined('altcontactaddress1') &&
 579                                     hidden.defined('altcontactaddress2') && hidden.defined('altcontactaddress3') && hidden.defined('altcontactstate') &&
 580                                     hidden.defined('altcontactzipcode') && hidden.defined('altcontactcountry') && hidden.defined('altcontactphone')
 581                                 %]
 582                                     <fieldset class="rows" id="memberentry_alternatecontact">
 583                                         <legend id="alternatecontact_legend">Alternate contact</legend>
 584
 585                                         <ol>
 586                                             [% UNLESS hidden.defined('altcontactsurname') %]
 587                                                 <li>
 588                                                     [% IF mandatory.defined('altcontactsurname') %]
 589                                                         <label for="borrower_altcontactsurname" class="required">
 590                                                     [% ELSE %]
 591                                                         <label for="borrower_altcontactsurname">
 592                                                     [% END %]
 593                                                     Surname:</label>
 594
 595                                                     <input type="text" id="borrower_altcontactsurname" name="borrower_altcontactsurname" value="[% borrower.altcontactsurname %]" />
 596                                                     [% IF mandatory.defined('altcontactsurname') %]<span class="required">Required</span>[% END %]
 597                                                 </li>
 598                                             [% END %]
 599
 600                                             [% UNLESS hidden.defined('altcontactfirstname') %]
 601                                                 <li>
 602                                                     [% IF mandatory.defined('altcontactfirstname') %]
 603                                                         <label for="borrower_altcontactfirstname" class="required">
 604                                                     [% ELSE %]
 605                                                         <label for="borrower_altcontactfirstname">
 606                                                     [% END %]
 607                                                     First name:</label>
 608
 609                                                     <input type="text" id="borrower_altcontactfirstname" name="borrower_altcontactfirstname" value="[% borrower.altcontactfirstname %]" />
 610                                                     [% IF mandatory.defined('altcontactfirstname') %]<span class="required">Required</span>[% END %]
 611                                                 </li>
 612                                             [% END %]
 613
 614                                             [% UNLESS hidden.defined('altcontactaddress1') %]
 615                                                 <li>
 616                                                     [% IF mandatory.defined('altcontactaddress1') %]
 617                                                         <label for="borrower_altcontactaddress1" class="required">
 618                                                     [% ELSE %]
 619                                                         <label for="borrower_altcontactaddress1">
 620                                                     [% END %]
 621                                                     Address:</label>
 622
 623                                                     <input type="text" id="borrower_altcontactaddress1" name="borrower_altcontactaddress1" value="[% borrower.altcontactaddress1 %]" />
 624                                                     [% IF mandatory.defined('altcontactaddress1') %]<span class="required">Required</span>[% END %]
 625                                                 </li>
 626                                             [% END %]
 627
 628                                             [% UNLESS hidden.defined('altcontactaddress2') %]
 629                                                 <li>
 630                                                     [% IF mandatory.defined('altcontactaddress2') %]
 631                                                         <label for="borrower_altcontactaddress2" class="required">
 632                                                     [% ELSE %]
 633                                                         <label for="borrower_altcontactaddress2">
 634                                                     [% END %]
 635                                                     Address 2:</label>
 636
 637                                                     <input type="text" id="borrower_altcontactaddress2" name="borrower_altcontactaddress2" value="[% borrower.altcontactaddress2 %]" />
 638                                                     [% IF mandatory.defined('altcontactaddress2') %]<span class="required">Required</span>[% END %]
 639                                                 </li>
 640                                             [% END %]
 641
 642                                             [% UNLESS hidden.defined('altcontactaddress3') %]
 643                                                 <li>
 644                                                     [% IF mandatory.defined('altcontactaddress3') %]
 645                                                         <label for="borrower_altcontactaddress3" class="required">
 646                                                     [% ELSE %]
 647                                                         <label for="borrower_altcontactaddress3">
 648                                                     [% END %]
 649                                                     City:</label>
 650
 651                                                     <input type="text" id="borrower_altcontactaddress3" name="borrower_altcontactaddress3" value="[% borrower.altcontactaddress3 %]" />
 652                                                     [% IF mandatory.defined('altcontactaddress3') %]<span class="required">Required</span>[% END %]
 653                                                 </li>
 654                                             [% END %]
 655
 656                                             [% UNLESS hidden.defined('altcontactstate') %]
 657                                                 <li>
 658                                                     [% IF mandatory.defined('altcontactstate') %]
 659                                                         <label for="borrower_altcontactstate" class="required">
