FCC form 477 reporting #4912
[freeside.git] / httemplate / edit / cust_main / contact.html
1 <% &ntable("#cccccc") %>
2
3 <TR>
4   <TH ALIGN="right"><%$r%>Contact&nbsp;name<BR>(last,&nbsp;first)</TH>
5   <TD COLSPAN=5>
6     <INPUT TYPE="text" NAME="<%$pre%>last" VALUE="<% $cust_main->get($pre.'last') %>" onChange="<% $onchange %>" <%$disabled%>> , 
7     <INPUT TYPE="text" NAME="<%$pre%>first" VALUE="<% $cust_main->get($pre.'first') %>" onChange="<% $onchange %>" <%$disabled%>>
8   </TD>
9 % if ( $conf->exists('show_ss') && !$pre ) { 
10
11   <TD ALIGN="right">SS#</TD>
12   <TD><INPUT TYPE="text" NAME="ss" VALUE="<% $opt{ss} %>" SIZE=11></TD>
13 % } elsif ( !$pre ) { 
14
15   <TD><INPUT TYPE="hidden" NAME="ss" VALUE="<% $opt{ss} %>"></TD>
16 % } 
17
18
19 </TR>
20
21 <TR>
22   <TD ALIGN="right">Company</TD>
23   <TD COLSPAN=7>
24     <INPUT TYPE="text" NAME="<%$pre%>company" VALUE="<% $cust_main->get($pre.'company') %>" SIZE=70 onChange="<% $onchange %>" <%$disabled%>>
25   </TD>
26 </TR>
27
28 <% include('/elements/location.html',
29              'prefix'       => $pre,
30              'object'       => $cust_main,
31              'onchange'     => $onchange,
32              'disabled'     => $disabled,
33              'same_checked' => $opt{'same_checked'},
34              'geocode'      => $opt{'geocode'},
35              'censustract'  => $opt{'censustract'},
36           )
37 %>
38
39 <TR>
40   <TD ALIGN="right"><% $daytime_label %></TD>
41   <TD COLSPAN=5>
42     <INPUT TYPE="text" NAME="<%$pre%>daytime" VALUE="<% $cust_main->get($pre.'daytime') %>" SIZE=18 onChange="<% $onchange %>" <%$disabled%>>
43   </TD>
44 </TR>
45
46 <TR>
47   <TD ALIGN="right"><% $night_label %></TD>
48   <TD COLSPAN=5>
49     <INPUT TYPE="text" NAME="<%$pre%>night" VALUE="<% $cust_main->get($pre.'night') %>" SIZE=18 onChange="<% $onchange %>" <%$disabled%>>
50   </TD>
51 </TR>
52
53 <TR>
54   <TD ALIGN="right">Fax</TD>
55   <TD COLSPAN=5>
56     <INPUT TYPE="text" NAME="<%$pre%>fax" VALUE="<% $cust_main->get($pre.'fax') %>" SIZE=12 onChange="<% $onchange %>" <%$disabled%>>
57   </TD>
58 </TR>
59
60 % if ( $conf->exists('show_stateid') && !$pre ) { 
61
62 <TR>
63   <TD ALIGN="right"><% $stateid_label %></TD>
64   <TD><INPUT TYPE="text" NAME="stateid" VALUE="<% $opt{stateid} %>" SIZE=12 onChange="<% $onchange %>" <%$disabled%>></TD>
65   <TD ALIGN="right"><% $stateid_state_label %></TD>
66   <TD><% include('/elements/select-state.html',
67                    'state'    => $cust_main->stateid_state,
68                    'country'  => $cust_main->country,
69                    'prefix'   => 'stateid_',
70                    'onchange' => $onchange,
71                    'disabled' => $disabled,
72                 )
73       %>
74   </TD>
75 </TR>
76 % } elsif ( !$pre ) { 
77
78   <TD><INPUT TYPE="hidden" NAME="stateid" VALUE="<% $opt{stateid} %>"></TD>
79   <TD><INPUT TYPE="hidden" NAME="stateid_state" VALUE="<% $cust_main->stateid_state %>"></TD>
80 % } 
81
82 </TABLE>
83 <%$r%>required fields<BR>
84
85 <%init>
86
87 #my( $cust_main, $pre, $onchange, $disabled, %opt ) = @_;
88 my %opt = @_;
89 my $cust_main = $opt{'cust_main'};
90 my $pre       = $opt{'pre'};
91 my $onchange  = $opt{'onchange'};
92 my $disabled  = $opt{'disabled'};
93
94 my $conf = new FS::Conf;
95
96 foreach (qw(ss stateid)) {
97   $opt{$_} = $cust_main->masked($_) unless exists $opt{$_};
98 }
99
100 #false laziness with ship state
101 my $countrydefault = $conf->config('countrydefault') || 'US';
102 $cust_main->set($pre.'country', $countrydefault )
103   unless $cust_main->get($pre.'country');
104
105 my $statedefault = $conf->config('statedefault')
106                    || ($countrydefault eq 'US' ? 'CA' : '');
107 $cust_main->set($pre.'state', $statedefault )
108   unless $cust_main->get($pre.'state')
109          || $cust_main->get($pre.'country') ne $countrydefault;
110
111 $cust_main->set('stateid_state', $cust_main->state )
112   unless $pre || $cust_main->get('stateid_state');
113
114 #my($county_html, $state_html, $country_html) =
115 #  FS::cust_main_county::regionselector( $cust_main->get($pre.'county'),
116 #                                        $cust_main->get($pre.'state'),
117 #                                        $cust_main->get($pre.'country'),
118 #                                        $pre,
119 #                                        $onchange,
120 #                                        $disabled,
121 #                                      );
122
123 my $daytime_label = FS::Msgcat::_gettext('daytime') =~ /^(daytime)?$/
124                   ? 'Day Phone'
125                   : FS::Msgcat::_gettext('daytime');
126 my $night_label = FS::Msgcat::_gettext('night') =~/^(night)?$/
127                 ? 'Night Phone'
128                 : FS::Msgcat::_gettext('night') || 'Night Phone';
129 my $stateid_label = FS::Msgcat::_gettext('stateid') =~ /^(stateid)?$/
130                   ? 'Driver&rsquo;s License'
131                   : FS::Msgcat::_gettext('stateid') || 'Driver&rsquo;s License';
132 my $stateid_state_label = FS::Msgcat::_gettext('stateid_state') =~ /^(stateid_state)?$/
133                         ? 'Driver&rsquo;s License State'
134                         : FS::Msgcat::_gettext('stateid_state') || 'Driver&rsquo;s License State';
135
136 my $r = qq!<font color="#ff0000">*</font>&nbsp;!;
137
138 </%init>