--- /dev/null
+<HTML><HEAD><TITLE>ISP Signup form</TITLE></HEAD>
+<BODY BGCOLOR="#e8e8e8" onUnload="myclose()">
+<script language="JavaScript"><!--
+ var mywindow = -1;
+ function myopen(filename,windowname,properties) {
+ myclose();
+ mywindow = window.open(filename,windowname,properties);
+ }
+ function myclose() {
+ if ( mywindow != -1 )
+ mywindow.close();
+ mywindow = -1
+ }
+//--></script>
+<FONT SIZE=7>ISP Signup form</FONT><BR><BR>
+<FONT SIZE="+1" COLOR="#ff0000"><%= $error %></FONT>
+<FORM ACTION="<%= $self_url %>" METHOD=POST>
+<INPUT TYPE="hidden" NAME="magic" VALUE="process">
+<INPUT TYPE="hidden" NAME="ref" VALUE="<%= $referral_custnum %>">
+<INPUT TYPE="hidden" NAME="ss" VALUE="">
+Contact Information
+<TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0 WIDTH="100%">
+<TR>
+ <TH ALIGN="right"><font color="#ff0000">*</font>Contact name<BR>(last, first)</TH>
+ <TD COLSPAN=5><INPUT TYPE="text" NAME="last" VALUE="<%= $last %>">,
+ <INPUT TYPE="text" NAME="first" VALUE="<%= $first %>"></TD>
+</TR>
+<TR>
+ <TD ALIGN="right">Company</TD>
+ <TD COLSPAN=5><INPUT TYPE="text" NAME="company" SIZE=70 VALUE="<%= $company %>"></TD>
+</TR>
+<TR>
+ <TH ALIGN="right"><font color="#ff0000">*</font>Address</TH>
+ <TD COLSPAN=5><INPUT TYPE="text" NAME="address1" SIZE=70 VALUE="<%= $address1 %>"></TD>
+</TR>
+<TR>
+ <TD ALIGN="right"> </TD>
+ <TD COLSPAN=5><INPUT TYPE="text" NAME="address2" SIZE=70 VALUE="<%= $address2 %>"></TD>
+</TR>
+<TR>
+ <TH ALIGN="right"><font color="#ff0000">*</font>City</TH>
+ <TD><INPUT TYPE="text" NAME="city" VALUE="<%= $city %>"></TD>
+ <TH ALIGN="right"><font color="#ff0000">*</font>State/Country</TH>
+ <TD>
+ <%=
+ ($county_html, $state_html, $country_html) =
+ regionselector( $county, $state, $country );
+
+ "$county_html $state_html";
+ %>
+ </TD>
+ <TH><font color="#ff0000">*</font>Zip</TH>
+ <TD><INPUT TYPE="text" NAME="zip" SIZE=10 VALUE="<%= $zip %>"></TD>
+</TR>
+<TR>
+ <TH ALIGN="right"><font color="#ff0000">*</font>Country</TH>
+ <TD><%= $country_html %></TD>
+<TR>
+ <TD ALIGN="right">Day Phone</TD>
+ <TD COLSPAN=5><INPUT TYPE="text" NAME="daytime" VALUE="<%= $daytime %>" SIZE=18></TD>
+</TR>
+<TR>
+ <TD ALIGN="right">Night Phone</TD>
+ <TD COLSPAN=5><INPUT TYPE="text" NAME="night" VALUE="<%= $night %>" SIZE=18></TD>
+</TR>
+<TR>
+ <TD ALIGN="right">Fax</TD>
+ <TD COLSPAN=5><INPUT TYPE="text" NAME="fax" VALUE="<%= $fax %>" SIZE=12></TD>
+</TR>
+</TABLE><font color="#ff0000">*</font> required fields<BR>
+<BR>Billing information<TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0 WIDTH="100%">
+<TR><TD>
+
+ <%=
+ $OUT .= '<INPUT TYPE="checkbox" NAME="invoicing_list_POST" VALUE="POST"';
+ my @invoicing_list = split(', ', $invoicing_list );
+ $OUT .= ' CHECKED'
+ if ! @invoicing_list || grep { $_ eq 'POST' } @invoicing_list;
+ $OUT .= '>';
+ %>
+
+ Postal mail invoice
+</TD></TR>
+<TR><TD>Email invoice <INPUT TYPE="text" NAME="invoicing_list" VALUE="<%= join(', ', grep { $_ ne 'POST' } split(', ', $invoicing_list ) ) %>">
