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