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

   1 [% USE Koha %]
   2 [% USE KohaDates %]
   3 [% SET userupdateview = 1 %]
   4
   5 [% INCLUDE 'doc-head-open.inc' %]
   6     [% IF ( LibraryNameTitle ) %][% LibraryNameTitle %][% ELSE %]Koha online[% END %] catalog &rsaquo; [% IF action == 'edit' %]Update your personal details[% ELSE %]Register a new account[% END %]
   7 [% INCLUDE 'doc-head-close.inc' %]
   8 [% BLOCK cssinclude %][% END %]
   9 </head>
  10
  11 [% IF action == 'edit' %]
  12 <body id="opac-patron-update">
  13 [% ELSE %]
  14 <body id="opac-patron-registration">
  15 [% END %]
  16 [% INCLUDE 'masthead.inc' %]
  17
  18 <div class="main">
  19     <ul class="breadcrumb">
  20         <li><a href="/cgi-bin/koha/opac-main.pl">Home</a> <span class="divider">&rsaquo;</span></li>
  21         [% IF action == 'edit' %]
  22             <li><a href="/cgi-bin/koha/opac-user.pl">[% borrower.firstname %] [% borrower.surname %]</a> <span class="divider">&rsaquo;</span></li>
  23             <li><a href="#">Your personal details</a></li>
  24         [% ELSE %]
  25             <li><a href="#">Register a new account</a></li>
  26         [% END %]
  27     </ul>
  28
  29     <div class="container-fluid">
  30         <div class="row-fluid">
  31             <div class="span2">
  32                 <div id="navigation">
  33                     [% INCLUDE 'navigation.inc' IsPatronPage=1 %]
  34                 </div>
  35             </div>
  36             <div class="span10">
  37                 [% IF action == 'edit' %]
  38                     <div id="update-account">
  39                 [% ELSE %]
  40                     <div id="add-account">
  41                 [% END %]
  42
  43                 [% IF action == 'edit' %]
  44                     [% UNLESS OPACPatronDetails %]
  45                         <div class="alert alert-info">To make changes to your record please contact the library.</div>
  46                     [% END %]
  47                 [% END %]
  48
  49                 [% IF empty_mandatory_fields %]
  50                     <div class="alert">You have not filled out all required fields. Please fill in all missing fields and resubmit.</div>
  51                 [% END %]
  52
  53                 [% IF failed_captcha %]
  54                     <div class="alert">You typed in the wrong characters in the box before submitting. Please try again.</div>
  55                 [% END %]
  56
  57                 <form method="post" action="/cgi-bin/koha/opac-memberentry.pl" id="memberentry-form">
  58
  59                 [% UNLESS hidden.defined('branchcode') %]
  60                     <fieldset class="rows" id="memberentry_library">
  61
  62                         <legend id="library_legend">Library</legend>
  63                             <ol>
  64                                 [% UNLESS hidden.defined('branchcode') %]
  65                                     <li>
  66                                         [% IF mandatory.defined('branchcode') %]
  67                                             <label for="borrower_branchcode" class="required">
  68                                         [% ELSE %]
  69                                             <label for="borrower_branchcode">
  70                                         [% END %]
  71                                         Home library:</label>
  72
  73                                         <select id="borrower_branchcode" name="borrower_branchcode">
  74                                             [% FOREACH b IN branches %]
  75                                                 [% IF b.value == borrower.branchcode %]
  76                                                     <option value="[% b.value %]" selected="selected">[% b.branchname %]</option>
  77                                                 [% ELSE %]
  78                                                     <option value="[% b.value %]">[% b.branchname %]</option>
  79                                                 [% END %]
  80                                             [% END %]
  81                                         </select>
  82                                     </li>
  83                                 [% END %]
  84                             </ol>
  85                         </fieldset>
  86                 [% END # / defined 'branchcode' %]
  87
  88                 [% UNLESS
  89                     hidden.defined('title') && hidden.defined('surname') && hidden.defined('firstname') &&
  90                     hidden.defined('dateofbirth') && hidden.defined('initials') && hidden.defined('othernames') &&
  91                     hidden.defined('sex')
  92                 %]
  93                     <div class="row-fluid">
  94                         [% IF ( display_patron_image ) %]
  95                             <div class="span8">
  96                         [% ELSE %]
  97                             <div class="span12">
  98                         [% END %]
  99                             <fieldset class="rows" id="memberentry_identity">
 100                                 <legend id="identity_legend">Identity</legend>
 101
 102                                 <ol>
 103                                     [% UNLESS hidden.defined('title') || !member_titles %]
 104                                         <li>
 105                                             [% IF mandatory.defined('title') %]
 106                                                 <label for="borrower_title" class="required">
 107                                             [% ELSE %]
 108                                                 <label for="borrower_title">
 109                                             [% END %]
 110                                             Salutation:</label>
 111
 112                                             <select id="borrower_title" name="borrower_title">
 113                                                 [% FOREACH mt IN member_titles %]