+</TD></TR>
+<%= scalar(@payby) > 1 ? '<TR><TD>Billing type</TD></TR>' : '' %>
+</TABLE>
+<TABLE BGCOLOR="#c0c0c0" BORDER=1 WIDTH="100%">
+<TR>
+
+ <%=
+
+ my $cardselect = '<SELECT NAME="CARD_type"><OPTION></OPTION>';
+ my %types = (
+ 'VISA' => 'VISA card',
+ 'MasterCard' => 'MasterCard',
+ 'Discover' => 'Discover card',
+ 'American Express' => 'American Express card',
+ );
+ foreach ( keys %types ) {
+ $selected = $cgi->param('CARD_type') eq $types{$_} ? 'SELECTED' : '';
+ $cardselect .= qq!<OPTION $selected VALUE="$types{$_}">$_</OPTION>!;
+ }
+ $cardselect .= '</SELECT>';
+
+ my %payby = (
+ 'CARD' => qq!Credit card<BR><font color="#ff0000">*</font>$cardselect<INPUT TYPE="text" NAME="CARD_payinfo" VALUE="" MAXLENGTH=19><BR><font color="#ff0000">*</font>Exp !. expselect("CARD"). qq!<BR><font color="#ff0000">*</font>Name on card<BR><INPUT TYPE="text" NAME="CARD_payname" VALUE="">!,
+ 'DCRD' => qq!Credit card<BR><font color="#ff0000">*</font>$cardselect<INPUT TYPE="text" NAME="DCRD_payinfo" VALUE="" MAXLENGTH=19><BR><font color="#ff0000">*</font>Exp !. expselect("DCRD"). qq!<BR><font color="#ff0000">*</font>Name on card<BR><INPUT TYPE="text" NAME="DCRD_payname" VALUE="">!,
+ 'CHEK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="CHEK_payinfo1" VALUE="" MAXLENGTH=10><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="CHEK_payinfo2" VALUE="" SIZE=10 MAXLENGTH=9><INPUT TYPE="hidden" NAME="CHEK_month" VALUE="12"><INPUT TYPE="hidden" NAME="CHEK_year" VALUE="2037"><BR>${r}Bank name <INPUT TYPE="text" NAME="CHEK_payname" VALUE="">!,
+ 'DCHK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="DCHK_payinfo1" VALUE="" MAXLENGTH=10><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="DCHK_payinfo2" VALUE="" SIZE=10 MAXLENGTH=9><INPUT TYPE="hidden" NAME="DCHK_month" VALUE="12"><INPUT TYPE="hidden" NAME="DCHK_year" VALUE="2037"><BR>${r}Bank name <INPUT TYPE="text" NAME="DCHK_payname" VALUE="">!,
+ 'LECB' => qq!Phone bill billing<BR>${r}Phone number <INPUT TYPE="text" BANE="LECB_payinfo" VALUE="" MAXLENGTH=15 SIZE=16><INPUT TYPE="hidden" NAME="LECB_month" VALUE="12"><INPUT TYPE="hidden" NAME="LECB_year" VALUE="2037"><INPUT TYPE="hidden" NAME="LECB_payname" VALUE="">!,
+ 'BILL' => qq!Billing<BR>P.O. <INPUT TYPE="text" NAME="BILL_payinfo" VALUE=""><BR><font color="#ff0000">*</font>Exp !. expselect("BILL", "12-2037"). qq!<BR><font color="#ff0000">*</font>Attention<BR><INPUT TYPE="text" NAME="BILL_payname" VALUE="Accounts Payable">!,
+ 'COMP' => qq!Complimentary<BR><font color="#ff0000">*</font>Approved by<INPUT TYPE="text" NAME="COMP_payinfo" VALUE=""><BR><font color="#ff0000">*</font>Exp !. expselect("COMP"),
+ 'PREPAY' => qq!Prepaid card<BR><font color="#ff0000">*</font><INPUT TYPE="text" NAME="PREPAY_payinfo" VALUE="" MAXLENGTH=80>!,
+ );
+
+ if ( $init_data->{'cvv_enabled'} ) {
+ foreach my $payby ( grep { exists $payby{$_} } qw(CARD DCRD) ) { #1.4/1.5
