diff options
Diffstat (limited to 'fs_signup/FS-SignupClient/cgi/signup-alternate.html')
-rwxr-xr-x | fs_signup/FS-SignupClient/cgi/signup-alternate.html | 218 |
1 files changed, 218 insertions, 0 deletions
diff --git a/fs_signup/FS-SignupClient/cgi/signup-alternate.html b/fs_signup/FS-SignupClient/cgi/signup-alternate.html new file mode 100755 index 000000000..490cefa5e --- /dev/null +++ b/fs_signup/FS-SignupClient/cgi/signup-alternate.html @@ -0,0 +1,218 @@ +<HTML><HEAD><TITLE>ISP Signup form</TITLE></HEAD> +<BODY BGCOLOR="#e8e8e8"><FONT SIZE=7>ISP Signup form</FONT><BR><BR> +<FONT SIZE="+1" COLOR="#ff0000"><%= $error %></FONT> +<FORM NAME="dummy"> +<INPUT TYPE="hidden" NAME="magic" VALUE="process"> +<INPUT TYPE="hidden" NAME="ref" VALUE="<%= $referral_custnum %>"> +<INPUT TYPE="hidden" NAME="ss" VALUE=""> +<INPUT TYPE="hidden" NAME="agentnum" VALUE="3"> +Contact Information +<TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0 WIDTH="100%"> +<TR> + <TH ALIGN="right"><font color="#ff0000">*</font>Contact name<BR>(last, first)</TH> + <TD COLSPAN=5><INPUT TYPE="text" NAME="last" VALUE="<%= $last %>">, + <INPUT TYPE="text" NAME="first" VALUE="<%= $first %>"></TD> +</TR> +<TR> + <TD ALIGN="right">Company</TD> + <TD COLSPAN=5><INPUT TYPE="text" NAME="company" SIZE=70 VALUE="<%= $company %>"></TD> +</TR> +<TR> + <TH ALIGN="right"><font color="#ff0000">*</font>Address</TH> + <TD COLSPAN=5><INPUT TYPE="text" NAME="address1" SIZE=70 VALUE="<%= $address1 %>"></TD> +</TR> +<TR> + <TD ALIGN="right"> </TD> + <TD COLSPAN=5><INPUT TYPE="text" NAME="address2" SIZE=70 VALUE="<%= $address2 %>"></TD> +</TR> +<TR> + <TH ALIGN="right"><font color="#ff0000">*</font>City</TH> + <TD><INPUT TYPE="text" NAME="city" VALUE="<%= $city %>"></TD> + <TH ALIGN="right"><font color="#ff0000">*</font>State/Country</TH> + <TD><SELECT NAME="state" SIZE="1"> + + <%= + foreach ( @{$locales} ) { + my $value = $_->{'state'}; + $value .= ' ('. $_->{'county'}. ')' if $_->{'county'}; + $value .= ' / '. $_->{'country'}; + + $OUT .= qq(<OPTION VALUE="$value"); + $OUT .= ' SELECTED' if ( $state eq $_->{'state'} + && $county eq $_->{'county'} + && $country eq $_->{'country'} + ); + $OUT .= ">$value</OPTION>"; + } + %> + + </SELECT></TD> + <TH><font color="#ff0000">*</font>Zip</TH> + <TD><INPUT TYPE="text" NAME="zip" SIZE=10 VALUE="<%= $zip %>"></TD> +</TR> +<TR> + <TD ALIGN="right">Day Phone</TD> + <TD COLSPAN=5><INPUT TYPE="text" NAME="daytime" VALUE="<%= $daytime %>" SIZE=18></TD> +</TR> +<TR> + <TD ALIGN="right">Night Phone</TD> + <TD COLSPAN=5><INPUT TYPE="text" NAME="night" VALUE="<%= $night %>" SIZE=18></TD> +</TR> +<TR> + <TD ALIGN="right">Fax</TD> + <TD COLSPAN=5><INPUT TYPE="text" NAME="fax" VALUE="<%= $fax %>" SIZE=12></TD> +</TR> +</TABLE><font color="#ff0000">*</font> required fields<BR> + +<BR><BR> +<TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0> +<TR> + <TH ALIGN="right"><font color="#ff0000">*</font>Username</TH> + <TD><INPUT TYPE="text" NAME="username" VALUE="<%= $username %>"></TD> +</TR> +<TR> + <TH ALIGN="right"><font color="#ff0000">*</font>Password</TH> + <TD><INPUT TYPE="password" NAME="_password" VALUE="<%= $password %>"></TD> +</TR> +<TR> + <TH ALIGN="right"><font color="#ff0000">*</font>Re-enter Password</TH> + <TD><INPUT TYPE="password" NAME="_password2" VALUE="<%= $password2 %>"></TD> +</TR> + +<%= if ( $init_data->{'security_phrase'} ) { + <<ENDOUT; +<TR> + <TD ALIGN="right">Security Phrase</TD> + <TD><INPUT TYPE="text" NAME="sec_phrase" VALUE="$sec_phrase"> + </TD> +</TR> +ENDOUT + } else { + '<INPUT