+</TABLE>
+<%$r%><% mt('required fields') |h %><BR>
+
+<%def company>
+% my $display = ($cust_main->residential_commercial eq 'Commercial')
+% ? '' : 'none';
+ <TR ID="<%$pre%>company_row" STYLE="display:<%$display%>">
+ <TD ALIGN="right"><% mt('Company') |h %></TD>
+ <TD COLSPAN=7>
+ <INPUT TYPE="text" NAME="<%$pre%>company" ID="<%$pre%>company" VALUE="<% $cust_main->get($pre.'company') |h %>" SIZE=60 onChange="<% $onchange %>" <%$disabled%> <%$style%>>
+ </TD>
+ </TR>
+</%def>
+
+<%def location>
+ <& /elements/location.html,
+ 'prefix' => $pre,
+ 'object' => $cust_main,
+ 'onchange' => $onchange,
+ 'disabled' => $disabled,
+ 'style' => \@style,
+ 'same_checked' => $opt{'same_checked'},
+ 'geocode' => $opt{'geocode'},
+ 'censustract' => $opt{'censustract'},
+ &>
+</%def>
+
+<%def phones>
+ <TR>
+ <TD ALIGN="right" VALIGN="top"><% mt('Phones') %></TD>
+ <TD COLSPAN=6>
+
+ <TABLE CELLSPACING=0 CELLPADDING=0>
+ <TR>
+ <TD>
+ <INPUT TYPE="text" NAME="<%$pre%>daytime" VALUE="<% $cust_main->get($pre.'daytime') %>" SIZE=18 onChange="<% $onchange %>" <%$disabled%> <%$style%>>
+ <BR><FONT SIZE=-1><% $daytime_label %></FONT>
+ </TD>
+ <TD> </TD>
+ <TD>
+ <INPUT TYPE="text" NAME="<%$pre%>night" VALUE="<% $cust_main->get($pre.'night') %>" SIZE=18 onChange="<% $onchange %>" <%$disabled%> <%$style%>>
+ <BR><FONT SIZE=-1><% $night_label %></FONT>
+ </TD>
+ <TD> </TD>
+ <TD>
+ <INPUT TYPE="text" NAME="<%$pre%>mobile" VALUE="<% $cust_main->get($pre.'mobile') %>" SIZE=18 onChange="<% $onchange %>" <%$disabled%> <%$style%>>
+ <BR><FONT SIZE=-1><% $mobile_label %></FONT>
+ </TD>
+ </TR>
+ </TABLE>
+ </TD>
+ </TR>
+</%def>
+
+<%def fax>
+ <TR>
+ <TD ALIGN="right"><% mt('Fax') |h %></TD>
+ <TD COLSPAN=5>
+ <INPUT TYPE="text" NAME="<%$pre%>fax" VALUE="<% $cust_main->get($pre.'fax') %>" SIZE=12 onChange="<% $onchange %>" <%$disabled%> <%$style%>>
+ </TD>
+ </TR>
+</%def>
+
+<%once>
+
+my $r = qq!<font color="#ff0000">*</font> !;
+
+</%once>
+<%shared>
+
+my( %opt, $cust_main, $pre, $onchange, $disabled, @style, $style,
+ $daytime_label, $night_label, $mobile_label,
+ );
+
+</%shared>
+<%init>
+
+%opt = @_;
+$cust_main = $opt{'cust_main'};
+$pre = $opt{'pre'};
+$onchange = $opt{'onchange'};
+$disabled = $opt{'disabled'};
+@style = ( $opt{'style'} ? @{ $opt{'style'} } : () );
+
+$style = scalar(@style) ? 'STYLE="'. join(';', @style). '"' : '';
+
+my $conf = new FS::Conf;
+
+foreach (qw(ss stateid)) {
+ $opt{$_} = $cust_main->masked($_) unless exists $opt{$_};
+}
+
+#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 $countrydefault;
+
+$cust_main->set('stateid_state', $cust_main->state )
+ unless $pre || $cust_main->get('stateid_state');
+
+$opt{geocode} ||= $cust_main->get('geocode');
+
+$opt{censustract} ||= $cust_main->censustract;
+
+$daytime_label = FS::Msgcat::_gettext('daytime') =~ /^(daytime)?$/
+ ? 'Day'
+ : FS::Msgcat::_gettext('daytime');
+$night_label = FS::Msgcat::_gettext('night') =~/^(night)?$/
+ ? 'Night'
+ : FS::Msgcat::_gettext('night') || 'Night';
+$mobile_label = FS::Msgcat::_gettext('mobile') =~/^(mobile)?$/
+ ? 'Mobile'
+ : FS::Msgcat::_gettext('mobile') || 'Mobile';
+
+my $stateid_label = FS::Msgcat::_gettext('stateid') =~ /^(stateid)?$/
+ ? 'Driver’s License'
+ : FS::Msgcat::_gettext('stateid') || 'Driver’s License';
+my $stateid_state_label = FS::Msgcat::_gettext('stateid_state') =~ /^(stateid_state)?$/
+ ? 'Driver’s License State'
+ : FS::Msgcat::_gettext('stateid_state') || 'Driver’s License State';
+
+my @invoicing_list = $cust_main->invoicing_list;
+
+my $agentnum = $cust_main->agentnum if $cust_main->custnum;
+
+</%init>