1 <TMPL_INCLUDE Name="members-top.inc">
4 <TMPL_VAR Name="string">
6 <H1> Confirm Record </H1>
7 <TMPL_LOOP Name="identsloop">
8 <TMPL_IF Name="cardchild">
9 <table border=0 cellspacing=0 cellpadding=5>
10 <tr valign=top bgcolor="<TMPL_VAR Name="main">" >
11 <td background="<TMPL_VAR Name="image">">
18 <tr valign=top bgcolor="white" >
23 <TMPL_VAR Name="name">
26 <tr valign=top bgcolor="<TMPL_VAR Name="main">" >
27 <td background="<TMPL_VAR Name="image">">
28 <B> MEMBERSHIP DETAILS </B>
34 <tr valign=top bgcolor="white" >
36 <B>Membership Number</B>
39 <TMPL_VAR Name="bornum">
42 <tr valign=top bgcolor="white" >
50 <tr valign=top bgcolor="white" >
58 <tr valign=top bgcolor="white" >
63 <TMPL_VAR Name="school">
66 <tr valign=top bgcolor="white" >
71 <TMPL_VAR Name="notes">
77 <form action="/cgi-bin/koha/insertjdata.pl" method=post>
78 <TMPL_LOOP NAME=inputsloop>
79 <input type=hidden name="<TMPL_VAR NAME="key">" value="<TMPL_VAR NAME="value">">
81 <input type=submit name=submit value=submit>
85 <TMPL_INCLUDE Name="members-bottom.inc">