File: /www/exchange0old/exchange/templates/intermedinv_application_form_2.html
<AJDF:output>include file="header.html"</AJDF:output>
<table width="100%" border="0" cellpadding="0" cellspacing="0">
<tr>
<td align="center" valign="top"> </td>
</tr> <tr>
<td class="login_bg" align="left" valign="middle"><table width="100%" border="0" cellpadding="0" cellspacing="0">
<tr>
<td width="52%" align="left" valign="middle" class="login_bg_t">Exchange Trade Centre | Create new currency account </td>
<td width="48%" align="right" valign="middle" class="txt_11"><AJDF:output>include file='investor_top_dashboard_links.html'</AJDF:output></td>
</tr>
</table></td>
</tr>
</table></td>
</tr>
<tr>
<td align="center" valign="top" class="about_c" id="tool"><table width="100%" border="0" cellspacing="5" cellpadding="5">
<tr>
<td width="18%" align="left" valign="top"><AJDF:output>include file='left_sidebar.html'</AJDF:output></td>
<td width="82%" align="right" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0">
<AJDF:output>if $smarty.session.org_notify !=''</AJDF:output>
<AJDF:output>$smarty.session.org_notify</AJDF:output>
<AJDF:output>/if</AJDF:output>
<tr>
<td align="left" valign="top" class="hdr_center1"><table cellpadding="0" cellspacing="0" border="0" width="100%">
<tr>
<td align="left" valign="top" class="inves_top_bg"><span>Contact Details (Step 2/2)</span></td>
<td align="right" valign="top" class="inves_top_bg"> </td>
</tr>
</table>
<form name="invcurrency" action="?do=validateintrminvcurrency2&id=<AJDF:output>$smarty.get.id</AJDF:output>" method="post">
<table cellpadding="0" cellspacing="0" border="0" width="100%">
<tr>
<td align="left" valign="top" class="about_c_1">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr class="very_lite_gray">
<td align="left" valign="middle"> </td>
</tr>
<tr class="very_lite_gray">
<td align="left" valign="middle" class="txt_12_red"> <b>Please Note:</b> All fields marked with * require an input </td>
</tr>
<tr class="very_lite_gray">
<td align="left" valign="middle"> </td>
</tr>
</table>
</td>
</tr>
<tr class="very_lite_gray">
<td align="center" valign="middle" class="about_c_1"><table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td align="left" valign="top"><table width="100%" border="0" cellpadding="3" cellspacing="0">
<tr>
<td align="left" valign="top" class="inves_top"><b>Contact #1</b></td>
</tr>
<tr>
<td align="center" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="50%" align="center" valign="top"><table width="100%" border="0" cellpadding="3" cellspacing="3">
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td width="40%" align="left" valign="top">First Name :</td>
<td width="50%" align="left" valign="middle"><input type="text" name="cp_fname[]" value="<AJDF:output>$errval.cp_fname.0</AJDF:output>" class="text_b" tabindex="1"/><br/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_fname0</AJDF:output></span></td>
<td width="10%" align="right" valign="middle"><span id="d10"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.0.content</AJDF:output>">(?)</a></span></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td width="40%" align="left" valign="top">Last Name :</td>
<td width="50%" align="left" valign="middle"><input type="text" name="cp_lname[]" value="<AJDF:output>$errval.cp_lname.0</AJDF:output>" class="text_b" tabindex="2"/><br/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_lname0</AJDF:output></span></td>
<td align="right" valign="middle"><span id="d11"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.1.content</AJDF:output>">(?)</a></span></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td width="40%" align="left" valign="top">Job title :</td>
<td width="50%" align="left" valign="middle"><input type="text" name="cp_jtitle[]" value="<AJDF:output>$errval.cp_jtitle.0</AJDF:output>" class="text_b" tabindex="3"/><br/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_jtitle0</AJDF:output></span></td>
<td align="right" valign="middle"><span id="d12"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.2.content</AJDF:output>">(?)</a></span></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td width="40%" align="left" valign="top">Date of Birth :</td>
