-<HTML><HEAD><TITLE><%= $agent || 'ISP' %> Signup form</TITLE></HEAD>
-<BODY BGCOLOR="#e8e8e8" onUnload="myclose()">
-<script language="JavaScript"><!--
+<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
+<HTML>
+<HEAD>
+ <TITLE><%= $agent || ( $signup_service eq 'svc_phone' ? 'ITSP' : 'ISP' ) %> Signup form</TITLE>
+ <%= $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) {
myclose();
mywindow.close();
mywindow = -1
}
-//--></script>
-<FONT SIZE=7><%= $agent || 'ISP' %> Signup form</FONT><BR><BR>
-<FONT SIZE="+1" COLOR="#ff0000"><%= $error %></FONT>
-<FORM NAME="OneTrueForm" ACTION="<%= $selfurl %>" METHOD=POST onSubmit="document.OneTrueForm.signup.disabled=true">
+</script>
+
+<%= $OUT .= $body_header
+ || '<FONT SIZE=7>'.
+ ( $agent || ( $signup_service eq 'svc_phone' ? 'ITSP' : 'ISP' ) ).
+ ' Signup form</FONT><BR><BR>';
+%>
+
+<%= if ( $error ) {
+ $OUT .= '<FONT SIZE="+1" COLOR="#ff0000">'. encode_entities($error).
+ '</FONT><BR><BR>';
+ }
+%>
+
+<FORM NAME="OneTrueForm" ACTION="<%= $self_url %>" METHOD=POST onSubmit="document.OneTrueForm.signup.disabled=true" STYLE="margin:0">
+<INPUT TYPE="hidden" NAME="prepaid_shortform" VALUE="<%= encode_entities($prepaid_shortform) %>">
<INPUT TYPE="hidden" NAME="session" VALUE="<%= $session_id %>">
<INPUT TYPE="hidden" NAME="action" VALUE="process_signup">
-<INPUT TYPE="hidden" NAME="ref" VALUE="<%= $referral_custnum %>">
+<INPUT TYPE="hidden" NAME="agentnum" VALUE="<%= $agentnum %>">
+<INPUT TYPE="hidden" NAME="referral_custnum" VALUE="<%= $referral_custnum %>">
<INPUT TYPE="hidden" NAME="ss" VALUE="">
+<input type="hidden" name="payby">
+<%=
+ $OUT = join("\n",
+ map {
+ my $method = $_ ;
+ map { qq|<input type="hidden" name="${method}_$_" />| }
+ qw( payinfo payinfo1 payinfo2 payname paystate paytype paycvv
+ month year type )
+ } @payby
+ );
+%>
+
+<%=
+ $OUT = join("\n",
+ map { qq|<input type="hidden" name="$_" />| }
+ qw( promo_code reg_code pkgpart username _password _password2
+ sec_phrase popnum domsvc mac_addr countrycode phonenum
+ sip_password pin ),
+ map { ( "tax_$_", "tax_${_}_num" ) } @exempt_groups
+ );
+%>
+
+<%=
+ 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">
<%=
$OUT .= '<OPTION VALUE="">' unless $refnum;
foreach my $part_referral ( @part_referral ) {
$OUT .= '<OPTION VALUE="'. $part_referral->{'refnum'}. '"';
- $OUT .= ' SELECTED' if $part_referral->{'refnum'} eq $refnum;
+ $OUT .= ' SELECTED' if $part_referral->{'refnum'} == $refnum;
$OUT .= '>'. $part_referral->{'referral'};
}
%>
</SELECT><BR><BR>
-Contact Information
-<TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0 WIDTH="100%">
+
+<%= unless ( $prepaid_template_custnum && $prepaid_shortform ) {
+
+my $bgcolor = $box_bgcolor || '#c0c0c0';
+$OUT .= qq!
