X-Git-Url: http://git.freeside.biz/gitweb/?a=blobdiff_plain;ds=sidebyside;f=fs_selfservice%2FFS-SelfService%2Fcgi%2Fsignup.html;h=405444cfa9185f7d70c887cdf03d130b314615ca;hb=0bebde603df97eb496150e80a58755b2f792f64a;hp=375137b3c02c5a123b9383e106b17dae87e3c0e7;hpb=624b2d44625f69d71175c3348cae635d580c890b;p=freeside.git diff --git a/fs_selfservice/FS-SelfService/cgi/signup.html b/fs_selfservice/FS-SelfService/cgi/signup.html index 375137b3c..405444cfa 100755 --- a/fs_selfservice/FS-SelfService/cgi/signup.html +++ b/fs_selfservice/FS-SelfService/cgi/signup.html @@ -28,6 +28,7 @@ <%= $error %>
+ @@ -52,32 +53,35 @@ Where did you hear about our service?

+ +<%= unless ( $prepaid_template_custnum && $prepaid_shortform ) { + +my $bgcolor = $box_bgcolor || '#c0c0c0'; +$OUT .= qq! Contact Information - +
- + - + - + - + - - - !; + + my ($county_html, $state_html, $country_html) = regionselector( { selected_county => $county, selected_state => $state, @@ -87,29 +91,30 @@ Contact Information locales => \@cust_main_county, } ); - "$county_html $state_html"; - %> +$county_out = ($county_html =~ /SELECT/) ? 'County/State' : 'State'; +$OUT .= qq! + - + - + - + - + - + -<%= - $OUT = ''; +!; if ( $stateid_enabled ) { my ($county_html, $state_html, $country_html) = regionselector( { @@ -123,8 +128,16 @@ Contact Information $OUT .= qq!'; $OUT .=""; } -%> +$OUT .= qq!
*Contact name
(last, first)
, - , +
Company
*Address
 
*City*State/Country - <%= - ($county_html, $state_html, $country_html) = + * $county_out + $county_html $state_html *Zip
*Country<%= $country_html %>$country_html
Day Phone
Night Phone
Fax
!. $label{stateid_state} .'$county_html $state_html
* required fields
+!; + +} +else { + @payby = ('PREPAY'); +} +%> +
Billing information