<%= $head %>
</HEAD>
<BODY BGCOLOR="<%= $body_bgcolor || '#e8e8e8' %>" onUnload="myclose()">
-
+<%= if ( $terms_of_service =~ /\S/ ) { # enable overlib
+ $OUT .= qq!<SCRIPT type="text/javascript" src="$_.js"></SCRIPT>\n!
+ foreach (qw(overlibmws overlibmws_iframe overlibmws_draggable
+ overlibmws_crossframe iframecontentmws ));
+}
+%>
<script type="text/javascript">
var mywindow = -1;
function myopen(filename,windowname,properties) {
' Signup form</FONT><BR><BR>';
%>
-<FONT SIZE="+1" COLOR="#ff0000"><%= $error %></FONT>
+<FONT SIZE="+1" COLOR="#ff0000"><%= encode_entities($error) %></FONT>
<FORM NAME="OneTrueForm" ACTION="<%= $self_url %>" METHOD=POST onSubmit="document.OneTrueForm.signup.disabled=true">
+<INPUT TYPE="hidden" NAME="prepaid_shortform" VALUE="<%= encode_entities($prepaid_shortform) %>">
<INPUT TYPE="hidden" NAME="session" VALUE="<%= $session_id %>">
<INPUT TYPE="hidden" NAME="action" VALUE="process_signup">
<INPUT TYPE="hidden" NAME="agentnum" VALUE="<%= $agentnum %>">
%>
<%=
- $OUT = join("\n", map { qq|<input type="hidden" name="$_" />| } qw / promo_code reg_code pkgpart username _password _password2 sec_phrase popnum mac_addr countrycode phonenum sip_password pin / );
+ $OUT = join("\n", map { qq|<input type="hidden" name="$_" />| } qw / promo_code reg_code pkgpart username _password _password2 sec_phrase popnum domsvc mac_addr countrycode phonenum sip_password pin / );
+%>
+
+<%=
+ if ($override_ban_warn) {
+ $OUT .= 'Are you sure you want to sign up again? <SELECT NAME="override_ban_warn"><OPTION VALUE="0">No<OPTION VALUE="1">Yes</SELECT><BR><BR>';
+ } else {
+ $OUT .= '';
+ }
%>
Where did you hear about our service? <SELECT NAME="refnum">
}
%>
</SELECT><BR><BR>
+
+<%= unless ( $prepaid_template_custnum && $prepaid_shortform ) {
+
+my $bgcolor = $box_bgcolor || '#c0c0c0';
+$OUT .= qq!
Contact Information
-<TABLE BGCOLOR="<%= $box_bgcolor || '#c0c0c0' %>" BORDER=0 CELLSPACING=0 WIDTH="100%">
+<TABLE BGCOLOR="$bgcolor" BORDER=0 CELLSPACING=0 WIDTH="100%">
<TR>
<TH ALIGN="right"><font color="#ff0000">*</font>Contact name<BR>(last, first)</TH>
- <TD COLSPAN=5><INPUT TYPE="text" NAME="last" VALUE="<%= $last %>">,
- <INPUT TYPE="text" NAME="first" VALUE="<%= $first %>"></TD>
+ <TD COLSPAN=5><INPUT TYPE="text" NAME="last" VALUE="$last">,
+ <INPUT TYPE="text" NAME="first" VALUE="$first"></TD>
</TR>
<TR>
<TD ALIGN="right">Company</TD>
- <TD COLSPAN=5><INPUT TYPE="text" NAME="company" SIZE=70 VALUE="<%= $company %>"></TD>
+ <TD COLSPAN=5><INPUT TYPE="text" NAME="company" SIZE=70 VALUE="$company"></TD>
</TR>
<TR>
<TH ALIGN="right"><font color="#ff0000">*</font>Address</TH>
- <TD COLSPAN=5><INPUT TYPE="text" NAME="address1" SIZE=70 VALUE="<%= $address1 %>"></TD>
+ <TD COLSPAN=5><INPUT TYPE="text" NAME="address1" SIZE=70 VALUE="$address1"></TD>
</TR>
<TR>
<TD ALIGN="right"> </TD>
- <TD COLSPAN=5><INPUT TYPE="text" NAME="address2" SIZE=70 VALUE="<%= $address2 %>"></TD>
+ <TD COLSPAN=5><INPUT TYPE="text" NAME="address2" SIZE=70 VALUE="$address2"></TD>
</TR>
<TR>
<TH ALIGN="right"><font color="#ff0000">*</font>City</TH>
- <TD><INPUT TYPE="text" NAME="city" VALUE="<%= $city %>"></TD>
- <TH ALIGN="right"><font color="#ff0000">*</font>State/Country</TH>
- <TD>
- <%=
- ($county_html, $state_html, $country_html) =