+ $payby{$payby} .= qq!<BR>CVV2 (<A HREF="javascript:myopen('cvv2.html','cvv2','toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=yes,copyhistory=no,width=480,height=288')">help</A>) <INPUT TYPE="text" NAME=${payby}_paycvv VALUE="" SIZE=4 MAXLENGTH=4>!;
+ }
+ }
+
+ my( $account, $aba ) = split('@', $payinfo);
+ my %paybychecked = (
+ 'CARD' => qq!Credit card<BR><font color="#ff0000">*</font>$cardselect<INPUT TYPE="text" NAME="CARD_payinfo" VALUE="$payinfo" MAXLENGTH=19><BR><font color="#ff0000">*</font>Exp !. expselect("CARD", $paydate). qq!<BR><font color="#ff0000">*</font>Name on card<BR><INPUT TYPE="text" NAME="CARD_payname" VALUE="$payname">!,
+ 'DCRD' => qq!Credit card<BR><font color="#ff0000">*</font>$cardselect<INPUT TYPE="text" NAME="DCRD_payinfo" VALUE="$payinfo" MAXLENGTH=19><BR><font color="#ff0000">*</font>Exp !. expselect("DCRD", $paydate). qq!<BR><font color="#ff0000">*</font>Name on card<BR><INPUT TYPE="text" NAME="DCRD_payname" VALUE="$payname">!,
+ 'CHEK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="CHEK_payinfo1" VALUE="$account" MAXLENGTH=10><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="CHEK_payinfo2" VALUE="$aba" SIZE=10 MAXLENGTH=9><INPUT TYPE="hidden" NAME="CHEK_month" VALUE="12"><INPUT TYPE="hidden" NAME="CHEK_year" VALUE="2037"><BR>${r}Bank name <INPUT TYPE="text" NAME="CHEK_payname" VALUE="$payname">!,
+ 'DCHK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="DCHK_payinfo1" VALUE="$account" MAXLENGTH=10><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="DCHK_payinfo2" VALUE="$aba" SIZE=10 MAXLENGTH=9><INPUT TYPE="hidden" NAME="DCHK_month" VALUE="12"><INPUT TYPE="hidden" NAME="DCHK_year" VALUE="2037"><BR>${r}Bank name <INPUT TYPE="text" NAME="DCHK_payname" VALUE="$payname">!,
+ 'LECB' => qq!Phone bill billing<BR>${r}Phone number <INPUT TYPE="text" BANE="LECB_payinfo" VALUE="$payinfo" MAXLENGTH=15 SIZE=16><INPUT TYPE="hidden" NAME="LECB_month" VALUE="12"><INPUT TYPE="hidden" NAME="LECB_year" VALUE="2037"><INPUT TYPE="hidden" NAME="LECB_payname" VALUE="">!,
+ 'BILL' => qq!Billing<BR>P.O. <INPUT TYPE="text" NAME="BILL_payinfo" VALUE="$payinfo"><BR><font color="#ff0000">*</font>Exp !. expselect("BILL", $paydate). qq!<BR><font color="#ff0000">*</font>Attention<BR><INPUT TYPE="text" NAME="BILL_payname" VALUE="$payname">!,
+ 'COMP' => qq!Complimentary<BR><font color="#ff0000">*</font>Approved by<INPUT TYPE="text" NAME="COMP_payinfo" VALUE="$payinfo"><BR><font color="#ff0000">*</font>Exp !. expselect("COMP", $paydate),
+ 'PREPAY' => qq!Prepaid card<BR><font color="#ff0000">*</font><INPUT TYPE="text" NAME="PREPAY_payinfo" VALUE="$payinfo" MAXLENGTH=80>!,
+ );
+
+ if ( $init_data->{'cvv_enabled'} ) {
+ foreach my $payby ( grep { exists $payby{$_} } qw(CARD DCRD) ) { #1.4/1.5
+ $paybychecked{$payby} .= qq!<BR>CVV2 (<A HREF="javascript:myopen('cvv2.html','cvv2','toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=yes,copyhistory=no,width=480,height=288')">help</A>) <INPUT TYPE="text" NAME=${payby}_paycvv VALUE="$paycvv" SIZE=4 MAXLENGTH=4>!;
+ }
+ }
+
+ for (@payby) {
+ if ( scalar(@payby) == 1) {
+ $OUT .= '<TD VALIGN=TOP>'.