 660                                                     [% ELSE %]
 661                                                         <label for="borrower_altcontactstate">
 662                                                     [% END %]
 663                                                     State:</label>
 664
 665                                                     <input type="text" id="borrower_altcontactstate" name="borrower_altcontactstate" value="[% borrower.altcontactstate %]" />
 666                                                     [% IF mandatory.defined('altcontactstate') %]<span class="required">Required</span>[% END %]
 667                                                 </li>
 668                                             [% END %]
 669
 670                                             [% UNLESS hidden.defined('altcontactzipcode') %]
 671                                                 <li>
 672                                                     [% IF mandatory.defined('altcontactzipcode') %]
 673                                                         <label for="borrower_altcontactzipcode" class="required">
 674                                                     [% ELSE %]
 675                                                         <label for="borrower_altcontactzipcode">
 676                                                     [% END %]
 677                                                     Zip/Postal code:</label>
 678
 679                                                     <input type="text" id="borrower_altcontactzipcode" name="borrower_altcontactzipcode" value="[% borrower.altcontactzipcode %]" />
 680                                                     [% IF mandatory.defined('altcontactzipcode') %]<span class="required">Required</span>[% END %]
 681                                                 </li>
 682                                             [% END %]
 683
 684                                             [% UNLESS hidden.defined('altcontactcountry') %]
 685                                                 <li>
 686                                                     [% IF mandatory.defined('altcontactcountry') %]
 687                                                         <label for="borrower_altcontactcountry" class="required">
 688                                                     [% ELSE %]
 689                                                         <label for="borrower_altcontactcountry">
 690                                                     [% END %]
 691                                                     Country:</label>
 692
 693                                                     <input type="text" id="borrower_altcontactcountry" name="borrower_altcontactcountry" value="[% borrower.altcontactcountry %]" />
 694                                                     [% IF mandatory.defined('altcontactcountry') %]<span class="required">Required</span>[% END %]
 695                                                 </li>
 696                                             [% END %]
 697
 698                                             [% UNLESS hidden.defined('altcontactphone') %]
 699                                                 <li>
 700                                                     [% IF mandatory.defined('altcontactphone') %]
 701                                                         <label for="borrower_altcontactphone" class="required">
 702                                                     [% ELSE %]
 703                                                         <label for="borrower_altcontactphone">
 704                                                     [% END %]
 705                                                     Phone:</label>
 706
 707                                                     <input type="text" id="borrower_altcontactphone" name="borrower_altcontactphone" value="[% borrower.altcontactphone %]" />
 708                                                     [% IF mandatory.defined('altcontactphone') %]<span class="required">Required</span>[% END %]
 709                                                 </li>
 710                                             [% END %]
 711                                         </ol>
 712                                     </fieldset>
 713                                 [% END %]
 714
 715                                 [% UNLESS action == 'edit' %]
 716                                     <fieldset class="rows" id="memberentry_captcha">
 717                                         <ol>
 718                                             <li>
 719                                                 <label for="captcha" class="required">Verification:</label>
 720
 721                                                 <input type="text" name="captcha" id="captcha" />
 722                                                 <input type="hidden" name="captcha_digest" value="[% captcha_digest %]" />
 723
 724                                                 <span class="hint">Please type this following characters into the preceding box: <strong>[% captcha %]</strong></span>
 725                                             </li>
 726                                         </ol>
 727                                     </fieldset>
 728                                 [% END %]
 729
 730                                 [% IF action == 'edit' %]
 731                                     [% IF OPACPatronDetails %]
 732                                         <fieldset class="action">
 733                                             <input type="hidden" name="action" value="update" />
 734                                             <input type="submit" value="Submit update request" />
 735                                         </fieldset>
 736                                     [% END %]
 737                                 [% ELSE %]
 738                                     <fieldset class="action">
 739                                         <input type="hidden" name="action" value="create" />
 740                                         <input type="submit" value="Submit" />
 741                                     </fieldset>
 742                                 [% END %]
 743
 744                             </form>
 745
 746                         </div><!--/div id="update-account" -->
 747                     </div>
 748                 </div>
 749             </div>
 750
 751             <div class="yui-b">
 752                 <div id="leftmenus" class="container">
 753                     [% INCLUDE 'navigation.inc' IsPatronPage=1 %]
 754                 </div>
 755             </div>
 756         </div>
 757 [% INCLUDE 'opac-bottom.inc' %]