<%= ($county_html, $state_html, $country_html, $city_html) = FS::SelfService::regionselector( { prefix => $pre, selected_city => ${$pre.'city'}, selected_county => ${$pre.'county'}, selected_state => ${$pre.'state'}, selected_country => ${$pre.'country'}, default_state => $statedefault, default_country => $countrydefault, locales => \@cust_main_county, } ); $OUT .= qq!!; $OUT .= qq!!; $OUT .= qq!!; $OUT .= qq!!; $OUT .= qq!!; $OUT .= qq!!; $OUT .= qq!!; $OUT .= qq!!; $OUT .= qq!!; $OUT .= qq!!; %>

<%=$r%>Contact name (last, first)	> , >
Company	>
<%=$r%>Address	>
<%= my $style = ( $disabled || !$require_address2 || ( !$pre && $ship_last ) ) ? 'visibility:hidden' : ''; $OUT .= qq!* Unit #!; %>	>
${r}City	$city_html	${r}State/County	$county_html $state_html	${r}Zip
${r}Country	$country_html
Day Phone	>
Night Phone	>
Fax	>

<%=$r%>required fields