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              |  |  | 1 | 		<fieldset class="rows" id="memberentry_altaddress"> | 
            
              | 2 |             <legend id="alt_contact_lgd">Alternate contact</legend><ol> | 
            
              | 3 |         [% UNLESS noaltcontactsurname %] | 
            
              | 4 | 			<li> | 
            
              | 5 | 			    [% IF ( mandatoryaltcontactsurname ) %] | 
            
              | 6 | 				<label for="altcontactsurname" class="required"> | 
            
              | 7 | 				[% ELSE %] | 
            
              | 8 | 				<label for="altcontactsurname"> | 
            
              | 9 | 				[% END %] | 
            
              | 10 | 				Surname:</label> | 
            
              | 11 |                     <input type="text" name="altcontactsurname" id="altcontactsurname" value="[% altcontactsurname %]" /> | 
            
              | 12 | 				[% IF ( mandatoryaltcontactsurname ) %]<span class="required">Required</span>[% END %] | 
            
              | 13 | 			</li> | 
            
              | 14 |         [% END %] | 
            
              | 15 |         [% UNLESS noaltcontactfirstname %] | 
            
              | 16 | 			<li> | 
            
              | 17 | 			    [% IF ( mandatoryaltcontactfirstname ) %] | 
            
              | 18 | 				<label for="altcontactfirstname" class="required"> | 
            
              | 19 | 				[% ELSE %] | 
            
              | 20 | 				<label for="altcontactfirstname"> | 
            
              | 21 | 				[% END %] | 
            
              | 22 | 				First name:</label> | 
            
              | 23 |                     <input type="text" name="altcontactfirstname" id="altcontactfirstname" value="[% altcontactfirstname %]" /> | 
            
              | 24 | 				[% IF ( mandatoryaltcontactfirstname ) %]<span class="required">Required</span>[% END %] | 
            
              | 25 | 			</li> | 
            
              | 26 |         [% END %] | 
            
              | 27 |         [% UNLESS noaltcontactaddress1 %] | 
            
              | 28 | 			<li> | 
            
              | 29 | 			    [% IF ( mandatoryaltcontactaddress1 ) %] | 
            
              | 30 | 				<label for="altcontactaddress1" class="required"> | 
            
              | 31 | 				[% ELSE %] | 
            
              | 32 | 				<label for="altcontactaddress1"> | 
            
              | 33 | 				[% END %] | 
            
              | 34 | 				Address:</label> | 
            
              | 35 |                     <input type="text" name="altcontactaddress1" id="altcontactaddress1" value="[% altcontactaddress1 %]" size="40" /> | 
            
              | 36 | 				[% IF ( mandatoryaltcontactaddress1 ) %]<span class="required">Required</span>[% END %] | 
            
              | 37 | 			</li> | 
            
              | 38 |         [% END %] | 
            
              | 39 |         [% UNLESS noaltcontactaddress2 %] | 
            
              | 40 | 			<li> | 
            
              | 41 | 			    [% IF ( mandatoryaltcontactaddress2 ) %] | 
            
              | 42 | 				<label for="altcontactaddress2" class="required"> | 
            
              | 43 | 				[% ELSE %] | 
            
              | 44 | 				<label for="altcontactaddress2"> | 
            
              | 45 | 				[% END %] | 
            
              | 46 | 				Address 2:</label> | 
            
              | 47 |                 <input type="text" name="altcontactaddress2" id="altcontactaddress2" value="[% altcontactaddress2 %]" size="40" /> | 
            
              | 48 | 				[% IF ( mandatoryaltcontactaddress2 ) %]<span class="required">Required</span>[% END %] | 
            
              | 49 | 			</li> | 
            
              | 50 |         [% END %] | 
            
              | 51 |         [% UNLESS noaltcontactzipcode %] | 
            
              | 52 |                         <li> | 
            
              | 53 |                             [% IF ( mandatoryaltcontactzipcode ) %] | 
            
              | 54 |                                 <label for="altcontactzipcode" class="required"> | 
            