+<FONT SIZE="+1"><B>Contact Information</B></FONT>
+<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>
+!;
+ if ( $stateid_enabled ) {
+ my ($county_html, $state_html, $country_html) =
+ regionselector( {
+ prefix => 'stateid_',
+ default_state => $statedefault,
+ default_country => $countrydefault,
+ locales => \@cust_main_county,
+ } );
+ $OUT .= qq!<TR><TD ALIGN="right">!. $label{stateid}.'</TD>';
+ $OUT .= qq!<TD><INPUT TYPE="text" NAME="stateid" VALUE="$stateid" SIZE=12></TD>!;
+ $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>
-<BR>Billing information<TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0 WIDTH="100%">
+!;
+
+}
+else {
+ @payby = ('PREPAY');
+}
+'';
+%>
+
+<BR><FONT SIZE="+1"><B>Billing information</B></FONT>
+<TABLE BGCOLOR="<%= $box_bgcolor || '#c0c0c0' %>" BORDER=0 CELLSPACING=0 WIDTH="100%">
<TR><TD>
<%=
+ $OUT ='';
+ unless ( $emailinvoiceonly ) {
$OUT .= '<INPUT TYPE="checkbox" NAME="invoicing_list_POST" VALUE="POST"';
my @invoicing_list = split(', ', $invoicing_list );
$OUT .= ' CHECKED'
if ! @invoicing_list || grep { $_ eq 'POST' } @invoicing_list;
- $OUT .= '>';
+ $OUT .= '> Postal mail invoice'; }
%>
- Postal mail invoice
+
</TD></TR>
-<TR><TD>Email invoice <INPUT TYPE="text" NAME="invoicing_list" VALUE="<%= join(', ', grep { $_ ne 'POST' } split(', ', $invoicing_list ) ) %>">
+<TR><TD><%= $OUT = ( $emailinvoiceonly ? q|<font color="#ff0000">*</font>| : q|| ) %> Email invoice <INPUT TYPE="text" NAME="invoicing_list" VALUE="<%= join(', ', grep { $_ ne 'POST' } split(', ', $invoicing_list ) ) %>">
</TD></TR>
-<%= scalar(@payby) > 1 ? '<TR><TD>Billing type</TD></TR>' : '' %>
-</TABLE>
+<%= ( scalar(@payby) > 1 or 1 ) ? '<TR><TD>Billing type ' : '' %>
+<!--</TABLE>
<TABLE BGCOLOR="#c0c0c0" BORDER=1 WIDTH="100%">
-<TR>
+<TR>-->
<%=
my $cardselect = '<SELECT NAME="CARD_type"><OPTION></OPTION>';
- my %types = (
- 'VISA' => 'VISA card',
- 'MasterCard' => 'MasterCard',
- 'Discover' => 'Discover card',
- 'American Express' => 'American Express card',
- );
- foreach ( keys %types ) {
- $selected = $CARD_type eq $types{$_} ? 'SELECTED' : '';
- $cardselect .= qq!<OPTION $selected VALUE="$types{$_}">$_</OPTION>!;
+ foreach ( keys %card_types ) {
+ $selected = $CARD_type eq $card_types{$_} ? 'SELECTED' : '';
+ $cardselect .= qq!<OPTION $selected VALUE="$card_types{$_}">$_</OPTION>!;
}
$cardselect .= '</SELECT>';
+
+ my $table = '<TABLE BGCOLOR="'. ( $box_bgcolor || '#c0c0c0' ). '" BORDER=0 CELLSPACING=0 WIDTH="100%">';
my %payby = (
- 'CARD' => qq!Credit card<BR><font color="#ff0000">*</font>$cardselect<INPUT TYPE="text" NAME="CARD_payinfo" VALUE="" MAXLENGTH=19><BR><font color="#ff0000">*</font>Exp !. expselect("CARD"). qq!<BR><font color="#ff0000">*</font>Name on card<BR><INPUT TYPE="text" NAME="CARD_payname" VALUE="">!,
- 'DCRD' => qq!Credit card<BR><font color="#ff0000">*</font>$cardselect<INPUT TYPE="text" NAME="DCRD_payinfo" VALUE="" MAXLENGTH=19><BR><font color="#ff0000">*</font>Exp !. expselect("DCRD"). qq!<BR><font color="#ff0000">*</font>Name on card<BR><INPUT TYPE="text" NAME="DCRD_payname" VALUE="">!,
- 'CHEK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="CHEK_payinfo1" VALUE="" MAXLENGTH=10><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="CHEK_payinfo2" VALUE="" SIZE=10 MAXLENGTH=9><INPUT TYPE="hidden" NAME="CHEK_month" VALUE="12"><INPUT TYPE="hidden" NAME="CHEK_year" VALUE="2037"><BR>${r}Bank name <INPUT TYPE="text" NAME="CHEK_payname" VALUE="">!,