<td width="50%" align="left" valign="middle"><table width="46%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="29%" align="center" valign="top"><input type="text" value="<AJDF:output>$errval.cp_dob_date.0</AJDF:output>" name="cp_dob_date[]" size="2" maxlength="2" class="text_dd_code" tabindex="4"/> </td>
<td width="30%" align="center" valign="top">
<input type="text" value="<AJDF:output>$errval.cp_dob_mon.0</AJDF:output>" name="cp_dob_mon[]" size="2" maxlength="2" class="text_dd_code" tabindex="5"/>
</td>
<td width="41%" align="center" valign="top">
<input type="text" value="<AJDF:output>$errval.cp_dob_year.0</AJDF:output>" name="cp_dob_year[]" size="4" maxlength="4" class="text_c_code" tabindex="6"/>
</td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_cute">DD</td>
<td align="center" valign="top" class="txt_11_cute">MM</td>
<td align="center" valign="top" class="txt_11_cute">YYYY</td>
</tr>
</table><span style="color:#FF0000"><AJDF:output>$errmsg.cp_dob_year0</AJDF:output></span></td>
<td align="right" valign="middle"><span id="d13"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.3.content</AJDF:output>">(?)</a></span></td>
</tr>
</table></td>
<td align="center" valign="middle" class="gray_1"></td>
<td width="50%" align="center" valign="top"><table width="100%" border="0" cellpadding="3" cellspacing="3">
<tr>
<td width="4%" align="center" valign="top" class="txt_11_red"> </td>
<td width="34%" align="left" valign="top">Ownership:</td>
<td width="53%" align="left" valign="top">
<input type="checkbox" tabindex="7" name="cp_os_type[]" value="1" <AJDF:output>if $errval.cp_os_type.0 eq '1'</AJDF:output> checked <AJDF:output>/if</AJDF:output> />
Director
<input type="checkbox" tabindex="8" name="cp_os_type[]" value="2" <AJDF:output>if $errval.cp_os_type.0 eq '2' || $errval.cp_os_type.1 eq '2'</AJDF:output> checked <AJDF:output>/if</AJDF:output>/>
Shareholder<br/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_os_type</AJDF:output></span></td>
<td align="right" valign="top"><span id="d14"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.4.content</AJDF:output>">(?)</a></span></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> </td>
<td width="34%" align="left" valign="top">( % ) Percent Owned :</td>
<td width="53%" align="left" valign="top">
<input type="text" value="<AJDF:output>$errval.cp_per.0</AJDF:output>" name="cp_per[]" size="3" maxlength="3" class="text_area_code" tabindex="9"/><br/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_per0</AJDF:output></span>
</td>
<td align="right" valign="top"><span id="d15"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.5.content</AJDF:output>">(?)</a></span></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> </td>
<td width="34%" align="left" valign="top">Active Participation :</td>
<td width="53%" align="left" valign="top"><span>
<input type="checkbox" tabindex="10" value="1" name="cp_act_part[0]" id="cp_act_part[0]" <AJDF:output>if $errval.cp_act_part == 1</AJDF:output> checked <AJDF:output>/if</AJDF:output>>
<!--
<input type="radio" name="cp_act_part[0]" value="1" <AJDF:output>if $errval.cp_act_part.0 eq '1'</AJDF:output> checked <AJDF:output>/if</AJDF:output> />
Yes</span> <span>
<input type="radio" name="cp_act_part[0]" value="0"<AJDF:output>if $errval.cp_act_part.0 eq '0'</AJDF:output> checked <AJDF:output>/if</AJDF:output>/>
No-->
</span><br/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_act_part0</AJDF:output></span></td>
<td width="9%" align="right" valign="top"><span id="d16"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.6.content</AJDF:output>">(?)</a></span></td>
</tr>
</table></td>
</tr>
</table></td>
</tr>
<tr>
<td align="left" valign="top" class="inves_top"><table width="100%" border="0" cellpadding="0" cellspacing="0">
<tr>
<td width="50%" align="left" valign="top" class="inves_top"><b>Home Address </b></td>
<td width="50%" align="left" valign="top" class="inves_top"><b>Work Address</b>
<AJDF:output>$addressDrop</AJDF:output>
<!-- <a href="javascript:void(0);" onclick="showSuccessMsg('contact',0);"><span style="color:#0000FF">SELECT</span></a>-->
</td>
</tr>
</table></td>
</tr>
<tr >
<td align="center" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="50%" align="center" valign="top"><table width="100%" border="0" cellpadding="3" cellspacing="3">
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td width="37%" align="left" valign="top">Home Address Line 1 :</td>
