+<%=
+if($lnp) {
+ $OUT .= "<table>"
+ . qq!<input type="hidden" name="lnp" value="1">!
+ . lnp_textfield("phonenum","Phone Number")
+ . lnp_textfield("lnp_desired_due_date","Requested Port-In Date")
+ . lnp_textfield("lnp_other_provider","Current Provider")
+ . lnp_textfield("lnp_other_provider_account","Current Provider's Account #")
+ . "</table>";
+} else {
+ if ( $svcnum ) {
+ $OUT .= qq!<INPUT TYPE="hidden" NAME="svcnum" VALUE="$svcnum">!;
+ $OUT .= qq!<INPUT TYPE="hidden" NAME="phonenum" VALUE="">!;
+ $OUT .= qq!<TABLE><TR><TD>Email</TD><TD><INPUT TYPE="text" NAME="email"
+ VALUE="$email"></TD></TR>
+ <TR><TD>Forward to</TD><TD>
+ <INPUT TYPE="text" NAME="forwarddst" VALUE="$forwarddst">
+ </TD></TR></TABLE>!;
+ }
+ else {
+ didselector('field' => 'phonenum',