- 'DCHK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="DCHK_payinfo1" VALUE="" MAXLENGTH=10><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="DCHK_payinfo2" VALUE="" 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="" 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=""><BR><font color="#ff0000">*</font>Exp !. expselect("BILL", "12-2037"). qq!<BR><font color="#ff0000">*</font>Attention<BR><INPUT TYPE="text" NAME="BILL_payname" VALUE="Accounts Payable">!,
+ 'CARD' => qq!$table<TR><TD ALIGN="right"><font color="#ff0000">*</font> Card type</TD><TD>$cardselect</TD></TR><TR><TD ALIGN="right"><font color="#ff0000">*</font> Card number</TD><TD><INPUT TYPE="text" NAME="CARD_payinfo" VALUE="$payinfo" MAXLENGTH=19></TD></TR><TR><TD ALIGN="right"><font color="#ff0000">*</font> Expiration</TD><TD>!. expselect("CARD"). qq!</TD></TR><TR><TD ALIGN="right"><font color="#ff0000">*</font> Name on card</TD><TD><INPUT TYPE="text" NAME="CARD_payname" VALUE="$payname"></TD></TR>!,
+ 'DCRD' => qq!$table<TR><TD ALIGN="right"><font color="#ff0000">*</font> Card type</TD><TD>$cardselect</TD></TR><TR><TD ALIGN="right"><font color="#ff0000">*</font> Card number</TD><TD><INPUT TYPE="text" NAME="DCRD_payinfo" VALUE="$payinfo" MAXLENGTH=19></TD></TR><TR><TD ALIGN="right"><font color="#ff0000">*</font> Expiration</TD><TD>!. expselect("DCRD"). qq!</TD></TR><TR><TD ALIGN="right"><font color="#ff0000">*</font> Name on card</TD><TD><INPUT TYPE="text" NAME="DCRD_payname" VALUE="$payname"></TD></TR>!,
+ 'CHEK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="CHEK_payinfo1" VALUE="" MAXLENGTH=10><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="CHEK_payinfo2" VALUE="" SIZE=10 MAXLENGTH=9> Type <SELECT NAME="CHEK_paytype">!. join('', map {qq!<OPTION VALUE="$_">$_</OPTION>!} @paytypes). qq!</SELECT><BR>{$r}Bank State <INPUT TYPE="text" NAME="CHEK_paystate" VALUE="" SIZE=5 MAXLENGTH=4><INPUT TYPE="hidden" NAME="CHEK_month" VALUE="12"><INPUT TYPE="hidden" NAME="CHEK_year" VALUE="2037"><BR>${r}Bank name <INPUT TYPE="text" NAME="CHEK_payname" VALUE="">!,
+ 'DCHK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="DCHK_payinfo1" VALUE="" MAXLENGTH=10> Type <SELECT NAME="DCHK_paytype">!. join('', map {qq!<OPTION VALUE="$_">$_</OPTION>!} @paytypes). qq!</SELECT><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="DCHK_payinfo2" VALUE="" SIZE=10 MAXLENGTH=9><BR>{$r}Bank State <INPUT TYPE="text" NAME="DCHK_paystate" VALUE="" SIZE=5 MAXLENGTH=4><INPUT TYPE="hidden" NAME="DCHK_month" VALUE="12"><INPUT TYPE="hidden" NAME="DCHK_year" VALUE="2037"><BR>${r}Bank name <INPUT TYPE="text" NAME="DCHK_payname" VALUE="">!,
+ 'LECB' => qq!Phone bill billing<BR>${r}Phone number <INPUT TYPE="text" NAME="LECB_payinfo" VALUE="" 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=""><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="Accounts Payable">!,
'COMP' => qq!Complimentary<BR><font color="#ff0000">*</font>Approved by<INPUT TYPE="text" NAME="COMP_payinfo" VALUE=""><BR><font color="#ff0000">*</font>Exp !. expselect("COMP"),
