reseller_edit_address.htm 11.4 KB
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<h2><tmpl_var name="list_head_txt"></h2>
<p><tmpl_var name="list_desc_txt"></p>

<div class="panel panel_client">

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    <div class="pnl_formsarea">
        <fieldset class="inlineLabels"><legend>Address</legend>
            <div class="ctrlHolder">
                <label for="company_name">{tmpl_var name='company_name_txt'}</label>
                <input name="company_name" id="company_name" value="{tmpl_var name='company_name'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
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            <div class="ctrlHolder">
                <label for="gender">{tmpl_var name='gender_txt'}</label>
                <select name="gender" id="gender" class="selectInput">
                    {tmpl_var name='gender'}
                </select>
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            </div>
			<div class="ctrlHolder">
                <label for="contact_firstname">{tmpl_var name='contact_firstname_txt'}</label>
                <input name="contact_firstname" id="contact_firstname" value="{tmpl_var name='contact_firstname'}" size="30" maxlength="255" type="text" class="textInput" />
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            </div>
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            <div class="ctrlHolder">
                <label for="contact_name">{tmpl_var name='contact_name_txt'}*</label>
                <input name="contact_name" id="contact_name" value="{tmpl_var name='contact_name'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="customer_no">{tmpl_var name='customer_no_txt'}</label>
                <input name="customer_no" id="customer_no" value="{tmpl_var name='customer_no'}" size="30" maxlength="255" type="text" class="textInput" />
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				<input name="customer_no_org" id="customer_no_org" value="{tmpl_var name='customer_no'}" type="hidden" />
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            </div>
            <div class="ctrlHolder">
                <label for="username">{tmpl_var name='username_txt'}*</label>
                <input name="username" id="username" value="{tmpl_var name='username'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="password">{tmpl_var name='password_txt'}</label>
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                <input name="password" id="password" value="{tmpl_var name='password'}" size="30" maxlength="255" type="password" class="textInput" autocomplete="off" onkeyup="pass_check(this.value);checkPassMatch('password','repeat_password');" />&nbsp;<a href="javascript:void(0);" onclick="generatePassword('password','repeat_password');">{tmpl_var name='generate_password_txt'}</a>
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            </div>
            <div class="ctrlHolder">
                <p class="label">{tmpl_var name='password_strength_txt'}</p>
                <div id="passBar"></div>
                <p class="formHint"><span id="passText">&nbsp;</span></p>
            </div>
            <div class="ctrlHolder">
                <label for="repeat_password">{tmpl_var name='repeat_password_txt'}</label>
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                <input name="repeat_password" id="repeat_password" value="" size="15" maxlength="100" type="password" class="textInput" style="width:100px;" autocomplete="off" onkeyup="checkPassMatch('password','repeat_password');" />
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            </div>
            <div id="confirmpasswordError" style="display:none;" class="confirmpassworderror">{tmpl_var name='password_mismatch_txt'}</div>
            <div id="confirmpasswordOK" style="display:none;" class="confirmpasswordok">{tmpl_var name='password_match_txt'}</div>
            <div class="ctrlHolder">
                <label for="language">{tmpl_var name='language_txt'}</label>
                <select name="language" id="language" class="selectInput flags">
                    {tmpl_var name='language'}
                </select>
            </div>
            <div class="ctrlHolder">
                <label for="usertheme">{tmpl_var name='usertheme_txt'}</label>
                <select name="usertheme" id="usertheme" class="selectInput">
                    {tmpl_var name='usertheme'}
                </select>
            </div>
            <div class="ctrlHolder">
                <label for="street">{tmpl_var name='street_txt'}</label>
                <input name="street" id="street" value="{tmpl_var name='street'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="zip">{tmpl_var name='zip_txt'}</label>
                <input name="zip" id="zip" value="{tmpl_var name='zip'}" size="10" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="city">{tmpl_var name='city_txt'}</label>
                <input name="city" id="city" value="{tmpl_var name='city'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="state">{tmpl_var name='state_txt'}</label>
                <input name="state" id="state" value="{tmpl_var name='state'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="country">{tmpl_var name='country_txt'}</label>
                <select name="country" id="country" class="selectInput flags">
                    {tmpl_var name='country'}
                </select>
            </div>
            <div class="ctrlHolder">
                <label for="telephone">{tmpl_var name='telephone_txt'}</label>