 114                                                     [% IF mt == borrower.title %]
 115                                                         <option value="[% mt %]" selected="selected">[% mt %]</option>
 116                                                     [% ELSE %]
 117                                                         <option value="[% mt %]">[% mt %]</option>
 118                                                     [% END %]
 119                                                 [% END %]
 120                                             </select>
 121                                         </li>
 122                                     [% END %]
 123
 124                                     [% UNLESS hidden.defined('surname') %]
 125                                         <li>
 126                                             [% IF mandatory.defined('surname') %]
 127                                                 <label for="borrower_surname" class="required">
 128                                             [% ELSE %]
 129                                                 <label for="borrower_surname">
 130                                             [% END %]
 131                                             Surname:</label>
 132
 133                                             <input type="text" id="borrower_surname" name="borrower_surname" value="[% borrower.surname %]" />
 134                                             [% IF mandatory.defined('surname') %]<span class="required">Required</span>[% END %]
 135                                         </li>
 136                                     [% END %]
 137
 138                                     [% UNLESS hidden.defined('firstname') %]
 139                                         <li>
 140                                             [% IF mandatory.defined('firstname') %]
 141                                                 <label for="borrower_firstname" class="required">
 142                                             [% ELSE %]
 143                                                 <label for="borrower_firstname">
 144                                             [% END %]
 145                                             First name:</label>
 146
 147                                             <input type="text" id="borrower_firstname" name="borrower_firstname" value="[% borrower.firstname %]" />
 148                                             [% IF mandatory.defined('firstname') %]<span class="required">Required</span>[% END %]
 149                                         </li>
 150                                     [% END %]
 151
 152                                     [% UNLESS hidden.defined('dateofbirth') %]
 153                                         <li>
 154                                             [% IF mandatory.defined('dateofbirth') %]
 155                                                 <label for="borrower_dateofbirth" class="required">
 156                                             [% ELSE %]
 157                                                 <label for="borrower_dateofbirth">
 158                                             [% END %]
 159                                             Date of birth:</label>
 160
 161                                             <input type="text" id="borrower_dateofbirth" name="borrower_dateofbirth" value="[% borrower.dateofbirth | $KohaDates %]" size="10" />
 162
 163                                             [% UNLESS action == 'edit' && !OPACPatronDetails %]
 164                                                 <a href="#" style="font-size:85%;text-decoration:none;" onclick="document.getElementById('borrower_dateofbirth').value='';return false;">Clear date</a>
 165                                             [% END %]
 166
 167                                             [% IF mandatory.defined('dateofbirth') %]<span class="required">Required</span>[% END %]
 168                                         </li>
 169                                     [% END %]
 170
 171                                     [% UNLESS hidden.defined('initials') %]
 172                                         <li>
 173                                             [% IF mandatory.defined('initials') %]
 174                                                 <label for="borrower_initials" class="required">
 175                                             [% ELSE %]
 176                                                 <label for="borrower_initials">
 177                                             [% END %]
 178                                             Initials:</label>
 179
 180                                             <input type="text" id="borrower_initials" name="borrower_initials" value="[% borrower.initials %]" />
 181                                             [% IF mandatory.defined('initials') %]<span class="required">Required</span>[% END %]
 182                                         </li>
 183                                     [% END %]
 184
 185                                     [% UNLESS hidden.defined('othernames') %]
 186                                         <li>
 187                                             [% IF mandatory.defined('othernames') %]
 188                                                 <label for="borrower_othernames" class="required">
 189                                             [% ELSE %]
 190                                                 <label for="borrower_othernames">
 191                                             [% END %]
 192                                             Other names:</label>
 193
 194                                             <input type="text" id="borrower_othernames" name="borrower_othernames" value="[% borrower.othernames %]" />
 195                                             [% IF mandatory.defined('othernames') %]<span class="required">Required</span>[% END %]
 196                                         </li>
 197                                     [% END %]