'PREPAY' => qq!Prepaid card<BR><font color="#ff0000">*</font><INPUT TYPE="text" NAME="PREPAY_payinfo" VALUE="" MAXLENGTH=80>!,
);
if ( $cvv_enabled ) {
foreach my $payby ( grep { exists $payby{$_} } qw(CARD DCRD) ) { #1.4/1.5
- $payby{$payby} .= qq!<BR>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>) <INPUT TYPE="text" NAME=${payby}_paycvv VALUE="" SIZE=4 MAXLENGTH=4>!;
+ 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 ) {
+ foreach my $payby ( grep { exists $payby{$_} } qw(CHEK DCHK) ) {
+ my ($county_html, $state_html, $country_html) =
+ regionselector( {
+ prefix => "${payby}_pay",
+ default_state => $statedefault,
+ default_country => $countrydefault,
+ locales => \@cust_main_county,
+ } );
+ $payby{$payby} .= "<BR>${r}Bank state $county_html $state_html";
}
}
my( $account, $aba ) = split('@', $payinfo);
my %paybychecked = (
- 'CARD' => qq!Credit card<BR><font color="#ff0000">*</font>$cardselect<INPUT TYPE="text" NAME="CARD_payinfo" VALUE="$payinfo" MAXLENGTH=19><BR><font color="#ff0000">*</font>Exp !. expselect("CARD", $paydate). qq!<BR><font color="#ff0000">*</font>Name on card<BR><INPUT TYPE="text" NAME="CARD_payname" VALUE="$payname">!,
- '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><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><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>${r}Bank name <INPUT TYPE="text" NAME="DCHK_payname" VALUE="$payname">!,
+ 'CARD' => qq!$table<TR><TD ALIGN="right"><font color="#ff0000">*</font> Card type</TD><TD>$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!$table<TR><TD ALIGN="right"><font color="#ff0000">*</font> Card type</TD><TD>$cardselect</TD></TR><TR><TD ALIGN="right"><font color="#ff0000">*</font> Card number</TD><TD><INPUT TYPE="text" NAME="DCRD_payinfo" VALUE="$payinfo" MAXLENGTH=19></TD></TR><TR><TD ALIGN="right"><font color="#ff0000">*</font> Expiration</TD><TD>!. expselect("DCRD", $paydate). qq!</TD></TR><TR><TD ALIGN="right"><font color="#ff0000">*</font> Name on card</TD><TD><INPUT TYPE="text" NAME="DCRD_payname" VALUE="$payname"></TD></TR>!,
+ '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><font color="#ff0000">*</font>Exp !. expselect("BILL", $paydate). qq!<BR><font color="#ff0000">*</font>Attention<BR><INPUT TYPE="text" NAME="BILL_payname" VALUE="$payname">!,
+ '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", $paydate),
'PREPAY' => qq!Prepaid card<BR><font color="#ff0000">*</font><INPUT TYPE="text" NAME="PREPAY_payinfo" VALUE="$payinfo" MAXLENGTH=80>!,
);
if ( $cvv_enabled ) {
foreach my $payby ( grep { exists $payby{$_} } qw(CARD DCRD) ) { #1.4/1.5
- $paybychecked{$payby} .= qq!<BR>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>) <INPUT TYPE="text" NAME=${payby}_paycvv VALUE="$paycvv" SIZE=4 MAXLENGTH=4>!;
+ 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 ) {
+ foreach my $payby ( grep { exists $payby{$_} } qw(CHEK DCHK) ) {
+ my ($county_html, $state_html, $country_html) =
+ regionselector( {
+ prefix => "${payby}_pay",
+ selected_county => $county,
+ selected_state => $state,
+ selected_country => $country,
+ default_state => $statedefault,
+ default_country => $countrydefault,
+ locales => \@cust_main_county,
+ } );
+ $paybychecked{$payby} .= "<BR>${r}Bank state $county_html $state_html";
}
}
- for (@payby) {
- if ( scalar(@payby) == 1) {
- $OUT .= '<TD VALIGN=TOP>'.
