-<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()">
+
+<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>
+</script>
+
+<%= $OUT .= $body_header
+ || '<FONT SIZE=7>'.
+ ( $agent || ( $signup_service eq 'svc_phone' ? 'ITSP' : 'ISP' ) ).
+ ' Signup form</FONT><BR><BR>';
+%>
+
<FONT SIZE="+1" COLOR="#ff0000"><%= $error %></FONT>
+
<FORM NAME="OneTrueForm" ACTION="<%= $self_url %>" METHOD=POST onSubmit="document.OneTrueForm.signup.disabled=true">
+<INPUT TYPE="hidden" NAME="prepaid_shortform" VALUE="<%= $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 %>">
<INPUT TYPE="hidden" NAME="referral_custnum" VALUE="<%= $referral_custnum %>">
<INPUT TYPE="hidden" NAME="ss" VALUE="">
-<input type="hidden" name="payby" />
+<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 / );
+ $OUT = join("\n", map { qq|<input type="hidden" name="$_" />| } qw / promo_code reg_code pkgpart username _password _password2 sec_phrase popnum mac_addr countrycode phonenum sip_password pin / );
+%>
+
+<%=
+ 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>
+
+<%= unless ( $prepaid_template_custnum && $prepaid_shortform ) {
+
+my $bgcolor = $box_bgcolor || '#c0c0c0';
+$OUT .= qq!
Contact Information
-<TABLE 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>
-<BR>Billing information<TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0 WIDTH="100%">
+!;
+
+}
+else {
+ @payby = ('PREPAY');
+}
+%>
+
+<BR>Billing information<TABLE BGCOLOR="<%= $box_bgcolor || '#c0c0c0' %>" BORDER=0 CELLSPACING=0 WIDTH="100%">
<TR><TD>
<%=
'CHEK' => qq!Electronic check<BR>${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><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">!,
+ '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>!,
);
my( $account, $aba ) = split('@', $payinfo);
my %paybychecked = (
- 'CARD' => qq!<TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0 WIDTH="100%"><TR><TD ALIGN="right"><font color="#ff0000">*</font> Card type</TD><TD>$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> 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>!,
'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>${r}Bank name <INPUT TYPE="text" NAME="DCHK_payname" VALUE="">!,
'LECB' => qq!Phone bill billing<BR>${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>!,
);
}
}
-use Tie::IxHash;
-use HTML::Widgets::SelectLayers;
-
my %payby_index = ( 'CARD' => qq/Credit Card/,
'DCRD' => qq/Credit Card/,
'CHEK' => qq/Check/,
$options{$payby_option} = $payby_index{$payby_option};
}
+my $selected_layer = ( grep { $_ eq 'CARD' } @payby ) ? 'CARD' : $payby[0];
+
HTML::Widgets::SelectLayers->new(
options => \%options,
- selected_layer => 'CARD',
+ selected_layer => $selected_layer,
form_name => 'dummy',
html_between => '</td></tr></table>',
form_action => 'dummy.cgi',
- layer_callback => sub { my $layer = shift; return $paybychecked{$layer}. '</TABLE>'; },
+ layer_callback => sub { my $layer = shift; return ( shift @hide_payment_fields ? '' : $paybychecked{$layer} ) . '</TABLE>'; },
)->html;
<FORM name="signup_form" action="<%= $self_url %>" METHOD="POST" onsubmit="return fixup_form();"><BR><BR>First package
<INPUT TYPE="hidden" NAME="promo_code" VALUE="<%= $promo_code %>">
<INPUT TYPE="hidden" NAME="reg_code" VALUE="<%= $reg_code %>">
-<TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0 WIDTH="100%">
+<TABLE BGCOLOR="<%= $box_bgcolor || '#c0c0c0' %>" BORDER=0 CELLSPACING=0 WIDTH="100%">
<TR>
<TD COLSPAN=2><SELECT NAME="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>
<TR>
<TD ALIGN="right">Password</TD>
- <TD><INPUT TYPE="password" NAME="_password" VALUE="<%= $_password %>"></TD>
+ <TD><INPUT TYPE="password" NAME="_password" VALUE="$_password"></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 ( $nomadix ) {
+
+ warn $mac_addr;
+ $mac_addr ||= $MA;
+ warn $mac_addr;
+
+ $OUT .= <<NOMADIX;
+ <INPUT TYPE="hidden" NAME="mac_addr" VALUE="$mac_addr">
+NOMADIX
+
+ }
+
}
-%>
-<%=
+
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>
<%=
// Copy signup details to OneTrueForm
- var signup_elements = new Array ( 'promo_code', 'reg_code',
- 'pkgpart', 'username',
- '_password', '_password2',
- 'sec_phrase', 'popnum' );
+ var signup_elements = new Array (
+ 'promo_code', 'reg_code', 'pkgpart',
+ 'username', '_password', '_password2', 'sec_phrase', 'popnum',
+ 'mac_addr',
+ 'countrycode', 'phonenum', 'sip_password', 'pin'
+ );
for ( ii = 0 ; ii < signup_elements.length ; ii ++ ) {
copyelement ( document.signup_form.elements[signup_elements[ii]],
}
</script>
-</FORM></BODY></HTML>
+</FORM>
+<%= $OUT .= $body_footer %>
+</BODY>
+</HTML>