TYPE="hidden" NAME="sec_phrase" VALUE="">'; + } +%> + +<%= if ( scalar(@$pops) ) { + '<TR><TD ALIGN="right">Access number</TD><TD>'. + popselector($popnum). '</TD></TR>'; + } else { + popselector($popnum); + } +%> + +</TABLE><font color="#ff0000">*</font> required fields + +<BR><BR>First package + + <%= use Tie::IxHash; + my %pkgpart2payby = map { $_->{pkgpart} => $_->{payby}[0] } @{$packages}; + tie my %options, 'Tie::IxHash', + '' => '(none)', + map { $_->{pkgpart} => $_->{pkg} } + sort { $a->{recur} <=> $b->{recur} } + @{$packages} + ; + + use HTML::Widgets::SelectLayers 0.02; + my @form_text = qw( magic ref ss agentnum + last first company address1 address2 + city zip daytime night fax + username _password _password2 sec_phrase ); + my @form_select = qw( state ); #county country + if ( scalar(@$pops) == 0 or scalar(@$pops) == 1 ) { + push @form_text, 'popnum', + } else { + push @form_select, 'popnum', + } + my $widget = new HTML::Widgets::SelectLayers( + options => \%options, + selected_layer => $pkgpart, + form_name => 'dummy', + form_action => $self_url, + form_text => \@form_text, + form_select => \@form_select, + layer_callback => sub { + my $layer = shift; + my $html = qq( <INPUT TYPE="hidden" NAME="pkgpart" VALUE="$layer">); + + if ( $pkgpart2payby{$layer} eq 'BILL' ) { + $html .= <<ENDOUT; +<INPUT TYPE="hidden" NAME="payby" VALUE="BILL"> +<INPUT TYPE="hidden" NAME="invoicing_list_POST" VALUE=""> +<INPUT TYPE="hidden" NAME="BILL_payinfo" VALUE=""> +<INPUT TYPE="hidden" NAME="BILL_month" VALUE="12"> +<INPUT TYPE="hidden" NAME="BILL_year" VALUE="2037"> +<INPUT TYPE="hidden" NAME="BILL_payname" VALUE=""> +<BR><BR><INPUT TYPE="submit" VALUE="Signup"> +ENDOUT + } elsif ( $pkgpart2payby{$layer} eq 'CARD' ) { + my $postal_checked = ''; + my @invoicing_list = split(', ', $invoicing_list ); + $postal_checked = 'CHECKED' + if ! @invoicing_list || grep { $_ eq 'POST' } @invoicing_list; + + $invoicing_list= join(', ', grep { $_ ne 'POST' } @invoicing_list ); + + my $expselect = expselect("CARD", $paydate); + + my $cardselect = '<SELECT NAME="CARD_type"><OPTION></OPTION>'; + my %types = ( + 'VISA' => 'VISA card', + 'MasterCard' => 'MasterCard', + 'Discover' => 'Discover card', + 'American Express' => 'American Express card', + ); + foreach ( keys %types ) { + $selected = + $cgi->param('CARD_type') eq $types{$_} ? 'SELECTED' : ''; + $cardselect .= + qq!<OPTION $selected VALUE="$types{$_}">$_</OPTION>!; + } + $cardselect .= '</SELECT>'; + + $html .= <<ENDOUT; +<INPUT TYPE="hidden" NAME="payby" VALUE="CARD"> +<BR><BR>Billing information +<TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0> +<INPUT TYPE="hidden" NAME="invoicing_list_POST" VALUE=""> +<TR> + <TD ALIGN="right">Email statement to </TD> + <TD><INPUT TYPE="text" NAME="invoicing_list" VALUE="$invoicing_list"></TD> +</TR> +<TR> + <TH ALIGN="right"><font color="#ff0000">*</font>Credit card type</TH> + <TD>$cardselect</TD> +</TR> +<TR> + <TH ALIGN="right"><font color="#ff0000">*</font>Card number</TH> + <TD><INPUT TYPE="text" NAME="CARD_payinfo" VALUE="$payinfo" MAXLENGTH=19></TD> +</TR> +<TR> + <TH ALIGN="right"><font color="#ff0000">*</font>*</font>Exp</TH> + <TD>$expselect</TD> +</TR> +<TR> + <TH ALIGN="right"><font color="#ff0000">*</font>Name on card</TH> + <TD><INPUT TYPE="text" NAME="CARD_payname" VALUE="$payname"></TD> +</TR> +</TABLE> +<font color="#ff0000">*</font> required fields +<BR><BR><INPUT TYPE="submit" VALUE="Signup"> +ENDOUT + } else { + $html = <<ENDOUT; +<BR>Please select a package.<BR> +ENDOUT + + } + + $html; + + }, + ); + + $widget->html; + + + %> +</BODY></HTML> |