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<%
my( $cust_main, $pre, $onchange, $disabled ) = @_;
my $conf = new FS::Conf;
#false laziness with ship state
my $countrydefault = $conf->config('countrydefault') || 'US';
$cust_main->set($pre.'country', $countrydefault )
unless $cust_main->get($pre.'country');
my $statedefault = $conf->config('statedefault')
|| ($countrydefault eq 'US' ? 'CA' : '');
$cust_main->set($pre.'state', $statedefault )
unless $cust_main->get($pre.'state')
|| $cust_main->get($pre.'country') ne $countrydefault;
my($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 $daytime_label = FS::Msgcat::_gettext('daytime') || 'Day Phone';
my $night_label = FS::Msgcat::_gettext('night') || 'Night Phone';
my $r = qq!<font color="#ff0000">*</font> !;
%>
<%= &itable("#cccccc") %>
<TR>
<TH ALIGN="right"><%=$r%>Contact name<BR>(last, first)</TH>
<TD COLSPAN=3>
<INPUT TYPE="text" NAME="<%=$pre%>last" VALUE="<%= $cust_main->get($pre.'last') %>" onChange="<%= $onchange %>" <%=$disabled%>> ,
<INPUT TYPE="text" NAME="<%=$pre%>first" VALUE="<%= $cust_main->get($pre.'first') %>" onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
<% if ( $conf->exists('show_ss') && !$pre ) { %>
<TD ALIGN="right">SS#</TD>
<TD><INPUT TYPE="text" NAME="ss" VALUE="<%= $cust_main->ss %>" SIZE=11></TD>
<% } else { %>
<TD><INPUT TYPE="hidden" NAME="ss" VALUE="<%= $cust_main->ss %>"></TD>
<% } %>
</TR>
<TR>
<TD ALIGN="right">Company</TD>
<TD COLSPAN=5>
<INPUT TYPE="text" NAME="<%=$pre%>company" VALUE="<%= $cust_main->get($pre.'company') %>" SIZE=70 onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
</TR>
<TR>
<TH ALIGN="right"><%=$r%>Address</TH>
<TD COLSPAN=5>
<INPUT TYPE="text" NAME="<%=$pre%>address1" VALUE="<%= $cust_main->get($pre.'address1') %>" SIZE=70 onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
</TR>
<TR>
<TD ALIGN="right"> </TD>
<TD COLSPAN=5>
<INPUT TYPE="text" NAME="<%=$pre%>address2" VALUE="<%= $cust_main->get($pre.'address2') %>" SIZE=70 onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
</TR>
<TR>
<TH ALIGN="right"><%=$r%>City</TH>
<TD>
<INPUT TYPE="text" NAME="<%=$pre%>city" VALUE="<%= $cust_main->get($pre.'city') %>" onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
<TH ALIGN="right"><%=$r%>State</TH>
<TD><%= $county_html. $state_html %></TD>
<TH><%=$r%>Zip</TH>
<TD>
<INPUT TYPE="text" NAME="<%=$pre%>zip" VALUE="<%= $cust_main->get($pre.'zip') %>" SIZE=10 onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
</TR>
<TR>
<TH ALIGN="right"><%=$r%>Country</TH>
<TD><%= $country_html %></TD>
</TR>
<TR>
<TD ALIGN="right"><%= $daytime_label %></TD>
<TD COLSPAN=5>
<INPUT TYPE="text" NAME="<%=$pre%>daytime" VALUE="<%= $cust_main->get($pre.'daytime') %>" SIZE=18 onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
</TR>
<TR>
<TD ALIGN="right"><%= $night_label %></TD>
<TD COLSPAN=5>
<INPUT TYPE="text" NAME="<%=$pre%>night" VALUE="<%= $cust_main->get($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="<%= $cust_main->get($pre.'fax') %>" SIZE=12 onChange="<%= $onchange %>" <%=$disabled%>>
</TD>
</TR>
</TABLE>
<%=$r%>required fields<BR>
|