+ <TD><INPUT TYPE="text" NAME="city" VALUE="$city"></TD> !;
+
+ my ($county_html, $state_html, $country_html) =
regionselector( {
selected_county => $county,
selected_state => $state,
locales => \@cust_main_county,
} );
- "$county_html $state_html";
- %>
+$county_out = ($county_html =~ /SELECT/) ? 'County/State' : 'State';
+$OUT .= qq!<TH ALIGN="right"><font color="#ff0000">*</font> $county_out </TH>
+ <TD>
+ $county_html $state_html
</TD>
<TH><font color="#ff0000">*</font>Zip</TH>
- <TD><INPUT TYPE="text" NAME="zip" SIZE=10 VALUE="<%= $zip %>"></TD>
+ <TD><INPUT TYPE="text" NAME="zip" SIZE=10 VALUE="$zip"></TD>
</TR>
<TR>
<TH ALIGN="right"><font color="#ff0000">*</font>Country</TH>
- <TD><%= $country_html %></TD>
+ <TD>$country_html</TD>
<TR>
<TD ALIGN="right">Day Phone</TD>
- <TD COLSPAN=5><INPUT TYPE="text" NAME="daytime" VALUE="<%= $daytime %>" SIZE=18></TD>
+ <TD COLSPAN=5><INPUT TYPE="text" NAME="daytime" VALUE="$daytime" SIZE=18></TD>
</TR>
<TR>
<TD ALIGN="right">Night Phone</TD>
- <TD COLSPAN=5><INPUT TYPE="text" NAME="night" VALUE="<%= $night %>" SIZE=18></TD>
+ <TD COLSPAN=5><INPUT TYPE="text" NAME="night" VALUE="$night" SIZE=18></TD>
</TR>
<TR>
<TD ALIGN="right">Fax</TD>
- <TD COLSPAN=5><INPUT TYPE="text" NAME="fax" VALUE="<%= $fax %>" SIZE=12></TD>
+ <TD COLSPAN=5><INPUT TYPE="text" NAME="fax" VALUE="$fax" SIZE=12></TD>
</TR>
-<%=
- $OUT = '';
+!;
if ( $stateid_enabled ) {
my ($county_html, $state_html, $country_html) =
regionselector( {
$OUT .= qq!<TD ALIGN="right">!. $label{stateid_state} .'</TD>';
$OUT .="<TD COLSPAN=3>$county_html $state_html</TD></TR>";
}
-%>
+$OUT .= qq!
</TABLE><font color="#ff0000">*</font> required fields<BR>
+!;
+
+}
+else {
+ @payby = ('PREPAY');
+}
+'';
+%>
+
<BR>Billing information<TABLE BGCOLOR="<%= $box_bgcolor || '#c0c0c0' %>" BORDER=0 CELLSPACING=0 WIDTH="100%">
<TR><TD>
if ( $cvv_enabled ) {
foreach my $payby ( grep { exists $payby{$_} } qw(CARD DCRD) ) { #1.4/1.5
- $payby{$payby} .= qq!<TR><TD ALIGN="right">CVV2 (<A HREF="javascript:myopen('cvv2.html','cvv2','toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=yes,copyhistory=no,width=480,height=288')">help</A>)</TD><TD><INPUT TYPE="text" NAME=${payby}_paycvv VALUE="" SIZE=4 MAXLENGTH=4></TD></TR>!;
+ my $cvv_r = $require_cvv ? '<font color="#ff0000">*</font> ' : '';
+ $payby{$payby} .= qq!<TR><TD ALIGN="right">${cvv_r}CVV2 (<A HREF="javascript:myopen('cvv2.html','cvv2','toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=yes,copyhistory=no,width=480,height=288')">help</A>)</TD><TD><INPUT TYPE="text" NAME=${payby}_paycvv VALUE="" SIZE=4 MAXLENGTH=4></TD></TR>!;
}
}
if ( $paystate_enabled ) {
my( $account, $aba ) = split('@', $payinfo);
my %paybychecked = (
- 'CARD' => '<TABLE BGCOLOR="'. ( $box_bgcolor || '#c0c0c0' ). qq!" BORDER=0 CELLSPACING=0 WIDTH="100%"><TR><TD ALIGN="right"><font color="#ff0000">*</font> Card type</TD><TD>$cardselect</TD></TR><TR><TD ALIGN="right"><font color="#ff0000">*</font> Card number</TD><TD><INPUT TYPE="text" NAME="CARD_payinfo" VALUE="$payinfo" MAXLENGTH=19></TD></TR><TR><TD ALIGN="right"><font color="#ff0000">*</font> Expration</TD><TD>!. expselect("CARD", $paydate). qq!</TD></TR><TR><TD ALIGN="right"><font color="#ff0000">*</font> Name on card</TD><TD><INPUT TYPE="text" NAME="CARD_payname" VALUE="$payname"></TD></TR>!,
