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 @@ +
<%=$r%>Contact name (last, first) |
+ + > , + > + | +||||||
---|---|---|---|---|---|---|---|
Company | ++ > + | +||||||
<%=$r%>Address | ++ > + | +||||||
+ <%= + my $style = + ( $disabled + || !$require_address2 + || ( !$pre && $ship_last ) + ) + ? 'visibility:hidden' + : ''; + + $OUT .= qq!* Unit #!; + %> + | ++ > + | +||||||
<%=$r%>City | ++ > + | + <%= + ($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, + } ); + + $OUT .= qq!${r}State/County | !; + $OUT .= qq!$county_html $state_html | !; + $OUT .= qq!${r}Zip | !; + $OUT .= qq!!; + $OUT .= qq! | ||
${r}Country | !; + $OUT .= qq!$country_html | !; + %> +||||||
Day Phone | ++ > + | +||||||
Night Phone | ++ > + | +||||||
Fax | ++ > + | +