| | |
| | | <input name="company_name" id="company_name" value="{tmpl_var name='company_name'}" size="30" maxlength="255" type="text" class="textInput" /> |
| | | </div> |
| | | <div class="ctrlHolder"> |
| | | <label for="gender">{tmpl_var name='gender_txt'}</label> |
| | | <select name="gender" id="gender" class="selectInput"> |
| | | {tmpl_var name='gender'} |
| | | </select> |
| | | </div> |
| | | <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" /> |
| | | <input name="customer_no_org" id="customer_no_org" value="{tmpl_var name='customer_no'}" type="hidden" /> |
| | | </div> |
| | | <div class="ctrlHolder"> |
| | | <label for="username">{tmpl_var name='username_txt'}*</label> |
| | |
| | | <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" /> |
| | | </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" /> |
| | | </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> |
| | | <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> |
| | | {tmpl_var name='required_fields_txt'} |
| | | </fieldset> |
| | | |