+ 'CARD' => '<TABLE BGCOLOR="'. ( $box_bgcolor || '#c0c0c0' ). qq!" BORDER=0 CELLSPACING=0 WIDTH="100%"><TR><TD ALIGN="right"><font color="#ff0000">*</font> Card type</TD><TD>$cardselect</TD></TR><TR><TD ALIGN="right"><font color="#ff0000">*</font> Card number</TD><TD><INPUT TYPE="text" NAME="CARD_payinfo" VALUE="$payinfo" MAXLENGTH=19></TD></TR><TR><TD ALIGN="right"><font color="#ff0000">*</font> Expiration</TD><TD>!. expselect("CARD", $paydate). qq!</TD></TR><TR><TD ALIGN="right"><font color="#ff0000">*</font> Name on card</TD><TD><INPUT TYPE="text" NAME="CARD_payname" VALUE="$payname"></TD></TR>!,
'DCRD' => qq!Credit card<BR><font color="#ff0000">*</font>$cardselect<INPUT TYPE="text" NAME="DCRD_payinfo" VALUE="$payinfo" MAXLENGTH=19><BR><font color="#ff0000">*</font>Exp !. expselect("DCRD", $paydate). qq!<BR><font color="#ff0000">*</font>Name on card<BR><INPUT TYPE="text" NAME="DCRD_payname" VALUE="$payname">!,
- 'CHEK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="CHEK_payinfo1" VALUE="$account" MAXLENGTH=10> Type <SELECT NAME="CHEK_paytype">!. join('', map {qq!<OPTION VALUE="$_"!.($paytype eq $_ ? 'SELECTED' : '').">$_</OPTION>"} @paytypes). qq!</SELECT><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="CHEK_payinfo2" VALUE="$aba" SIZE=10 MAXLENGTH=9><INPUT TYPE="hidden" NAME="CHEK_month" VALUE="12"><INPUT TYPE="hidden" NAME="CHEK_year" VALUE="2037"><BR>${r}Bank name <INPUT TYPE="text" NAME="CHEK_payname" VALUE="$payname">!,
- 'DCHK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="DCHK_payinfo1" VALUE="$account" MAXLENGTH=10> Type <SELECT NAME="DCHK_paytype">!. join('', map {qq!<OPTION VALUE="$_"!.($paytype eq $_ ? 'SELECTED' : '').">$_</OPTION>"} @paytypes). qq!</SELECT><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="DCHK_payinfo2" VALUE="$aba" SIZE=10 MAXLENGTH=9><INPUT TYPE="hidden" NAME="DCHK_month" VALUE="12"><INPUT TYPE="hidden" NAME="DCHK_year" VALUE="2037"><BR>${r}Bank name <INPUT TYPE="text" NAME="DCHK_payname" VALUE="">!,
+ 'CHEK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="CHEK_payinfo1" VALUE="$account" MAXLENGTH=10> Type <SELECT NAME="CHEK_paytype">!. join('', map {qq!<OPTION VALUE="$_"!.($paytype eq $_ ? ' SELECTED' : '').">$_</OPTION>"} @paytypes). qq!</SELECT><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="CHEK_payinfo2" VALUE="$aba" SIZE=10 MAXLENGTH=9><INPUT TYPE="hidden" NAME="CHEK_month" VALUE="12"><INPUT TYPE="hidden" NAME="CHEK_year" VALUE="2037"><BR>${r}Bank name <INPUT TYPE="text" NAME="CHEK_payname" VALUE="$payname">!,
+ 'DCHK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="DCHK_payinfo1" VALUE="$account" MAXLENGTH=10> Type <SELECT NAME="DCHK_paytype">!. join('', map {qq!<OPTION VALUE="$_"!.($paytype eq $_ ? ' SELECTED' : '').">$_</OPTION>"} @paytypes). qq!</SELECT><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="DCHK_payinfo2" VALUE="$aba" SIZE=10 MAXLENGTH=9><INPUT TYPE="hidden" NAME="DCHK_month" VALUE="12"><INPUT TYPE="hidden" NAME="DCHK_year" VALUE="2037"><BR>${r}Bank name <INPUT TYPE="text" NAME="DCHK_payname" VALUE="">!,
