1 <fieldset class="rows" id="memberentry_altaddress">
2 <legend id="alt_contact_lgd">Alternate contact</legend><ol>
3 [% UNLESS noaltcontactsurname %]
5 [% IF ( mandatoryaltcontactsurname ) %]
6 <label for="altcontactsurname" class="required">
8 <label for="altcontactsurname">
11 <input type="text" name="altcontactsurname" id="altcontactsurname" value="[% patron.altcontactsurname | html %]" />
12 [% IF ( mandatoryaltcontactsurname ) %]<span class="required">Required</span>[% END %]
15 [% UNLESS noaltcontactfirstname %]
17 [% IF ( mandatoryaltcontactfirstname ) %]
18 <label for="altcontactfirstname" class="required">
20 <label for="altcontactfirstname">
23 <input type="text" name="altcontactfirstname" id="altcontactfirstname" value="[% patron.altcontactfirstname | html %]" />
24 [% IF ( mandatoryaltcontactfirstname ) %]<span class="required">Required</span>[% END %]
27 [% UNLESS noaltcontactaddress1 %]
29 [% IF ( mandatoryaltcontactaddress1 ) %]
30 <label for="altcontactaddress1" class="required">
32 <label for="altcontactaddress1">
35 <input type="text" name="altcontactaddress1" id="altcontactaddress1" value="[% patron.altcontactaddress1 | html %]" size="40" />
36 [% IF ( mandatoryaltcontactaddress1 ) %]<span class="required">Required</span>[% END %]
39 [% UNLESS noaltcontactaddress2 %]
41 [% IF ( mandatoryaltcontactaddress2 ) %]
42 <label for="altcontactaddress2" class="required">
44 <label for="altcontactaddress2">
47 <input type="text" name="altcontactaddress2" id="altcontactaddress2" value="[% patron.altcontactaddress2 | html %]" size="40" />
48 [% IF ( mandatoryaltcontactaddress2 ) %]<span class="required">Required</span>[% END %]
51 [% UNLESS noaltcontactzipcode %]
53 [% IF ( mandatoryaltcontactzipcode ) %]
54 <label for="altcontactzipcode" class="required">
56 <label for="altcontactzipcode">
58 ZIP/Postal code:</label>
59 <input type="text" name="altcontactzipcode" id="altcontactzipcode" value="[% patron.altcontactzipcode | html %]" size="5" />
60 [% IF ( mandatoryaltcontactzipcode ) %]<span class="required">Required</span>[% END %]
63 [% UNLESS noaltcontactaddress3 %]
65 [% IF ( mandatoryaltcontactaddress3 ) %]
66 <label for="altcontactcity" class="required">
68 <label for="altcontactcity">
71 <input type="text" name="altcontactaddress3" id="altcontactcity" value="[% patron.altcontactaddress3 | html %]" size="20" />
72 [% IF cities.count %]or choose
73 <select class="select_city" data-addressfield="altcontact" name="select_city">
74 <option value="|||"></option>
75 [% FOREACH c IN cities %]
76 [% IF c.city_name == patron.altcontactaddress3 && c.city_state == patron.altcontactstate && c.city_zipcode == patron.altcontactzipcode %]
77 <option value="[% c.city_zipcode | html %]|[% c.city_name | html %]|[% c.city_state | html %]|[% c.city_country | html %]" selected="selected">
79 <option value="[% c.city_zipcode | html %]|[% c.city_name | html %]|[% c.city_state | html %]|[% c.city_country | html %]">
81 [% c.city_name | html %] [% c.city_state | html %] [% c.city_zipcode | html %]
86 [% IF ( mandatoryaltcontactaddress3 ) %]<span class="required">Required</span>[% END %]
89 [% UNLESS noaltcontactstate %]
91 [% IF ( mandatoryaltcontactstate ) %]
92 <label for="altcontactstate" class="required">
94 <label for="altcontactstate">
97 <input type="text" name="altcontactstate" id="altcontactstate" value="[% patron.altcontactstate | html %]" size="20" />
98 [% IF ( mandatoryaltcontactstate ) %]<span class="required">Required</span>[% END %]
101 [% UNLESS noaltcontactcountry %]
103 [% IF ( mandatoryaltcontactcountry ) %]
104 <label for="altcontactcountry" class="required">
106 <label for="altcontactcountry">
109 <input type="text" name="altcontactcountry" id="altcontactcountry" value="[% patron.altcontactcountry | html %]" size="20" />
110 [% IF ( mandatoryaltcontactcountry ) %]<span class="required">Required</span>[% END %]
113 [% UNLESS noaltcontactphone %]
115 [% IF ( mandatoryaltcontactphone ) %]
116 <label for="altcontactphone" class="required">
118 <label for="altcontactphone">
121 <input type="text" name="altcontactphone" id="altcontactphone" value="[% patron.altcontactphone | html %]" />
122 [% IF ( mandatoryaltcontactphone ) %]<span class="required">Required</span>[% END %]