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<fieldset class="rows" id="memberentry_altaddress"> |
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<legend id="alt_contact_lgd">Alternate contact</legend><ol> |
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[% UNLESS noaltcontactsurname %] |
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<li> |
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[% IF ( mandatoryaltcontactsurname ) %] |
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<label for="altcontactsurname" class="required"> |
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[% ELSE %] |
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<label for="altcontactsurname"> |
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[% END %] |
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Surname:</label> |
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<input type="text" name="altcontactsurname" id="altcontactsurname" value="[% altcontactsurname %]" /> |
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[% IF ( mandatoryaltcontactsurname ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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[% UNLESS noaltcontactfirstname %] |
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<li> |
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[% IF ( mandatoryaltcontactfirstname ) %] |
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<label for="altcontactfirstname" class="required"> |
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[% ELSE %] |
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<label for="altcontactfirstname"> |
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[% END %] |
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First name:</label> |
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<input type="text" name="altcontactfirstname" id="altcontactfirstname" value="[% altcontactfirstname %]" /> |
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[% IF ( mandatoryaltcontactfirstname ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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[% UNLESS noaltcontactaddress1 %] |
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<li> |
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[% IF ( mandatoryaltcontactaddress1 ) %] |
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<label for="altcontactaddress1" class="required"> |
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[% ELSE %] |
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<label for="altcontactaddress1"> |
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[% END %] |
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Address:</label> |
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<input type="text" name="altcontactaddress1" id="altcontactaddress1" value="[% altcontactaddress1 %]" size="40" /> |
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[% IF ( mandatoryaltcontactaddress1 ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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[% UNLESS noaltcontactaddress2 %] |
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<li> |
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[% IF ( mandatoryaltcontactaddress2 ) %] |
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<label for="altcontactaddress2" class="required"> |
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[% ELSE %] |
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<label for="altcontactaddress2"> |
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[% END %] |
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Address 2:</label> |
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<input type="text" name="altcontactaddress2" id="altcontactaddress2" value="[% altcontactaddress2 %]" size="40" /> |
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[% IF ( mandatoryaltcontactaddress2 ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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[% UNLESS noaltcontactzipcode %] |
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<li> |
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[% IF ( mandatoryaltcontactzipcode ) %] |
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<label for="altcontactzipcode" class="required"> |
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[% ELSE %] |
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<label for="altcontactzipcode"> |
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[% END %] |
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Zip/Postal code:</label> |
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<input type="text" name="altcontactzipcode" id="altcontactzipcode" value="[% altcontactzipcode %]" size="5" /> |
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[% IF ( mandatoryaltcontactzipcode ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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[% UNLESS noaltcontactaddress3 %] |
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<li> |
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[% IF ( mandatoryaltcontactaddress3 ) %] |
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<label for="altcontactaddress3" class="required"> |
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[% ELSE %] |
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<label for="altcontactaddress3"> |
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[% END %] |
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City:</label> |
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<input type="text" name="altcontactaddress3" id="altcontactaddress3" value="[% altcontactaddress3 %]" size="20" /> |
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[% IF ( mandatoryaltcontactaddress3 ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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[% UNLESS noaltcontactstate %] |
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<li> |
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[% IF ( mandatoryaltcontactstate ) %] |
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<label for="altcontactstate" class="required"> |
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[% ELSE %] |
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<label for="altcontactstate"> |
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[% END %] |
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State:</label> |
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<input type="text" name="altcontactstate" id="altcontactstate" value="[% altcontactstate %]" size="20" /> |
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[% IF ( mandatoryaltcontactstate ) %]<span class="required">Required</span>[% END %] |
| 85 |
</li> |
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[% END %] |
| 87 |
[% UNLESS noaltcontactcountry %] |
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<li> |
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[% IF ( mandatoryaltcontactcountry ) %] |
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<label for="altcontactcountry" class="required"> |
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[% ELSE %] |
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<label for="altcontactcountry"> |
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[% END %] |
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Country:</label> |
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<input type="text" name="altcontactcountry" id="altcontactcountry" value="[% altcontactcountry %]" size="20" /> |
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[% IF ( mandatoryaltcontactcountry ) %]<span class="required">Required</span>[% END %] |
| 97 |
</li> |
| 98 |
[% END %] |
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[% UNLESS noaltcontactphone %] |
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<li> |
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[% IF ( mandatoryaltcontactphone ) %] |
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<label for="altcontactphone" class="required"> |
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[% ELSE %] |
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<label for="altcontactphone"> |
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[% END %] |
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Phone:</label> |
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<input type="text" name="altcontactphone" id="altcontactphone" value="[% altcontactphone %]" /> |
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[% IF ( mandatoryaltcontactphone ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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</ol> |
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</fieldset> |