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path: root/fs_selfservice/FS-SelfService/cgi/change_bill.html
blob: 06ea12b9b195bc1bbb9f23b46edc3efa2372a712 (plain)
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<%= include('header', 'Edit billing address') %>

<%= if ( $error ) { 
  $OUT .= qq!<FONT SIZE="+1" COLOR="#ff0000">Error: $error</FONT><BR><BR>!;
}  ''; %>

<FORM NAME="ChangeBillForm" ACTION="<%= $selfurl %>" METHOD=POST onSubmit="document.bottomform.submit.disabled=true;">
<INPUT TYPE="hidden" NAME="action" VALUE="process_change_bill">
<TABLE BGCOLOR="#cccccc" BORDER=0 CELLSPACING=0>

<%= $r=qq!<font color="#ff0000">*</font>&nbsp;!; include('contact') %>

<INPUT TYPE="submit" NAME="submit" VALUE="<%= $custnum ?  "Apply Changes" : "Add Customer" %>">
<BR>
</FORM>

<%= include('footer') %>