X-Git-Url: http://git.freeside.biz/gitweb/?a=blobdiff_plain;f=fs_selfservice%2FFS-SelfService%2Fcgi%2Fcontact.html;fp=fs_selfservice%2FFS-SelfService%2Fcgi%2Fcontact.html;h=20c15df784270cfaefc6bfa7f61a9db2c6b136ef;hb=c0fdb0884f3e5fb72e83e0b65d52b5a593bd670a;hp=0000000000000000000000000000000000000000;hpb=9270d54732d8cf73030555fdc32fa9ff929b22c2;p=freeside.git diff --git a/fs_selfservice/FS-SelfService/cgi/contact.html b/fs_selfservice/FS-SelfService/cgi/contact.html new file mode 100644 index 000000000..20c15df78 --- /dev/null +++ b/fs_selfservice/FS-SelfService/cgi/contact.html @@ -0,0 +1,135 @@ + + + + + + + + + + + + + + + + + + + + + + + + + + <%= + ($county_html, $state_html, $country_html) = + FS::SelfService::regionselector( { + prefix => $pre, + selected_county => ${$pre.'county'}, + selected_state => ${$pre.'state'}, + selected_country => ${$pre.'country'}, + default_state => $statedefault, + default_country => $countrydefault, + locales => \@cust_main_county, + } ); + + $OUT .= qq!!; + $OUT .= qq!!; + $OUT .= qq!!; + $OUT .= qq!!; + $OUT .= qq!!; + $OUT .= qq!!; + $OUT .= qq!!; + $OUT .= qq!!; + %> + + + + + + + + + + + + + + + + + + + +
<%=$r%>Contact name
(last, first)
+ > , + > +
Company + > +
<%=$r%>Address + > +
+ <%= + my $style = + ( $disabled + || !$require_address2 + || ( !$pre && $ship_last ) + ) + ? 'visibility:hidden' + : ''; + + $OUT .= qq!* Unit #!; + %> + + > +
<%=$r%>City + > + ${r}State/County$county_html $state_html${r}Zip
${r}Country$country_html
Day Phone + > +
Night Phone + > +
Fax + > +
+<%=$r%>required fields
+ +