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<TABLE BGCOLOR="#cccccc" BORDER=0 CELLSPACING=0>
<TR>
<TH ALIGN="right"><%=$r%>Contact name<BR>(last, first)</TH>
<TD COLSPAN=5>
<INPUT TYPE="text" NAME="<%=$pre%>last" VALUE="<%= ${$pre.'last'} %>" onChange="<%= $onchange %>" <%=$disabled%>> ,
<INPUT TYPE="text" NAME="<%=$pre%>first" VALUE="<%= ${$pre.'first'} %>" onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
</TR>
<TR>
<TD ALIGN="right">Company</TD>
<TD COLSPAN=7>
<INPUT TYPE="text" NAME="<%=$pre%>company" VALUE="<%= ${$pre.'company'} %>" SIZE=70 onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
</TR>
<TR>
<TH ALIGN="right"><%=$r%>Address</TH>
<TD COLSPAN=7>
<INPUT TYPE="text" NAME="<%=$pre%>address1" VALUE="<%= ${$pre.'address1'} %>" SIZE=70 onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
</TR>
<TR>
<TD ALIGN="right">
<%=
my $style =
( $disabled
|| !$require_address2
|| ( !$pre && $ship_last )
)
? 'visibility:hidden'
: '';
$OUT .= qq!<FONT ID="${pre}address2_required" color="#ff0000" STYLE="$style">*</FONT> <FONT ID="${pre}address2_label" STYLE="$style"><B>Unit #</B></FONT>!;
%>
</TD>
<TD COLSPAN=7>
<INPUT TYPE="text" NAME="<%=$pre%>address2" VALUE="<%= ${$pre.'address2'} %>" SIZE=70 onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
</TR>
<TR>
<TH ALIGN="right"><%=$r%>City</TH>
<TD>
<INPUT TYPE="text" ID="<%=$pre%>city" NAME="<%=$pre%>city" VALUE="<%= ${$pre.'city'} %>" onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
<%=
($county_html, $state_html, $country_html) =
FS::SelfService::regionselector( {
prefix => $pre,
selected_county => ${$pre.'county'},
selected_state => ${$pre.'state'},
selected_country => ${$pre.'country'},
default_state => $statedefault,
default_country => $countrydefault,
locales => \@cust_main_county,
} );
$OUT .= qq!<TH ALIGN="right">${r}State/County</TH>!;
$OUT .= qq!<TD>$county_html $state_html</TD>!;
$OUT .= qq!<TH>${r}Zip</TH>!;
$OUT .= qq!<TD><INPUT TYPE="text" NAME="${pre}zip" VALUE="${$pre.'zip'}" SIZE=10 onChange="$onchange" $disabled></TD>!;
$OUT .= qq!</TR>!;
$OUT .= qq!<TR>!;
$OUT .= qq!<TH ALIGN="right">${r}Country</TH>!;
$OUT .= qq!<TD COLSPAN=5>$country_html</TD>!;
%>
</TR>
<SCRIPT>
<%=
if ( $disabled ) {
$OUT .= qq!var what = document.getElementById("${pre}city");!;
for (qw( county state country ) ) {
$OUT .= "what.form.$pre$_.disabled = true;";
$OUT .= "what.form.$pre$_.style.backgroundColor = '#dddddd';";
}
}else{
'';
}
%>
</SCRIPT>
<TR>
<TD ALIGN="right">Day Phone</TD>
<TD COLSPAN=5>
<INPUT TYPE="text" NAME="<%=$pre%>daytime" VALUE="<%= ${$pre.'daytime'} %>" SIZE=18 onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
</TR>
<TR>
<TD ALIGN="right">Night Phone</TD>
<TD COLSPAN=5>
<INPUT TYPE="text" NAME="<%=$pre%>night" VALUE="<%= ${$pre.'night'} %>" SIZE=18 onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
</TR>
<TR>
<TD ALIGN="right">Fax</TD>
<TD COLSPAN=5>
<INPUT TYPE="text" NAME="<%=$pre%>fax" VALUE="<%= ${$pre.'fax'} %>" SIZE=12 onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
</TR>
</TABLE>
<%=$r%>required fields<BR>
<!--
#my($county_html, $state_html, $country_html) =
# FS::cust_main_county::regionselector( $cust_main->get($pre.'county'),
# $cust_main->get($pre.'state'),
# $cust_main->get($pre.'country'),
# $pre,
# $onchange,
# $disabled,
# );
my %select_hash = (
'county' => ${$pre.'county'},
'state' => ${$pre.'state'},
'country' => ${$pre.'country'},
'prefix' => $pre,
'onchange' => $onchange,
'disabled' => $disabled,
);
my @counties = counties( ${$pre.'state'},
${$pre.'country'},
);
my $county_style = scalar(@counties) > 1 ? '' : 'STYLE="visibility:hidden"';
my $r = qq!<font color="#ff0000">*</font> !;
-->
|
