--- /dev/null
+% unless ( $opt{'js_only'} ) {
+
+ <INPUT TYPE="hidden" NAME="<%$name%>" ID="<%$id%>" VALUE="<% $curr_value %>">
+
+ <TABLE>
+ <TR>
+% foreach my $field ( @fields ) {
+%
+% my $value = '';
+% $value = $item->get($field);
+
+ <TD>
+ <INPUT TYPE = "text"
+ NAME = "<%$name%>_<%$field%>"
+ ID = "<%$id%>_<%$field%>"
+ SIZE = "<% $size{$field} || 15 %>"
+ VALUE = "<% scalar($cgi->param($name."_$field"))
+ || $value |h %>"
+ <% $onchange %>
+ ><BR>
+ <FONT SIZE="-1"><% $label{$field} %></FONT>
+ </TD>
+% }
+ </TR>
+ </TABLE>
+
+% }
+<%init>
+
+my( %opt ) = @_;
+
+my $name = $opt{'element_name'} || $opt{'field'} || 'orderitemnum';
+my $id = $opt{'id'} || 'orderitemnum';
+
+my $curr_value = $opt{'curr_value'} || $opt{'value'};
+
+my $onchange = '';
+if ( $opt{'onchange'} ) {
+ $onchange = $opt{'onchange'};
+ $onchange .= '(this)' unless $onchange =~ /\(\w*\);?$/;
+ $onchange =~ s/\(what\);/\(this\);/g; #ugh, terrible hack. all onchange
+ #callbacks should act the same
+ $onchange = 'onChange="'. $onchange. '"';
+}
+
+my $item;
+if ( $curr_value ) {
+ $item = qsearchs('did_order_item', { 'orderitemnum' => $curr_value } );
+} else {
+ $item = new FS::did_order_item {};
+}
+
+my %size = ( 'npa' => 3,
+ 'latanum' => 3,
+ 'state' => 2,
+ 'quantity' => 3,);
+
+tie my %label, 'Tie::IxHash',
+ 'msa' => 'MSA',
+ 'npa' => 'NPA',
+ 'latanum' => 'LATA #',
+ 'rate_center' => 'Rate Center',
+ 'state' => 'State',
+ 'quantity' => 'Quantity',
+;
+
+my @fields = keys %label;
+
+</%init>