'LECB' => qq!Phone bill billing<BR>${r}Phone number <INPUT TYPE="text" BANE="LECB_payinfo" VALUE="$payinfo" MAXLENGTH=15 SIZE=16><INPUT TYPE="hidden" NAME="LECB_month" VALUE="12"><INPUT TYPE="hidden" NAME="LECB_year" VALUE="2037"><INPUT TYPE="hidden" NAME="LECB_payname" VALUE="">!,
'BILL' => qq!Billing<BR>P.O. <INPUT TYPE="text" NAME="BILL_payinfo" VALUE="$payinfo"><BR><INPUT TYPE="hidden" NAME="BILL_month" VALUE="12"><INPUT TYPE="hidden" NAME="BILL_year" VALUE="2037">Attention<INPUT TYPE="text" NAME="BILL_payname" VALUE="$payname">!,
'COMP' => qq!Complimentary<BR><font color="#ff0000">*</font>Approved by<INPUT TYPE="text" NAME="COMP_payinfo" VALUE="$payinfo"><BR><font color="#ff0000">*</font>Exp !. expselect("COMP", $paydate),
if ( $cvv_enabled ) {
foreach my $payby ( grep { exists $payby{$_} } qw(CARD DCRD) ) { #1.4/1.5
- $paybychecked{$payby} .= qq!<TR><TD ALIGN="right">CVV2 (<A HREF="javascript:myopen('cvv2.html','cvv2','toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=yes,copyhistory=no,width=480,height=288')">help</A>)</TD><TD><INPUT TYPE="text" NAME=${payby}_paycvv VALUE="$paycvv" SIZE=4 MAXLENGTH=4></TD></TR>!;
+ my $cvv_r = $require_cvv ? '<font color="#ff0000">*</font> ' : '';
+ $paybychecked{$payby} .= qq!<TR><TD ALIGN="right">${cvv_r}CVV2 (<A HREF="javascript:myopen('cvv2.html','cvv2','toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=yes,copyhistory=no,width=480,height=288')">help</A>)</TD><TD><INPUT TYPE="text" NAME=${payby}_paycvv VALUE="$paycvv" SIZE=4 MAXLENGTH=4></TD></TR>!;
}
}
if ( $paystate_enabled ) {
<TD ALIGN="right">Username</TD>
<TD><INPUT TYPE="text" NAME="username" VALUE="$username"></TD>
</TR>
+ENDOUT
+
+ $OUT .= domainselector( svcpart=>$default_svcpart, domsvc=>$default_domsvc )
+ if $default_svcpart;
+
+ $OUT .= <<ENDOUT;
<TR>
<TD ALIGN="right">Password</TD>
<TD><INPUT TYPE="password" NAME="_password" VALUE="$_password"></TD>
$OUT = ''
}
%>
-
-<BR><INPUT TYPE="submit" NAME="signup" VALUE="Signup">
-<script language="JavaScript">
+<%=
+ if ( $terms_of_service =~ /\S/ ) {
+ my $title = 'Terms of Service'; #config?
+ my $onclick = qq[overlib( terms_content, CAPTION, "$title", STICKY, AUTOSTATUSCAP, MIDX, 0, MIDY, 0, DRAGGABLE, CLOSECLICK, CLOSETEXT, "Close" );];
+ # Container for $terms_of_service to avoid nasty escaping.
+ $OUT .= qq[
+<BR>
+<DIV id="div_terms" style="display:none">$terms_of_service</DIV>
+<SCRIPT type="text/javascript">
+function agree_to_terms (val) {
+ document.getElementById("signup").disabled = !val;
+}
+function show_terms () {
+ overlib( document.getElementById('div_terms').innerHTML,
+ CAPTION, '$title', STICKY, AUTOSTATUSCAP, MIDX, 0, MIDY, 0, DRAGGABLE,
+ CLOSECLICK, CLOSETEXT, 'Close' );
+}
+</SCRIPT>
+<INPUT TYPE="checkbox" onchange="agree_to_terms(this.checked)">
+I agree to the <a href="javascript:void(0);" onclick="show_terms();">Terms of Service</a>.
+];
+ }
+%>
+<BR><INPUT TYPE="submit" ID="signup" NAME="signup" VALUE="Signup">
+<script language="javascript">
+<%= length($terms_of_service) ? 'agree_to_terms(false)' : '' %>
function fixup_form() {
var signup_elements = new Array (
'promo_code', 'reg_code', 'pkgpart',
- 'username', '_password', '_password2', 'sec_phrase', 'popnum',
+ 'username', '_password', '_password2', 'sec_phrase', 'popnum', 'domsvc',
'mac_addr',
'countrycode', 'phonenum', 'sip_password', 'pin'
);