+ qq!<INPUT TYPE="hidden" NAME="payby" VALUE="$_">!.
+ "$paybychecked{$_}</TD>";
+ } else {
+ $OUT .= qq!<TD VALIGN=TOP><INPUT TYPE="radio" NAME="payby" VALUE="$_"!;
+ if ($payby eq $_) {
+ $OUT .= qq! CHECKED> $paybychecked{$_}</TD>!;
+ } else {
+ $OUT .= qq!> $payby{$_}</TD>!;
+ }
+
+ }
+ }
+ %>
+
+</TR></TABLE><font color="#ff0000">*</font> required fields for each billing type
+<BR><BR>First package
+<TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0 WIDTH="100%">
+<TR>
+ <TD COLSPAN=2><SELECT NAME="pkgpart"><OPTION VALUE="">(none)
+
+ <%=
+ foreach my $package ( @{$packages} ) {
+ $OUT .= '<OPTION VALUE="'. $package->{'pkgpart'}. '"';
+ $OUT .= ' SELECTED' if $pkgpart && $package->{'pkgpart'} == $pkgpart;
+ $OUT .= '>'. $package->{'pkg'};
+ }
+ %>
+
+ </SELECT></TD>
+</TR>
+<TR>
+ <TD ALIGN="right">Username</TD>
+ <TD><INPUT TYPE="text" NAME="username" VALUE="<%= $username %>"></TD>
+</TR>
+<TR>
+ <TD ALIGN="right">Password</TD>
+ <TD><INPUT TYPE="password" NAME="_password" VALUE="<%= $password %>"></TD>
+</TR>
+<TR>
+ <TD ALIGN="right">Re-enter Password</TD>
+ <TD><INPUT TYPE="password" NAME="_password2" VALUE="<%= $password2 %>"></TD>
+</TR>
+<%=
+ if ( $init_data->{'security_phrase'} ) {
+ $OUT .= <<ENDOUT;
+<TR>
+ <TD ALIGN="right">Security Phrase</TD>
+ <TD><INPUT TYPE="text" NAME="sec_phrase" VALUE="$sec_phrase">
+ </TD>
+</TR>
+ENDOUT
+ } else {
+ $OUT .= '<INPUT TYPE="hidden" NAME="sec_phrase" VALUE="">';
+ }
+%>
+<%=
+ if ( scalar(@$pops) ) {
+ $OUT .= '<TR><TD ALIGN="right">Access number</TD><TD>'.
+ popselector($popnum). '</TD></TR>';
+ } else {
+ $OUT .= popselector($popnum);
+ }
+%>
+</TABLE>
+<BR><BR>Enter up to ten external accounts from which to retrieve email
+<TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0 WIDTH="100%">
+<TR>
+ <TH ALIGN="left">Mail server</TH>
+ <TH ALIGN="left">Username</TH>
+ <TH ALIGN="left">Password</TH>
+</TR>
+<%=
+ for my $num ( 1..10 ) {
+ no strict 'vars';
+ $OUT .= qq!<TR><TD><INPUT TYPE="text" NAME="snarf_machine$num" VALUE="${"snarf_machine$num"}"></TD>!.
+ qq!<INPUT TYPE="hidden" NAME="snarf_protocol$num" VALUE="pop3">!.
+ qq!<TD><INPUT TYPE="text" NAME="snarf_username$num" VALUE="${"snarf_username$num"}"></TD>!.
+ qq!<TD><INPUT TYPE="password" NAME="snarf_password$num" VALUE="${"snarf_password$num"}"></TD>!.
+ qq!</TR>!;
+ }
+%>
+</TABLE>
+
+<BR><BR><INPUT TYPE="submit" VALUE="Signup">
+</FORM></BODY></HTML>
projects / freeside.git / commitdiff