 198
 199                                     [% UNLESS hidden.defined('sex') %]
 200                                         <li class="lradio">
 201                                             <label for="sex-female" class="radio inline">Female:</label>
 202                                             [% IF borrower.sex == 'F' %]
 203                                                 <input type="radio" name="borrower_sex" id="sex-female" value="F" checked="checked" />
 204                                             [% ELSE %]
 205                                                 <input type="radio" name="borrower_sex" id="sex-female" value="F" />
 206                                             [% END %]
 207
 208                                             <label for="sex-male" class="radio inline">Male:</label>
 209                                             [% IF borrower.sex == 'M' %]
 210                                                 <input type="radio" name="borrower_sex" id="sex-male" value="M" checked="checked" />
 211                                             [% ELSE %]
 212                                                 <input type="radio" name="borrower_sex" id="sex-male" value="M" />
 213                                             [% END %]
 214
 215                                             <label for="sex-none" class="radio inline">N/A:</label>
 216                                             [% IF borrower.sex == '' %]
 217                                                 <input type="radio" name="borrower_sex" id="sex-none" value="" checked="checked" />
 218                                             [% ELSE %]
 219                                                 <input type="radio" name="borrower_sex" id="sex-none" value="" />
 220                                             [% END %]
 221
 222                                             [% IF mandatory.defined('sex') %]<span class="required">Required</span>[% END %]
 223                                         </li>
 224                                     [% END %]
 225                                 </ol>
 226                             </fieldset>
 227                            </div>
 228                         [% IF ( display_patron_image ) %]
 229                             <div class="span4">
 230                                 <p class="patronimage">
 231                                    <img src="/cgi-bin/koha/opac-patron-image.pl" alt="" />
 232                                 </p>
 233                             </div>
 234                         [% END %]
 235                     </div>
 236                 [% END # /UNLESS fields hidden %]
 237
 238                 [% UNLESS
 239                     hidden.defined('streetnumber') && hidden.defined('address') && hidden.defined('address2') &&
 240                     hidden.defined('city') && hidden.defined('state') && hidden.defined('zipcode') &&
 241                     hidden.defined('country')
 242                 %]
 243                     <fieldset class="rows" id="memberentry_mainaddress">
 244                         <legend id="mainaddress_legend">Main address</legend>
 245
 246                         <ol>
 247                             [% UNLESS hidden.defined('streetnumber') %]
 248                                 <li>
 249                                     [% IF mandatory.defined('streetnumber') %]
 250                                         <label for="borrower_streetnumber" class="required">
 251                                     [% ELSE %]
 252                                         <label for="borrower_streetnumber">
 253                                     [% END %]
 254                                     Street number:</label>
 255
 256                                     <input type="text" id="borrower_streetnumber" name="borrower_streetnumber" value="[% borrower.streetnumber %]" />
 257                                     [% IF mandatory.defined('streetnumber') %]<span class="required">Required</span>[% END %]
 258                                 </li>
 259                             [% END %]
 260
 261                             [% UNLESS hidden.defined('address') %]
 262                                 <li>
 263                                     [% IF mandatory.defined('address') %]
 264                                         <label for="borrower_address" class="required">
 265                                     [% ELSE %]
 266                                         <label for="borrower_address">
 267                                     [% END %]
 268                                     Address:</label>
 269
 270                                     <input type="text" id="borrower_address" name="borrower_address" value="[% borrower.address %]" />
 271                                     [% IF mandatory.defined('address') %]<span class="required">Required</span>[% END %]
 272                                 </li>
 273                             [% END %]
 274
 275                             [% UNLESS hidden.defined('address2') %]
 276                                 <li>
 277                                     [% IF mandatory.defined('address2') %]
 278                                         <label for="borrower_address2" class="required">
 279                                     [% ELSE %]
 280                                         <label for="borrower_address2">
 281                                     [% END %]
 282                                     Address 2:</label>
 283
 284                                     <input type="text" id="borrower_address2" name="borrower_address2" value="[% borrower.address2 %]" />
 285                                     [% IF mandatory.defined('address2') %]<span class="required">Required</span>[% END %]
 286                                 </li>
 287                             [% END %]
 288
 289                             [% UNLESS hidden.defined('city') %]
 290                                 <li>