- qq!<INPUT TYPE="hidden" NAME="payby" VALUE="$_">!.
- "$paybychecked{$_}</TD>";
- } else {
- $OUT .= qq!<TD VALIGN=TOP><INPUT TYPE="radio" NAME="payby" VALUE="$_"!;
- if ($payby eq $_) {
- $OUT .= qq! CHECKED> $paybychecked{$_}</TD>!;
- } else {
- $OUT .= qq!> $payby{$_}</TD>!;
- }
+ my %payby_index = ( 'CARD' => qq/Credit Card/,
+ 'DCRD' => qq/Credit Card (no auto-charge)/,
+ 'CHEK' => qq/Check/,
+ 'DCHK' => qq/Check (no auto-charge)/,
+ 'LECB' => qq/Phone Bill Billing/,
+ 'BILL' => qq/Billing/,
+ 'COMP' => qq/Complimentary/,
+ 'PREPAY' => qq/Prepaid Card/,
+ );
+
+
+tie my %options, 'Tie::IxHash', ();
+
+foreach my $payby_option ( @payby ) {
+ $options{$payby_option} = $payby_index{$payby_option};
+}
+
+my $selected_layer = ( grep { $_ eq 'CARD' } @payby ) ? 'CARD' : $payby[0];
+
+HTML::Widgets::SelectLayers->new(
+ options => \%options,
+ selected_layer => $selected_layer,
+ form_name => 'dummy',
+ html_between => '</table>',
+ form_action => 'dummy.cgi',
+ layer_callback => sub { my $layer = shift; return ( shift @hide_payment_fields ? '' : $paybychecked{$layer} ) . '</TABLE>'; },
+)->html;
+
+
+ %>
+
+</TABLE>
+
+<FORM NAME="TaxForm" STYLE="margin:0">
+<SCRIPT TYPE="text/javascript">
+ function tax_changed(what) {
+ var num = document.getElementById(what.id + '_num');
+ if ( what.checked ) {
+ num.disabled = false;
+ } else {
+ num.disabled = true;
}
}
- %>
+</SCRIPT>
+
+<TABLE BGCOLOR="<%= $box_bgcolor || '#c0c0c0' %>" BORDER=0 CELLSPACING=0 WIDTH="100%">
+<%=
+ foreach my $exempt_group ( @exempt_groups ) {
+ no strict 'refs';
+ my $checked = ${"tax_$exempt_group"} ? 'CHECKED' : '';
+ my $disabled = $checked ? '' : 'DISABLED';
+
+ $OUT .= qq!