<td width="53%" align="left" valign="middle"><input type="text" name="cp_ha_addr1[]" id="cp_ha_addr10" value="<AJDF:output>$errval.cp_ha_addr1.0</AJDF:output>" class="text_b" tabindex="11"/><br/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_ha_addr10</AJDF:output></span></td>
<td width="10%" align="right" valign="middle"><span id="d17"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.7.content</AJDF:output>">(?)</a></span></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> </td>
<td width="37%" align="left" valign="top">Home Address Line 2 :</td>
<td width="53%" align="left" valign="middle"><input type="text" name="cp_ha_addr2[]" id="cp_ha_addr20" value="<AJDF:output>$errval.cp_ha_addr2.0</AJDF:output>" class="text_b" tabindex="12"/><br/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_ha_addr20</AJDF:output></span></td>
<td align="right" valign="middle"><span id="d18"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.8.content</AJDF:output>">(?)</a></span></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red">*</td>
<td width="37%" align="left" valign="top">City :</td>
<td width="53%" align="left" valign="middle"><input type="text" name="cp_ha_city[]" id="cp_ha_city0" value="<AJDF:output>$errval.cp_ha_city.0</AJDF:output>" class="text_b" tabindex="13"/><br/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_ha_city0</AJDF:output></span></td>
<td align="right" valign="middle"><span id="d19"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.9.content</AJDF:output>">(?)</a></span></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> </td>
<td width="37%" align="left" valign="top">Area/County :</td>
<td width="53%" align="left" valign="middle"><input type="text" name="cp_ha_state[]" id="cp_ha_state0" value="<AJDF:output>$errval.cp_ha_state.0</AJDF:output>" class="text_b" tabindex="14"/><br/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_ha_state0</AJDF:output></span></td>
<td align="right" valign="middle"><span id="d20"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.10.content</AJDF:output>">(?)</a></span></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td width="37%" align="left" valign="top">Country :</td>
<td width="53%" align="left" valign="middle">
<AJDF:output>php</AJDF:output>
$errors=$this->get_template_vars('errval');
echo '<select name="cp_ha_country[]" class=cmb_bx1 id="cp_ha_country0" tabindex="15">';
echo '<option value="0">Select</option>';
$optSql="select * from country_mas";
$optResult=mysql_query($optSql);
while($optRow=mysql_fetch_array($optResult)) {
if($optRow[0]==$errors["cp_ha_country"][0])
echo '<option value='.$optRow[0].' selected>'.$optRow[1].'</option>';
else
echo '<option value='.$optRow[0].'>'.$optRow[1].'</option>';
}
echo '</select>';
<AJDF:output>/php</AJDF:output>
<br/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_ha_country0</AJDF:output></span></td>
<td align="right" valign="middle"><span id="d21"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.11.content</AJDF:output>">(?)</a></span></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> </td>
<td width="37%" align="left" valign="top"> Post code :</td>
<td width="53%" align="left" valign="middle"><table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="57%" align="left" valign="top">
<input type="text" id="cp_ha_pcode0" value="<AJDF:output>$errval.cp_ha_pcode.0</AJDF:output>" name="cp_ha_pcode[]" size="8" maxlength="8" class="text_b" tabindex="16"/>
</td>
<td width="43%" align="left" valign="top"> </td>
</tr>
</table><br/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_ha_pcode0</AJDF:output></span></td>
<td align="right" valign="middle"><span id="d22"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.12.content</AJDF:output>">(?)</a></span></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td width="37%" align="left" valign="top">Phone Number :</td>
<td width="53%" align="left" valign="top"><table width="80%" border="0" cellspacing="3" cellpadding="0">
<tr>
<td width="12%" align="left" valign="top"><input type="text" value="00353" name="cp_ha_ph_country[]" id="cp_ha_ph_country0" size="5" maxlength="5" class="text_c_code" tabindex="17"/>
</td>
<td width="9%" align="left" valign="top"><input type="text" value="<AJDF:output>$errval.cp_ha_ph_area.0</AJDF:output>" id="cp_ha_ph_area0" name="cp_ha_ph_area[]" size="3" maxlength="3" class="text_area_code" tabindex="18"/>
</td>
