-<%
-#
-# $Id: svc_acct_pop.cgi,v 1.1 2001-07-30 07:36:04 ivan Exp $
-#
-# ivan@sisd.com 98-mar-8
-#
-# Changes to allow page to work at a relative position in server
-# bmccane@maxbaud.net 98-apr-3
-#
-# lose background, FS::CGI ivan@sisd.com 98-sep-2
-#
-# $Log: svc_acct_pop.cgi,v $
-# Revision 1.1 2001-07-30 07:36:04 ivan
-# templates!!!
-#
-# Revision 1.9 2000/01/28 23:02:48 ivan
-# track full phone number
-#
-# Revision 1.8 1999/02/23 08:09:23 ivan
-# beginnings of one-screen new customer entry and some other miscellania
-#
-# Revision 1.7 1999/02/07 09:59:23 ivan
-# more mod_perl fixes, and bugfixes Peter Wemm sent via email
-#
-# Revision 1.6 1999/01/19 05:13:44 ivan
-# for mod_perl: no more top-level my() variables; use vars instead
-# also the last s/create/new/;
-#
-# Revision 1.5 1999/01/18 09:41:33 ivan
-# all $cgi->header calls now include ( '-expires' => 'now' ) for mod_perl
-# (good idea anyway)
-#
-# Revision 1.4 1998/12/23 02:57:45 ivan
-# $cgi->keywords instead of $cgi->query_string
-#
-# Revision 1.3 1998/12/17 06:17:10 ivan
-# fix double // in relative URLs, s/CGI::Base/CGI/;
-#
-# Revision 1.2 1998/11/13 09:56:47 ivan
-# change configuration file layout to support multiple distinct databases (with
-# own set of config files, export, etc.)
-#
+<% include('/elements/header.html', "$action Access Number", menubar(
+ 'View all Access Numbers' => popurl(2). "browse/svc_acct_pop.cgi",
+ ))
+%>
+
+<% include('/elements/error.html') %>
+
+<FORM ACTION="<%$p1%>process/svc_acct_pop.cgi" METHOD=POST>
+
+<INPUT TYPE="hidden" NAME="popnum" VALUE="<% $hashref->{popnum} %>">
+Access Number #<% $hashref->{popnum} ? $hashref->{popnum} : "(NEW)" %>
+
+<PRE>
+City <INPUT TYPE="text" NAME="city" SIZE=32 VALUE="<% $hashref->{city} %>">
+State <INPUT TYPE="text" NAME="state" SIZE=16 MAXLENGTH=16 VALUE="<% $hashref->{state} %>">
+Area Code <INPUT TYPE="text" NAME="ac" SIZE=4 MAXLENGTH=3 VALUE="<% $hashref->{ac} %>">
+Exchange <INPUT TYPE="text" NAME="exch" SIZE=4 MAXLENGTH=3 VALUE="<% $hashref->{exch} %>">
+Local <INPUT TYPE="text" NAME="loc" SIZE=5 MAXLENGTH=4 VALUE="<% $hashref->{loc} %>">
+</PRE>
+
+<BR>
+<INPUT TYPE="submit" VALUE="<% $hashref->{popnum} ? "Apply changes" : "Add Access Number" %>">
+
+</FORM>
+
+<% include('/elements/footer.html') %>
+
+<%init>