+ <TR><TD><INPUT TYPE="checkbox" NAME="tax_$exempt_group" ID="tax_$exempt_group" VALUE="Y" $checked onChange="tax_changed(this)"> Tax Exempt ($exempt_group taxes)
+ - Exemption number <INPUT TYPE="text" NAME="tax_${exempt_group}_num" ID="tax_${exempt_group}_num" VALUE="${"tax_${exempt_group}_num"}" $disabled></TD>
+ </TR>
+ !;
+ }
+%>
+
+
+</TABLE><font color="#ff0000">*</font> required fields
-</TR></TABLE><font color="#ff0000">*</font> required fields for each billing type
-<BR><BR>First package
-<TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0 WIDTH="100%">
+</FORM>
+
+<FORM name="signup_form" action="<%= $self_url %>" METHOD="POST" onsubmit="return fixup_form();"><BR><FONT SIZE="+1"><B>First package</B></FONT>
+<INPUT TYPE="hidden" NAME="promo_code" VALUE="<%= $promo_code %>">
+<INPUT TYPE="hidden" NAME="reg_code" VALUE="<%= $reg_code %>">
+<DIV STYLE="background: <%= $box_bgcolor %>; width: 100%">
+<TABLE BGCOLOR="<%= $box_bgcolor || '#c0c0c0' %>" BORDER=0 CELLSPACING=0>
<TR>
- <TD COLSPAN=2><SELECT NAME="pkgpart"><OPTION VALUE="">(none)
+ <TD COLSPAN=2><SELECT NAME="pkgpart">
<%=
+ $OUT .= '<OPTION VALUE="">(none)'
+ unless scalar(@part_pkg) == 1 or $default_pkgpart;
foreach my $part_pkg ( @part_pkg ) {
$OUT .= '<OPTION VALUE="'. $part_pkg->{'pkgpart'}. '"';
$OUT .= ' SELECTED' if $pkgpart && $part_pkg->{'pkgpart'} == $pkgpart;
</SELECT></TD>
</TR>
+<%=
+ if ( $signup_service eq 'svc_phone' ) {
+
+ $OUT .= '<TR><TD ALIGN="right">Phone number</TD><TD>'.
+ didselector( 'field' => 'phonenum',
+ 'svcpart' => $default_svcpart,
+ ).
+ '</TD></TR>';
+
+ $OUT .= <<ENDOUT;
+<TR>
+ <TD ALIGN="right">Voicemail PIN</TD>
+ <TD><INPUT TYPE="pin" NAME="pin" VALUE="$pin"></TD>
+</TR>
+ENDOUT
+
+ } else {
+
+ $OUT .= <<ENDOUT;
<TR>
<TD ALIGN="right">Username</TD>
- <TD><INPUT TYPE="text" NAME="username" VALUE="<%= $username %>"></TD>
+ <TD><INPUT TYPE="text" NAME="username" VALUE="$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="<%= $_password %>"></TD>
+ <TD>
+ <INPUT ID="new_password" TYPE="password" NAME="_password" VALUE="$_password">
+ <SPAN ID="new_password_result"></SPAN>
+ <SCRIPT SRC="send_xmlhttp.js"></SCRIPT>
+ <SCRIPT SRC="add_password_validation.js"></SCRIPT>
+ <SCRIPT>
+ add_password_validation('new_password',true);
+ </SCRIPT>
+ </TD>
</TR>
<TR>
<TD ALIGN="right">Re-enter Password</TD>
- <TD><INPUT TYPE="password" NAME="_password2" VALUE="<%= $_password2 %>"></TD>
+ <TD><INPUT TYPE="password" NAME="_password2" VALUE="$_password2"></TD>
</TR>
-<%=
- if ( $security_phrase ) {
- $OUT .= <<ENDOUT;
+ENDOUT
+
+ if ( $security_phrase ) {
+ $OUT .= <<SECPHRASE;
<TR>
<TD ALIGN="right">Security Phrase</TD>
<TD><INPUT TYPE="text" NAME="sec_phrase" VALUE="$sec_phrase">
</TD>
</TR>
-ENDOUT
- } else {
- $OUT .= '<INPUT TYPE="hidden" NAME="sec_phrase" VALUE="">';
+SECPHRASE
+ } else {
+ $OUT .= '<INPUT TYPE="hidden" NAME="sec_phrase" VALUE="">';
+ }
+
}
-%>
-<%=
+
if ( @svc_acct_pop ) {
$OUT .= '<TR><TD ALIGN="right">Access number</TD><TD>'.