 291                                     [% IF mandatory.defined('city') %]
 292                                         <label for="borrower_city" class="required">
 293                                     [% ELSE %]
 294                                         <label for="borrower_city">
 295                                     [% END %]
 296                                     City:</label>
 297
 298                                     <input type="text" id="borrower_city" name="borrower_city" value="[% borrower.city %]" />
 299                                     [% IF mandatory.defined('city') %]<span class="required">Required</span>[% END %]
 300                                 </li>
 301                             [% END %]
 302
 303                             [% UNLESS hidden.defined('state') %]
 304                                 <li>
 305                                     [% IF mandatory.defined('state') %]
 306                                         <label for="borrower_state" class="required">
 307                                     [% ELSE %]
 308                                         <label for="borrower_state">
 309                                     [% END %]
 310                                     State:</label>
 311
 312                                     <input type="text" id="borrower_state" name="borrower_state" value="[% borrower.state %]" />
 313                                     [% IF mandatory.defined('state') %]<span class="required">Required</span>[% END %]
 314                                 </li>
 315                             [% END %]
 316
 317                             [% UNLESS hidden.defined('zipcode') %]
 318                                 <li>
 319                                     [% IF mandatory.defined('zipcode') %]
 320                                         <label for="borrower_zipcode" class="required">
 321                                     [% ELSE %]
 322                                         <label for="borrower_zipcode">
 323                                     [% END %]
 324                                     Zip/Postal code:</label>
 325
 326                                     <input type="text" id="borrower_zipcode" name="borrower_zipcode" value="[% borrower.zipcode %]" />
 327                                     [% IF mandatory.defined('zipcode') %]<span class="required">Required</span>[% END %]
 328                                 </li>
 329                             [% END %]
 330
 331                             [% UNLESS hidden.defined('country') %]
 332                                 <li>
 333                                     [% IF mandatory.defined('country') %]
 334                                         <label for="borrower_country" class="required">
 335                                     [% ELSE %]
 336                                         <label for="borrower_country">
 337                                     [% END %]
 338                                     Country:</label>
 339
 340                                     <input type="text" id="borrower_country" name="borrower_country" value="[% borrower.country %]" />
 341                                     [% IF mandatory.defined('country') %]<span class="required">Required</span>[% END %]
 342                                 </li>
 343                             [% END %]
 344
 345                         </ol>
 346                     </fieldset>
 347                 [% END %]
 348
 349                 [% UNLESS
 350                     hidden.defined('phone') && hidden.defined('phonepro') && hidden.defined('mobile') &&
 351                     hidden.defined('email') && hidden.defined('emailpro') && hidden.defined('fax')
 352                 %]
 353                     <fieldset class="rows" id="memberentry_contact">
 354                         <legend id="contact_legend">Contact information</legend>
 355
 356                         <ol>
 357                             [% UNLESS hidden.defined('phone') %]
 358                                 <li>
 359                                     [% IF mandatory.defined('phone') %]
 360                                         <label for="borrower_phone" class="required">
 361                                     [% ELSE %]
 362                                         <label for="borrower_phone">
 363                                     [% END %]
 364                                     Primary phone:</label>
 365
 366                                     <input type="text" id="borrower_phone" name="borrower_phone" value="[% borrower.phone %]" />
 367                                     [% IF mandatory.defined('phone') %]<span class="required">Required</span>[% END %]
 368                                 </li>
 369                             [% END %]
 370
 371                             [% UNLESS hidden.defined('phonepro') %]
 372                                 <li>
 373                                     [% IF mandatory.defined('phonepro') %]
 374                                         <label for="borrower_phonepro" class="required">
 375                                     [% ELSE %]
 376                                         <label for="borrower_phonepro">
 377                                     [% END %]
 378                                     Secondary phone:</label>
 379
 380                                     <input type="text" id="borrower_phonepro" name="borrower_phonepro" value="[% borrower.phonepro %]" />
 381                                     [% IF mandatory.defined('phonepro') %]<span class="required">Required</span>[% END %]
 382                                 </li>
 383                             [% END %]
 384
 385                             [% UNLESS hidden.defined('mobile') %]
 386                                 <li>
 387                                     [% IF mandatory.defined('mobile') %]
 388                                         <label for="borrower_mobile" class="required">