                <input name="telephone" id="telephone" value="{tmpl_var name='telephone'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="mobile">{tmpl_var name='mobile_txt'}</label>
                <input name="mobile" id="mobile" value="{tmpl_var name='mobile'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="fax">{tmpl_var name='fax_txt'}</label>
                <input name="fax" id="fax" value="{tmpl_var name='fax'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="email">{tmpl_var name='email_txt'}</label>
                <input name="email" id="email" value="{tmpl_var name='email'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="internet">{tmpl_var name='internet_txt'}</label>
                <input name="internet" id="internet" value="{tmpl_var name='internet'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="icq">{tmpl_var name='icq_txt'}</label>
                <input name="icq" id="icq" value="{tmpl_var name='icq'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="vat_id">{tmpl_var name='vat_id_txt'}</label>
                <input name="vat_id" id="vat_id" value="{tmpl_var name='vat_id'}" size="30" maxlength="255" type="text" class="textInput" />
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            </div>
			<div class="ctrlHolder">
                <label for="company_id">{tmpl_var name='company_id_txt'}</label>
                <input name="company_id" id="company_id" value="{tmpl_var name='company_id'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="bank_account_owner">{tmpl_var name='bank_account_owner_txt'}</label>
                <input name="bank_account_owner" id="bank_account_owner" value="{tmpl_var name='bank_account_owner'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="bank_account_number">{tmpl_var name='bank_account_number_txt'}</label>
                <input name="bank_account_number" id="bank_account_number" value="{tmpl_var name='bank_account_number'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="bank_code">{tmpl_var name='bank_code_txt'}</label>
                <input name="bank_code" id="bank_code" value="{tmpl_var name='bank_code'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="bank_name">{tmpl_var name='bank_name_txt'}</label>
                <input name="bank_name" id="bank_name" value="{tmpl_var name='bank_name'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="bank_account_iban">{tmpl_var name='bank_account_iban_txt'}</label>
                <input name="bank_account_iban" id="bank_account_iban" value="{tmpl_var name='bank_account_iban'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="bank_account_swift">{tmpl_var name='bank_account_swift_txt'}</label>
                <input name="bank_account_swift" id="bank_account_swift" value="{tmpl_var name='bank_account_swift'}" size="30" maxlength="255" type="text" class="textInput" />
            </div>
			<div class="ctrlHolder">
                <label for="paypal_email">{tmpl_var name='paypal_email_txt'}</label>
                <input name="paypal_email" id="paypal_email" value="{tmpl_var name='paypal_email'}" size="30" maxlength="255" type="text" class="textInput" />
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            </div>
			<div class="ctrlHolder">
                <label for="added_date">{tmpl_var name='added_date_txt'}</label>
                <input name="added_date" id="added_date" value="{tmpl_var name='added_date'}" size="10" maxlength="255" type="text" class="textInput" />
            </div>
			<div class="ctrlHolder">
                <label for="added_by">{tmpl_var name='added_by_txt'}</label>
                <input name="added_by" id="added_by" value="{tmpl_var name='added_by'}" size="10" maxlength="255" type="text" class="textInput" />
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            </div>
            <div class="ctrlHolder">
                <label for="notes">{tmpl_var name='notes_txt'}</label>
                <textarea name="notes" id="notes" rows='10' cols='30'>{tmpl_var name='notes'}</textarea>
            </div>
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            <div class="ctrlHolder">
                <p class="label">{tmpl_var name='locked_txt'}</p>
                <div class="multiField">
                    {tmpl_var name='locked'}
                </div>
            </div>
            <div class="ctrlHolder">
                <p class="label">{tmpl_var name='canceled_txt'}</p>
                <div class="multiField">
                    {tmpl_var name='canceled'}
                </div>
            </div>
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            {tmpl_var name='required_fields_txt'}
        </fieldset>
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        <input type="hidden" name="id" value="{tmpl_var name='id'}">
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        <div class="buttonHolder buttons">
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            <button class="positive iconstxt icoPositive" type="button" value="{tmpl_var name='btn_save_txt'}" onclick="submitForm('pageForm','client/reseller_edit.php');"><span>{tmpl_var name='btn_save_txt'}</span></button>
            <button class="negative iconstxt icoNegative" type="button" value="{tmpl_var name='btn_cancel_txt'}" onclick="loadContent('client/reseller_list.php');"><span>{tmpl_var name='btn_cancel_txt'}</span></button>
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        </div>
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    </div>
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</div>