1
{form name="new_account"}
7
<th colspan="2"> [ACCOUNT_INFORMATION] </th>
12
<th> {form_description field="type"} </th>
13
<td> {form_element field="type" option="Individual Account"} </td>
17
<td> {form_element field="type" option="Business Account"} </td>
22
{form_description field="businessname"} <br/>
23
{form_element field="businessname" size="30"}
27
<th> {form_description field="status"} </th>
28
<td> {form_element field="status"} </td>
31
<th> {form_description field="username"} </th>
32
<td> {form_element field="username"} </td>
35
<th> {form_description field="password"} </th>
36
<td> {form_element field="password"} </td>
44
<th colspan="2"> [BILLING_INFORMATION] </th>
49
<th> {form_description field="billingstatus"} </th>
50
<td> {form_element field="billingstatus"} </td>
53
<th> {form_description field="billingday"} </th>
54
<td> {form_element field="billingday" size="2"} </td>
62
<th colspan="2"> [CONTACT_INFORMATION] </th>
68
{form_element field="continue"}
71
{form_element field="cancel"}
77
<th> {form_description field="contactname"} </th>
78
<td> {form_element field="contactname" size="30"} </td>
81
<th> {form_description field="contactemail"} </th>
82
<td> {form_element field="contactemail" size="30"} </td>
85
<th> {form_description field="address1"} </th>
86
<td> {form_element field="address1" size="40"} </th>
89
<th> {form_description field="address2"} </th>
90
<td> {form_element field="address2" size="40"} </td>
93
<th> {form_description field="city"} </th>
94
<td> {form_element field="city" size="30"} </td>
97
<th> {form_description field="state"} </th>
98
<td> {form_element field="state" size="20"} </td>
101
<th> {form_description field="postalcode"} </th>
102
<td> {form_element field="postalcode" size="10"} </td>
105
<th> {form_description field="country"} </th>
106
<td> {form_element field="country"} </td>
109
<th> {form_description field="phone"} </th>
110
<td> {form_element field="phone" size="15"} </th>
113
<th> {form_description field="mobilephone"} </th>
114
<td> {form_element field="mobilephone" size="15"} </td>
117
<th> {form_description field="fax"} </th>
118
<td> {form_element field="fax" size="15"} </td>