 389                                     [% ELSE %]
 390                                         <label for="borrower_mobile">
 391                                     [% END %]
 392                                     Mobile phone:</label>
 393
 394                                     <input type="text" id="borrower_mobile" name="borrower_mobile" value="[% borrower.mobile %]" />
 395                                     [% IF mandatory.defined('mobile') %]<span class="required">Required</span>[% END %]
 396                                 </li>
 397                             [% END %]
 398
 399                             [% UNLESS hidden.defined('email') %]
 400                                 <li>
 401                                     [% IF mandatory.defined('email') %]
 402                                         <label for="borrower_email" class="required">
 403                                     [% ELSE %]
 404                                         <label for="borrower_email">
 405                                     [% END %]
 406                                     Primary email:</label>
 407
 408                                     <input type="text" id="borrower_email" name="borrower_email" value="[% borrower.email %]" />
 409                                     [% IF mandatory.defined('email') %]<span class="required">Required</span>[% END %]
 410                                 </li>
 411                             [% END %]
 412
 413                             [% UNLESS hidden.defined('emailpro') %]
 414                                 <li>
 415                                     [% IF mandatory.defined('emailpro') %]
 416                                         <label for="borrower_emailpro" class="required">
 417                                     [% ELSE %]
 418                                         <label for="borrower_emailpro">
 419                                     [% END %]
 420                                     Secondary email:</label>
 421
 422                                     <input type="text" id="borrower_emailpro" name="borrower_emailpro" value="[% borrower.emailpro %]" />
 423                                     [% IF mandatory.defined('emailpro') %]<span class="required">Required</span>[% END %]
 424                                 </li>
 425                             [% END %]
 426
 427                             [% UNLESS hidden.defined('fax') %]
 428                                 <li>
 429                                     [% IF mandatory.defined('fax') %]
 430                                         <label for="borrower_fax" class="required">
 431                                     [% ELSE %]
 432                                         <label for="borrower_fax">
 433                                     [% END %]
 434                                     Fax:</label>
 435
 436                                     <input type="text" id="borrower_fax" name="borrower_fax" value="[% borrower.fax %]" />
 437                                     [% IF mandatory.defined('fax') %]<span class="required">Required</span>[% END %]
 438                                 </li>
 439                             [% END %]
 440                         </ol>
 441                     </fieldset>
 442                 [% END %]
 443
 444                 [% UNLESS
 445                     hidden.defined('B_address') && hidden.defined('B_address2') && hidden.defined('B_city') &&
 446                     hidden.defined('B_state') && hidden.defined('B_zipcode') && hidden.defined('B_county') &&
 447                     hidden.defined('B_phone') && hidden.defined('B_email') && hidden.defined('contactnote')
 448                 %]
 449                     <fieldset class="rows" id="memberentry_alternateaddress">
 450                         <legend id="alternateaddress_legend">Alternate address</legend>
 451
 452                         <ol>
 453                             [% UNLESS hidden.defined('B_address') %]
 454                                 <li>
 455                                     [% IF mandatory.defined('B_address') %]
 456                                         <label for="borrower_B_address" class="required">
 457                                     [% ELSE %]
 458                                         <label for="borrower_B_address">
 459                                     [% END %]
 460                                     Address:</label>
 461
 462                                     <input type="text" id="borrower_B_address" name="borrower_B_address" value="[% borrower.B_address %]" />
 463                                     [% IF mandatory.defined('B_address') %]<span class="required">Required</span>[% END %]
 464                                 </li>
 465                             [% END %]
 466
 467                             [% UNLESS hidden.defined('B_address2') %]
 468                                 <li>
 469                                     [% IF mandatory.defined('B_address2') %]
 470                                         <label for="borrower_B_address2" class="required">
 471                                     [% ELSE %]
 472                                         <label for="borrower_B_address2">
 473                                     [% END %]
 474                                     Address 2:</label>
 475
 476                                     <input type="text" id="borrower_B_address2" name="borrower_B_address2" value="[% borrower.B_address2 %]" />
 477                                     [% IF mandatory.defined('B_address2') %]<span class="required">Required</span>[% END %]
 478                                 </li>
 479                             [% END %]
 480
 481                             [% UNLESS hidden.defined('B_city') %]
 482                                 <li>
 483                                     [% IF mandatory.defined('B_city') %]
 484                                         <label for="borrower_B_city" class="required">
 485                                     [% ELSE %]