popselector( 'popnum' => $popnum,
} else {
$OUT .= popselector(popnum=>$popnum, pops=>\@svc_acct_pop);
}
+
%>
+
</TABLE>
-<BR><BR><INPUT TYPE="submit" NAME="signup" VALUE="Signup">
-</FORM></BODY></HTML>
+</DIV>
+
+<%=
+if ( @optional_packages ) {
+ my @html;
+ foreach my $ii ( 0 .. $#optional_packages) {
+ my $friendly_index = $ii + 1;
+ if ($optional_packages[$ii]) {
+ push @html, qq|<BR>Optional Package #$friendly_index <br />|,'<table bgcolor="#c0c0c0"><tr><td>';
+
+ push @html, qq|<select name="optional_package${ii}">|;
+ push @html, qq|<option value="none"></option>|;
+ push @html, map { qq|<option value="$_->{pkgpart}">$_->{pkg}</option>| } @{$optional_packages[$ii]};
+ push @html, q|</select>|;
+
+ push @html, '</td></tr></table>';
+ }
+ $OUT = join("\n", @html);
+ }
+} else {
+$OUT = ''
+}
+%>
+<%=
+ 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() {
+
+ // copy payment method data up to OneTrueForm
+
+ var payment_method_elements = new Array( 'payinfo', 'payinfo1', 'payinfo2', 'payname', 'paycvv' , 'paystate', 'paytype', 'month', 'year', 'type' );
+
+ var payment_method_form_name = document.OneTrueForm.select.options[document.OneTrueForm.select.selectedIndex].value;
+ document.OneTrueForm.elements['payby'].value = payment_method_form_name;
+ var payment_method_form = document.forms[payment_method_form_name];
+
+ for ( ii = 0 ; ii < payment_method_elements.length ; ii++ ) {
+ var true_element_name = payment_method_form_name + '_' + payment_method_elements[ii];
+ copyelement ( payment_method_form.elements[true_element_name],
+ document.OneTrueForm.elements[true_element_name] );
+ }
+
+
+ // copy tax exempt data up to OneTrueForm
+
+ var tax_elements = new Array(
+ <%= join(', ', map "'tax_$_', 'tax_${_}_num'", @exempt_groups ) %>
+ );
+
+ for ( ii = 0 ; ii < tax_elements.length ; ii++ ) {
+ copyelement ( document.TaxForm.elements[tax_elements[ii]],
+ document.OneTrueForm.elements[tax_elements[ii]] );
+ }
+
+
+ // Copy signup details to OneTrueForm
+
+ var signup_elements = new Array (
+ 'promo_code', 'reg_code', 'pkgpart',
+ 'username', '_password', '_password2', 'sec_phrase', 'popnum', 'domsvc',
+ 'mac_addr',
+ 'countrycode', 'phonenum', 'sip_password', 'pin'
+ );
+
+ for ( ii = 0 ; ii < signup_elements.length ; ii ++ ) {
+ copyelement ( document.signup_form.elements[signup_elements[ii]],
+ document.OneTrueForm.elements[signup_elements[ii]]);
+ }
+
+ document.OneTrueForm.submit();
+ return false;
+}
+
+function copyelement(from, to) {
+
+ if ( from == undefined ) {
+ to.value = '';
+ } else {
+ if ( from.type == 'select-one' ) {
+ to.value = from.options[from.selectedIndex].value;
+ } else if ( from.type == 'checkbox' ) {
+ if ( from.checked ) {
+ to.value = from.value;
+ } else {
+ to.value = '';
+ }
+ } else {
+ if ( from.value == undefined ) {
+ to.value = '';
+ } else {
+ to.value = from.value;
+ }
+ }
+ //alert(from.name + " (" + from.type + "): " + to.name + " => " + to.value);
+ }
+}
+
+</script>
+</FORM>
+<%= $OUT .= $body_footer %>
+</BODY>
+</HTML>