X-Git-Url: http://git.freeside.biz/gitweb/?p=freeside.git;a=blobdiff_plain;f=fs_signup%2FFS-SignupClient%2Fcgi%2Fsignup-billaddress.html;fp=fs_signup%2FFS-SignupClient%2Fcgi%2Fsignup-billaddress.html;h=3cf9d25053e6d4ae4503a4ff28a5acb3d9fe0592;hp=0000000000000000000000000000000000000000;hb=a5a258c91c5dc78897d16627b8092385ceb4c4d2;hpb=97ddf39b5798913bbd2b0205b2767df2cd362a2b diff --git a/fs_signup/FS-SignupClient/cgi/signup-billaddress.html b/fs_signup/FS-SignupClient/cgi/signup-billaddress.html new file mode 100755 index 000000000..3cf9d2505 --- /dev/null +++ b/fs_signup/FS-SignupClient/cgi/signup-billaddress.html @@ -0,0 +1,307 @@ +ISP Signup form + + +ISP Signup form

+<%= $error %> +
+ + + +Where did you hear about our service?

+Billing Address (where credit card statement is sent) + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
*Exact name on card
(last, first)		, +
Company
*Address
 
*City*State/Country + <%= + ($county_html, $state_html, $country_html) = + regionselector( $county, $state, $country, '', 'changed(this)' ); + + "$county_html $state_html"; + %> + *Zip
*Country<%= $country_html %>
Day Phone
Night Phone
Fax
+ + + +

+Service Address +(>same as billing address)
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
*Contact name
(last, first)		, +
Company
*Address
 
*City*State/Country + <%= + ($ship_county_html, $ship_state_html, $ship_country_html) = + regionselector( $ship_county, + $ship_state, + $ship_country, + 'ship_', + 'changed(this)', + ); + + "$ship_county_html $ship_state_html"; + %> + *Zip
*Country<%= $ship_country_html %>
Day Phone
Night Phone
Fax
+ +* required fields
+ +
Billing information + + +<%= scalar(@payby) > 1 ? '' : '' %> +
+ + <%= + $OUT .= ' + + Postal mail invoice +
Email invoice +
Billing type
+ + + + <%= + + my $cardselect = ''; + + my %payby = ( + 'CARD' => qq!Credit card
*$cardselect
*Exp !. expselect("CARD"), #. qq!
*Name on card
!, + 'DCRD' => qq!Credit card
*$cardselect
*Exp !. expselect("DCRD"), #. qq!
*Name on card
!, + 'CHEK' => qq!Electronic check
${r}Account number
${r}ABA/Routing code
${r}Bank name !, + 'DCHK' => qq!Electronic check
${r}Account number
${r}ABA/Routing code
${r}Bank name !, + 'LECB' => qq!Phone bill billing
${r}Phone number !, + 'BILL' => qq!Billing
P.O.
*Exp !. expselect("BILL", "12-2037"). qq!
*Attention
!, + 'COMP' => qq!Complimentary
*Approved by
*Exp !. expselect("COMP"), + 'PREPAY' => qq!Prepaid card
*!, + ); + + if ( $init_data->{'cvv_enabled'} ) { + foreach my $payby ( grep { exists $payby{$_} } qw(CARD DCRD) ) { #1.4/1.5 + $payby{$payby} .= qq!
CVV2 (help) !; + } + } + + my( $account, $aba ) = split('@', $payinfo); + my %paybychecked = ( + 'CARD' => qq!Credit card
*$cardselect
*Exp !. expselect("CARD", $paydate), #. qq!
*Name on card
!, + 'DCRD' => qq!Credit card
*$cardselect
*Exp !. expselect("DCRD", $paydate), #. qq!
*Name on card
!, + 'CHEK' => qq!Electronic check
${r}Account number
${r}ABA/Routing code
${r}Bank name !, + 'DCHK' => qq!Electronic check
${r}Account number
${r}ABA/Routing code
${r}Bank name !, + 'LECB' => qq!Phone bill billing
${r}Phone number !, + 'BILL' => qq!Billing
P.O.
*Exp !. expselect("BILL", $paydate). qq!
*Attention
!, + 'COMP' => qq!Complimentary
*Approved by
*Exp !. expselect("COMP", $paydate), + 'PREPAY' => qq!Prepaid card
*!, + ); + + if ( $init_data->{'cvv_enabled'} ) { + foreach my $payby ( grep { exists $payby{$_} } qw(CARD DCRD) ) { #1.4/1.5 + $paybychecked{$payby} .= qq!
CVV2 (help) !; + } + } + + for (@payby) { + if ( scalar(@payby) == 1) { + $OUT .= '"; + } else { + $OUT .= qq!!; + } else { + $OUT .= qq!> $payby{$_}!; + } + + } + } + %> + +
'. + qq!!. + "$paybychecked{$_} $paybychecked{$_}
* required fields for each billing type +

First package + + + + + + + + + + + + + + + + + +<%= + if ( $init_data->{'security_phrase'} ) { + $OUT .= < + + + +ENDOUT + } else { + $OUT .= ''; + } +%> +<%= + if ( scalar(@$pops) ) { + $OUT .= ''; + } else { + $OUT .= popselector($popnum); + } +%> +
Username
Password
Re-enter Password
Security Phrase +
Access number'. + popselector($popnum). '
+

+