 486                                         <label for="borrower_B_city">
 487                                     [% END %]
 488                                     City:</label>
 489
 490                                     <input type="text" id="borrower_B_city" name="borrower_B_city" value="[% borrower.B_city %]" />
 491                                     [% IF mandatory.defined('B_city') %]<span class="required">Required</span>[% END %]
 492                                 </li>
 493                             [% END %]
 494
 495                             [% UNLESS hidden.defined('B_state') %]
 496                                 <li>
 497                                     [% IF mandatory.defined('B_state') %]
 498                                         <label for="borrower_B_state" class="required">
 499                                     [% ELSE %]
 500                                         <label for="borrower_B_state">
 501                                     [% END %]
 502                                     State:</label>
 503
 504                                     <input type="text" id="borrower_B_state" name="borrower_B_state" value="[% borrower.B_state %]" />
 505                                     [% IF mandatory.defined('B_state') %]<span class="required">Required</span>[% END %]
 506                                 </li>
 507                             [% END %]
 508
 509                             [% UNLESS hidden.defined('B_zipcode') %]
 510                                 <li>
 511                                     [% IF mandatory.defined('B_zipcode') %]
 512                                         <label for="borrower_B_zipcode" class="required">
 513                                     [% ELSE %]
 514                                         <label for="borrower_B_zipcode">
 515                                     [% END %]
 516                                     Zip/Postal code:</label>
 517
 518                                     <input type="text" id="borrower_B_zipcode" name="borrower_B_zipcode" value="[% borrower.B_zipcode %]" />
 519                                     [% IF mandatory.defined('B_zipcode') %]<span class="required">Required</span>[% END %]
 520                                 </li>
 521                             [% END %]
 522
 523                             [% UNLESS hidden.defined('B_country') %]
 524                                 <li>
 525                                     [% IF mandatory.defined('B_country') %]
 526                                         <label for="borrower_B_country" class="required">
 527                                     [% ELSE %]
 528                                         <label for="borrower_B_country">
 529                                     [% END %]
 530                                     Country:</label>
 531
 532                                     <input type="text" id="borrower_B_country" name="borrower_B_country" value="[% borrower.B_country %]" />
 533                                     [% IF mandatory.defined('B_country') %]<span class="required">Required</span>[% END %]
 534                                 </li>
 535                             [% END %]
 536
 537                             [% UNLESS hidden.defined('B_phone') %]
 538                                 <li>
 539                                     [% IF mandatory.defined('B_phone') %]
 540                                         <label for="borrower_B_phone" class="required">
 541                                     [% ELSE %]
 542                                         <label for="borrower_B_phone">
 543                                     [% END %]
 544                                     Phone:</label>
 545
 546                                     <input type="text" id="borrower_B_phone" name="borrower_B_phone" value="[% borrower.B_phone %]" />
 547                                     [% IF mandatory.defined('B_phone') %]<span class="required">Required</span>[% END %]
 548                                 </li>
 549                             [% END %]
 550
 551                             [% UNLESS hidden.defined('B_email') %]
 552                                 <li>
 553                                     [% IF mandatory.defined('B_email') %]
 554                                         <label for="borrower_B_email" class="required">
 555                                     [% ELSE %]
 556                                         <label for="borrower_B_email">
 557                                     [% END %]
 558                                     Email:</label>
 559
 560                                     <input type="text" id="borrower_B_email" name="borrower_B_email" value="[% borrower.B_email %]" />
 561                                     [% IF mandatory.defined('B_email') %]<span class="required">Required</span>[% END %]
 562                                 </li>
 563                             [% END %]
 564
 565                             [% UNLESS hidden.defined('contactnote') %]
 566                                 <li>
 567                                     [% IF mandatory.defined('contactnote') %]
 568                                         <label for="borrower_contactnote" class="required">
 569                                     [% ELSE %]
 570                                         <label for="borrower_contactnote">
 571                                     [% END %]
 572                                     Contact Note:</label>
 573
 574                                     <textarea id="borrower_contactnote" name="borrower_contactnote" cols="30" rows="2">[% borrower.contactnote %]</textarea>
 575                                     [% IF mandatory.defined('contactnote') %]<span class="required">Required</span>[% END %]
 576                                 </li>
 577                             [% END %]
 578
 579                         </ol>
 580                     </fieldset>
 581                 [% END %]
