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<%= $url = "$selfurl?session=$session_id;action="; ''; %>
<%= include('header') %>
<FONT SIZE=4>Edit billing address</FONT><BR><BR>
<%= 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="session" VALUE="<%= $session_id %>">
<INPUT TYPE="hidden" NAME="action" VALUE="process_change_bill">
<TABLE BGCOLOR="#cccccc" BORDER=0 CELLSPACING=0>
<%= $r=qq!<font color="#ff0000">*</font> !; include('contact') %>
<INPUT TYPE="submit" NAME="submit" VALUE="<%= $custnum ? "Apply Changes" : "Add Customer" %>">
<BR>
</FORM>
<%= include('footer') %>
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