              | 55 |                                 [% ELSE %] | 
            
              | 56 |                                 <label for="altcontactzipcode"> | 
            
              | 57 |                                 [% END %] | 
            
              | 58 |                                 Zip/Postal code:</label> | 
            
              | 59 |                     <input type="text" name="altcontactzipcode" id="altcontactzipcode" value="[% altcontactzipcode %]" size="5" /> | 
            
              | 60 |                                 [% IF ( mandatoryaltcontactzipcode ) %]<span class="required">Required</span>[% END %] | 
            
              | 61 |                         </li> | 
            
              | 62 |         [% END %] | 
            
              | 63 |         [% UNLESS noaltcontactaddress3 %] | 
            
              | 64 | 			<li> | 
            
              | 65 | 			    [% IF ( mandatoryaltcontactaddress3 ) %] | 
            
              | 66 | 				<label for="altcontactaddress3" class="required"> | 
            
              | 67 | 				[% ELSE %] | 
            
              | 68 | 				<label for="altcontactaddress3"> | 
            
              | 69 | 				[% END %] | 
            
              | 70 | 				City:</label> | 
            
              | 71 |                 <input type="text" name="altcontactaddress3" id="altcontactaddress3" value="[% altcontactaddress3 %]" size="20" /> | 
            
              | 72 | 				[% IF ( mandatoryaltcontactaddress3 ) %]<span class="required">Required</span>[% END %] | 
            
              | 73 | 			</li> | 
            
              | 74 |         [% END %] | 
            
              | 75 |         [% UNLESS noaltcontactstate %] | 
            
              | 76 | 			<li> | 
            
              | 77 | 			    [% IF ( mandatoryaltcontactstate ) %] | 
            
              | 78 | 				<label for="altcontactstate" class="required"> | 
            
              | 79 | 				[% ELSE %] | 
            
              | 80 | 				<label for="altcontactstate"> | 
            
              | 81 | 				[% END %] | 
            
              | 82 | 				State:</label> | 
            
              | 83 |                 <input type="text" name="altcontactstate" id="altcontactstate" value="[% altcontactstate %]" size="20" /> | 
            
              | 84 | 				[% IF ( mandatoryaltcontactstate ) %]<span class="required">Required</span>[% END %] | 
            
              | 85 | 			</li> | 
            
              | 86 |         [% END %] | 
            
              | 87 |         [% UNLESS noaltcontactcountry %] | 
            
              | 88 | 			<li> | 
            
              | 89 | 			    [% IF ( mandatoryaltcontactcountry ) %] | 
            
              | 90 | 				<label for="altcontactcountry" class="required"> | 
            
              | 91 | 				[% ELSE %] | 
            
              | 92 | 				<label for="altcontactcountry"> | 
            
              | 93 | 				[% END %] | 
            
              | 94 | 				Country:</label> | 
            
              | 95 |                     <input type="text" name="altcontactcountry" id="altcontactcountry" value="[% altcontactcountry %]" size="20" /> | 
            
              | 96 | 				[% IF ( mandatoryaltcontactcountry ) %]<span class="required">Required</span>[% END %] | 
            
              | 97 | 			</li> | 
            
              | 98 |         [% END %] | 
            
              | 99 |         [% UNLESS noaltcontactphone %] | 
            
              | 100 | 			<li> | 
            
              | 101 | 			    [% IF ( mandatoryaltcontactphone ) %] | 
            
              | 102 | 				<label for="altcontactphone" class="required"> | 
            
              | 103 | 				[% ELSE %] | 
            
              | 104 | 				<label for="altcontactphone"> | 
            
              | 105 | 				[% END %] | 
            
              | 106 | 				Phone:</label> | 
            
              | 107 |                     <input type="text" name="altcontactphone" id="altcontactphone" value="[% altcontactphone %]" /> | 
            
              | 108 | 				[% IF ( mandatoryaltcontactphone ) %]<span class="required">Required</span>[% END %] | 
            
              | 109 | 			</li> | 
            
              | 110 |         [% END %] | 
            
              | 111 |             </ol> | 
            
              | 112 |         </fieldset> |