 582
 583                 [% UNLESS
 584                     hidden.defined('altcontactsurname') && hidden.defined('altcontactfirstname') && hidden.defined('altcontactaddress1') &&
 585                     hidden.defined('altcontactaddress2') && hidden.defined('altcontactaddress3') && hidden.defined('altcontactstate') &&
 586                     hidden.defined('altcontactzipcode') && hidden.defined('altcontactcountry') && hidden.defined('altcontactphone')
 587                 %]
 588                     <fieldset class="rows" id="memberentry_alternatecontact">
 589                         <legend id="alternatecontact_legend">Alternate contact</legend>
 590
 591                         <ol>
 592                             [% UNLESS hidden.defined('altcontactsurname') %]
 593                                 <li>
 594                                     [% IF mandatory.defined('altcontactsurname') %]
 595                                         <label for="borrower_altcontactsurname" class="required">
 596                                     [% ELSE %]
 597                                         <label for="borrower_altcontactsurname">
 598                                     [% END %]
 599                                     Surname:</label>
 600
 601                                     <input type="text" id="borrower_altcontactsurname" name="borrower_altcontactsurname" value="[% borrower.altcontactsurname %]" />
 602                                     [% IF mandatory.defined('altcontactsurname') %]<span class="required">Required</span>[% END %]
 603                                 </li>
 604                             [% END %]
 605
 606                             [% UNLESS hidden.defined('altcontactfirstname') %]
 607                                 <li>
 608                                     [% IF mandatory.defined('altcontactfirstname') %]
 609                                         <label for="borrower_altcontactfirstname" class="required">
 610                                     [% ELSE %]
 611                                         <label for="borrower_altcontactfirstname">
 612                                     [% END %]
 613                                     First name:</label>
 614
 615                                     <input type="text" id="borrower_altcontactfirstname" name="borrower_altcontactfirstname" value="[% borrower.altcontactfirstname %]" />
 616                                     [% IF mandatory.defined('altcontactfirstname') %]<span class="required">Required</span>[% END %]
 617                                 </li>
 618                             [% END %]
 619
 620                             [% UNLESS hidden.defined('altcontactaddress1') %]
 621                                 <li>
 622                                     [% IF mandatory.defined('altcontactaddress1') %]
 623                                         <label for="borrower_altcontactaddress1" class="required">
 624                                     [% ELSE %]
 625                                         <label for="borrower_altcontactaddress1">
 626                                     [% END %]
 627                                     Address:</label>
 628
 629                                     <input type="text" id="borrower_altcontactaddress1" name="borrower_altcontactaddress1" value="[% borrower.altcontactaddress1 %]" />
 630                                     [% IF mandatory.defined('altcontactaddress1') %]<span class="required">Required</span>[% END %]
 631                                 </li>
 632                             [% END %]
 633
 634                             [% UNLESS hidden.defined('altcontactaddress2') %]
 635                                 <li>
 636                                     [% IF mandatory.defined('altcontactaddress2') %]
 637                                         <label for="borrower_altcontactaddress2" class="required">
 638                                     [% ELSE %]
 639                                         <label for="borrower_altcontactaddress2">
 640                                     [% END %]
 641                                     Address 2:</label>
 642
 643                                     <input type="text" id="borrower_altcontactaddress2" name="borrower_altcontactaddress2" value="[% borrower.altcontactaddress2 %]" />
 644                                     [% IF mandatory.defined('altcontactaddress2') %]<span class="required">Required</span>[% END %]
 645                                 </li>
 646                             [% END %]
 647
 648                             [% UNLESS hidden.defined('altcontactaddress3') %]
 649                                 <li>
 650                                     [% IF mandatory.defined('altcontactaddress3') %]
 651                                         <label for="borrower_altcontactaddress3" class="required">
 652                                     [% ELSE %]
 653                                         <label for="borrower_altcontactaddress3">
 654                                     [% END %]
 655                                     City:</label>
 656
 657                                     <input type="text" id="borrower_altcontactaddress3" name="borrower_altcontactaddress3" value="[% borrower.altcontactaddress3 %]" />
 658                                     [% IF mandatory.defined('altcontactaddress3') %]<span class="required">Required</span>[% END %]
 659                                 </li>
 660                             [% END %]
 661
 662                             [% UNLESS hidden.defined('altcontactstate') %]
 663                                 <li>
 664                                     [% IF mandatory.defined('altcontactstate') %]
 665                                         <label for="borrower_altcontactstate" class="required">
 666                                     [% ELSE %]
 667                                         <label for="borrower_altcontactstate">
 668                                     [% END %]
