<TD ALIGN="right" VALIGN="center"><% mt('Address') |h %></TD>
<TD><INPUT TYPE="text" NAME="address" SIZE=54></TD>
</TR>
+
+ <TR>
+ <TD ALIGN="right" VALIGN="center"><% mt('County') |h %></TD>
+ <TD>
+ <& /elements/select-county.html,
+ disable_empty => 0,
+ empty_label => '(all)',
+ &>
+ </TD>
+ </TR>
+
+
+ <TR>
+ <TD ALIGN="right" VALIGN="center"><% mt('State') |h %></TD>
+ <TD>
+ <& /elements/select-state.html,
+ disable_empty => 0,
+ empty_label => '(all)',
+ &>
+ </TD>
+ </TR>
<TR>
<TD ALIGN="right" VALIGN="center"><% mt('Zip') |h %></TD>
<TD><INPUT TYPE="text" NAME="zip" SIZE=12></TD>
</TR>
+ <TR>
+ <TD ALIGN="right" VALIGN="center"><% mt('Country') |h %></TD>
+ <TD>
+ <& /elements/select-country.html,
+ disable_empty => 0,
+ state_disable_empty => 0,
+ state_empty_label => '(all)',
+ &>
+ </TD>
+ </TR>
+
<TR>
<TD ALIGN="right" VALIGN="center"><% mt('Signup date') |h %></TD>
<TD>
</TD>
</TR>
+ <TR>
+ <TD ALIGN="right">With package of class</TD>
+ <TD>
+ <& /elements/select-pkg_class.html,
+ 'field' => 'pkg_classnum',
+ 'multiple' => 1,
+ &>
+ <DIV STYLE="display:inline-block; vertical-align:baseline">
+ <INPUT TYPE="radio" NAME="all_pkg_classnums" VALUE="0" CHECKED>
+ Any of these
+ <BR>
+ <INPUT TYPE="radio" NAME="all_pkg_classnums" VALUE="1">
+ All of these
+ </DIV>
+ </TD>
+ </TR>
+
<& /elements/tr-select-payby.html,
'payby_type' => 'cust',
'multiple' => 1,