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<fieldset class="rows" id="memberentry_address"> |
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<legend id="alt_address_lgd">Alternate address</legend><ol> |
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[% UNLESS noB_streetnumber %] |
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<li> |
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[% IF ( mandatoryB_streetnumber ) %] |
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<label for="B_streetnumber" class="required"> |
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[% ELSE %] |
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<label for="B_streetnumber"> |
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[% END %] |
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Street Number: </label> |
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<input type="text" id="B_streetnumber" name="B_streetnumber" size="5" value="[% B_streetnumber %]" /> |
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[% IF ( mandatoryB_streetnumber ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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[% IF roadtypes %] |
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<li> |
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[% IF ( mandatoryB_streettype ) %] |
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<label for="B_streettype" class="required"> |
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[% ELSE %] |
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<label for="B_streettype"> |
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[% END %] |
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Street type: </label> |
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<select name="B_streettype"> |
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<option value=""></option> |
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[% FOR roadtype IN roadtypes %] |
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[% IF roadtype.authorised_value == B_streettype %] |
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<option value="[% roadtype.authorised_value %]" selected="selected">[% roadtype.lib %]</option> |
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[% ELSE %] |
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<option value="[% roadtype.authorised_value %]">[% roadtype.lib %]</option> |
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[% END %] |
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[% END %] |
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</select> |
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[% IF ( mandatoryB_streettype ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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|
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[% UNLESS noB_address %] |
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<li> |
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[% IF ( mandatoryB_address ) %] |
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<label for="B_address" class="required"> |
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[% ELSE %] |
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<label for="B_address"> |
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[% END %] |
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Address: </label> |
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<input type="text" id="B_address" name="B_address" size="40" value="[% B_address %]" /> |
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[% IF ( mandatoryB_address ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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|
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[% UNLESS noB_address2 %] |
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<li> |
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[% IF ( mandatoryB_address2 ) %] |
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<label for="B_address2" class="required"> |
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[% ELSE %] |
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<label for="B_address2"> |
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[% END %] |
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Address 2: </label> |
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<input type="text" id="B_address2" name="B_address2" size="40" value="[% B_address2 %]" /> |
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[% IF ( mandatoryB_address2 ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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[% UNLESS noB_zipcode %] |
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<li> |
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[% IF ( mandatoryB_zipcode ) %] |
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<label for="B_zipcode" class="required"> |
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[% ELSE %] |
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<label for="B_zipcode"> |
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[% END %] |
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ZIP/Postal code: </label> |
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<input type="text" id="B_zipcode" name="B_zipcode" maxlength="10" size="10" value="[% B_zipcode %]" /> |
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[% IF ( mandatoryB_zipcode ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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[% UNLESS noB_city %] |
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<li> |
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[% IF ( mandatoryB_city ) %] |
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<label for="B_city" class="required" > |
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[% ELSE %] |
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<label for="B_city"> |
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[% END %] |
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City: </label> |
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<input type="text" id="B_city" name="B_city" size="20" value="[% B_city %]" /> |
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[% IF ( mandatoryB_city ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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[% UNLESS noB_state %] |
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<li> |
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[% IF ( mandatoryB_state ) %] |
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<label for="B_state" class="required" > |
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[% ELSE %] |
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<label for="B_state"> |
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[% END %] |
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State: </label> |
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<input type="text" id="B_state" name="B_state" size="20" value="[% B_state %]" /> |
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[% IF ( mandatoryB_state ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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[% UNLESS noB_country %] |
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<li> |
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[% IF ( mandatoryB_country ) %] |
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<label for="B_country" class="required"> |
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[% ELSE %] |
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<label for="B_country"> |
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[% END %] |
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Country: </label> |
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<input type="text" id="B_country" name="B_country" size="20" value="[% B_country %]" /> |
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[% IF ( mandatoryB_country ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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[% UNLESS noB_phone %] |
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<li> |
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[% IF ( mandatoryB_phone ) %] |
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<label for="B_phone" class="required"> |
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[% ELSE %] |
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<label for="B_phone"> |
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[% END %] |
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Phone: </label> |
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<input type="text" id="B_phone" name="B_phone" value="[% B_phone %]" /> |
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[% IF ( mandatoryB_phone ) %]<span class="required">Required</span>[% END %] |
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</li> |
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[% END %] |
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[% UNLESS noB_email %] |
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<li> |
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[% IF ( mandatoryB_email ) %] |
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<label for="B_email" class="required"> |
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[% ELSE %] |
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<label for="B_email"> |
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[% END %] |
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Email: </label> |
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<input type="text" id="B_email" name="B_email" size="45" value="[% B_email %]" /> |
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[% IF ( mandatoryB_email ) %]<span class="required">Required</span>[% END %] </li> |
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[% END %] |
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[% UNLESS nocontactnote %] |
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<li> |
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[% IF ( mandatorycontactnote ) %] |
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<label for="contactnote" class="required"> |
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[% ELSE %] |
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<label for="contactnote"> |
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[% END %] |
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Contact note: </label> |
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<textarea id="contactnote" name="contactnote" cols="40" rows="2">[% contactnote %]</textarea> |
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[% IF ( mandatorycontactnote ) %]<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> |