 669                                     State:</label>
 670
 671                                     <input type="text" id="borrower_altcontactstate" name="borrower_altcontactstate" value="[% borrower.altcontactstate %]" />
 672                                     [% IF mandatory.defined('altcontactstate') %]<span class="required">Required</span>[% END %]
 673                                 </li>
 674                             [% END %]
 675
 676                             [% UNLESS hidden.defined('altcontactzipcode') %]
 677                                 <li>
 678                                     [% IF mandatory.defined('altcontactzipcode') %]
 679                                         <label for="borrower_altcontactzipcode" class="required">
 680                                     [% ELSE %]
 681                                         <label for="borrower_altcontactzipcode">
 682                                     [% END %]
 683                                     Zip/Postal code:</label>
 684
 685                                     <input type="text" id="borrower_altcontactzipcode" name="borrower_altcontactzipcode" value="[% borrower.altcontactzipcode %]" />
 686                                     [% IF mandatory.defined('altcontactzipcode') %]<span class="required">Required</span>[% END %]
 687                                 </li>
 688                             [% END %]
 689
 690                             [% UNLESS hidden.defined('altcontactcountry') %]
 691                                 <li>
 692                                     [% IF mandatory.defined('altcontactcountry') %]
 693                                         <label for="borrower_altcontactcountry" class="required">
 694                                     [% ELSE %]
 695                                         <label for="borrower_altcontactcountry">
 696                                     [% END %]
 697                                     Country:</label>
 698
 699                                     <input type="text" id="borrower_altcontactcountry" name="borrower_altcontactcountry" value="[% borrower.altcontactcountry %]" />
 700                                     [% IF mandatory.defined('altcontactcountry') %]<span class="required">Required</span>[% END %]
 701                                 </li>
 702                             [% END %]
 703
 704                             [% UNLESS hidden.defined('altcontactphone') %]
 705                                 <li>
 706                                     [% IF mandatory.defined('altcontactphone') %]
 707                                         <label for="borrower_altcontactphone" class="required">
 708                                     [% ELSE %]
 709                                         <label for="borrower_altcontactphone">
 710                                     [% END %]
 711                                     Phone:</label>
 712
 713                                     <input type="text" id="borrower_altcontactphone" name="borrower_altcontactphone" value="[% borrower.altcontactphone %]" />
 714                                     [% IF mandatory.defined('altcontactphone') %]<span class="required">Required</span>[% END %]
 715                                 </li>
 716                             [% END %]
 717                         </ol>
 718                     </fieldset>
 719                 [% END %]
 720
 721                 [% UNLESS action == 'edit' %]
 722                     <fieldset class="rows" id="memberentry_captcha">
 723                         <ol>
 724                             <li>
 725                                 <label for="captcha" class="required">Verification:</label>
 726
 727                                 <input type="text" name="captcha" id="captcha" />
 728                                 <input type="hidden" name="captcha_digest" value="[% captcha_digest %]" />
 729
 730                                 <span class="hint">Please type this following characters into the preceding box: <strong>[% captcha %]</strong></span>
 731                             </li>
 732                         </ol>
 733                     </fieldset>
 734                 [% END %]
 735
 736                 [% IF action == 'edit' %]
 737                     [% IF OPACPatronDetails %]
 738                         <fieldset class="action">
 739                             <input type="hidden" name="action" value="update" />
 740                             <input type="submit" class="btn" value="Submit update request" />
 741                         </fieldset>
 742                     [% END %]
 743                 [% ELSE %]
 744                     <fieldset class="action">
 745                         <input type="hidden" name="action" value="create" />
 746                         <input type="submit" class="btn" value="Submit" />
 747                     </fieldset>
 748                 [% END %]
 749
 750                 </form>
 751
 752                     </div><!--/div id="update-account" -->
 753                 </div>
 754             </div>
 755         </div>
 756     </div>
 757
 758 [% INCLUDE 'opac-bottom.inc' %]
 759 [% BLOCK jsinclude %]
 760     <script type="text/javascript">
 761         //<![CDATA[
 762         $(document).ready(function() {
 763             [% IF action == 'edit' && !OPACPatronDetails %]
 764                 $("#memberentry-form :input").attr('readonly', true);
 765                 $("#borrower_branchcode").attr('disabled',true);
 766                 $("#borrower_title").attr('disabled',true);
 767                 $('#memberentry-form :radio').attr('disabled',true);
 768                 $('span.required').remove();
 769                 $('label.required').removeClass('required');
 770             [% ELSE %]
 771                 $( "#borrower_dateofbirth" ).datepicker({ yearRange: "c-120:c" });
 772             [% END %]
 773         });
 774     //]]>
 775     </script>
 776 [% INCLUDE 'calendar.inc' %]
 777 [% END %]