X-Git-Url: http://git.freeside.biz/gitweb/?p=freeside.git;a=blobdiff_plain;f=fs_signup%2FFS-SignupClient%2Fcgi%2Fsignup.html;fp=fs_signup%2FFS-SignupClient%2Fcgi%2Fsignup.html;h=bc02db23027c57ba70cb3db7e8d48116603d0ae2;hp=0000000000000000000000000000000000000000;hb=294b8c0914f497b7714bad51dfb000d33e843995;hpb=b752b1bede0539c9822b999e08e994f63036320d diff --git a/fs_signup/FS-SignupClient/cgi/signup.html b/fs_signup/FS-SignupClient/cgi/signup.html new file mode 100755 index 000000000..bc02db230 --- /dev/null +++ b/fs_signup/FS-SignupClient/cgi/signup.html @@ -0,0 +1,149 @@ +ISP Signup form +ISP Signup form

+<%= $error %> +
+ + + +Contact Information + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
*Contact name
(last, first)		, +
Company
*Address
 
*City*State/Country*Zip
Day Phone
Night Phone
Fax
* required fields
+
Billing information + + +
+ + <%= + $OUT .= ' + + Postal mail invoice +
Email invoice +
Billing type
+ + + + <%= + my %payby = ( + 'CARD' => qq!Credit card
*
*Exp !. expselect("CARD"). qq!
*Name on card
!, + 'BILL' => qq!Billing
P.O.
*Exp !. expselect("BILL", "12-2037"). qq!
*Attention
!, + 'COMP' => qq!Complimentary
*Approved by
*Exp !. expselect("COMP"), + 'PREPAY' => qq!Prepaid card
*!, + ); + + my %paybychecked = ( + 'CARD' => qq!Credit card
*
*Exp !. expselect("CARD", $paydate). qq!
*Name on card
!, + 'BILL' => qq!Billing
P.O.
*Exp !. expselect("BILL", $paydate). qq!
*Attention
!, + 'COMP' => qq!Complimentary
*Approved by
*Exp !. expselect("COMP", $paydate), + 'PREPAY' => qq!Prepaid card
*!, + ); + + for (@payby) { + $OUT .= qq!!; + } else { + $OUT .= qq!> $payby{$_}!; + } + } + %> + +
$paybychecked{$_}
* required fields for each billing type +

First package + + + + + + + + + + + + + + + + +
Username
Password + (blank to generate)
POP
+

+