<td width="79%" align="left" valign="top"><input type="text" value="<AJDF:output>$errval.cp_ha_ph_pn.0</AJDF:output>" id="cp_ha_ph_pn0" name="cp_ha_ph_pn[]" size="8" maxlength="8" class="text_ph_code" tabindex="19"/>
</td>
</tr>
<tr>
<td align="left" valign="top" class="txt_11_cute">Country</td>
<td align="left" valign="top" class="txt_11_cute">Area</td>
<td align="left" valign="top" class="txt_11_cute">Phone Number</td>
</tr>
</table><span style="color:#FF0000"><AJDF:output>$errmsg.cp_ha_ph_pn0</AJDF:output></span></td>
<td align="right" valign="top"><span id="d23"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.13.content</AJDF:output>">(?)</a></span></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> </td>
<td width="37%" align="left" valign="top">Fax Number :</td>
<td width="53%" align="left" valign="top"><table width="80%" border="0" cellspacing="3" cellpadding="0">
<tr>
<td width="12%" align="left" valign="top"><input type="text" value="00353" name="cp_ha_fn_country[]" id="cp_ha_fn_country0" size="5" value="<AJDF:output>$errval.cp_ha_fn_country.0</AJDF:output>" maxlength="5" class="text_c_code" tabindex="20"/>
</td>
<td width="9%" align="left" valign="top"><input type="text" value="" name="cp_ha_fn_area[]" id="cp_ha_fn_area0" size="3" maxlength="3" value="<AJDF:output>$errval.cp_ha_fn_area.0</AJDF:output>" class="text_area_code" tabindex="21"/>
</td>
<td width="79%" align="left" valign="top"><input type="text" value="" name="cp_ha_fn_pn[]" id="cp_ha_fn_pn0" value="<AJDF:output>$errval.cp_ha_fn_pn.0</AJDF:output>" size="8" maxlength="8" class="text_ph_code" tabindex="22"/>
</td>
</tr>
<tr>
<td align="left" valign="top" class="txt_11_cute">Country</td>
<td align="left" valign="top" class="txt_11_cute">Area</td>
<td align="left" valign="top" class="txt_11_cute">Phone Number</td>
</tr>
</table><span style="color:#FF0000"><AJDF:output>$errmsg.cp_ha_fn_pn0</AJDF:output></span></td>
<td align="right" valign="top"><span id="d24"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.14.content</AJDF:output>">(?)</a></span></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td width="37%" align="left" valign="top">Email Address :</td>
<td width="53%" align="left" valign="middle"><input type="text" name="cp_ha_email[]" id="cp_ha_email0" value="<AJDF:output>$errval.cp_ha_email.0</AJDF:output>" class="text_b" tabindex="23"/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_ha_email0</AJDF:output></span></td>
<td align="right" valign="middle"><span id="d25"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.15.content</AJDF:output>">(?)</a></span></td>
</tr>
</table></td>
<td align="center" valign="top" class="gray_1"></td>
<td align="center" width="50%" valign="top">
<p align="right" id="address_notify" style="color: rgb(255, 0, 0);"><AJDF:output>$errmsg.address_select</AJDF:output></p>
<table cellspacing="3" cellpadding="3" border="0" width="100%" id="wrk_addr" style="display:none;">
<tbody>
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td align="left" width="37%" valign="top">Work Address Line 1 :</td>
<td align="left" width="53%" valign="middle"><input type="text" class="text_b" tabindex="25" value="<AJDF:output>$errval.cp_wa_addr1</AJDF:output>" name="cp_wa_addr1" id="cp_wa_addr1"><br/><span style="color: rgb(255, 0, 0);"><AJDF:output>$errmsg.cp_wa_addr1</AJDF:output></span></td>
<td width="10%" valign="middle" align="right">
<a href="javascript:void(0);" class="under" title="<AJDF:output>$help.16.content</AJDF:output>">(?)</a></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> </td>
<td align="left" width="" valign="top">Work Address Line 2 :</td>
<td align="left" width="" valign="top"><input type="text" class="text_b" tabindex="26" value="<AJDF:output>$errval.cp_wa_addr2</AJDF:output>" name="cp_wa_addr2" id="cp_wa_addr2"><br><span style="color: rgb(255, 0, 0);"><AJDF:output>$errmsg.cp_wa_addr2</AJDF:output></span></td>
<td width="7%" valign="middle" align="right"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.17.content</AJDF:output>">(?)</a></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td align="left" width="" valign="top">City :</td>
<td align="left" width="" valign="top"><input type="text" class="text_b" tabindex="27" value="<AJDF:output>$errval.cp_wa_city</AJDF:output>" name="cp_wa_city" id="cp_wa_city"><br><span style="color: rgb(255, 0, 0);"><AJDF:output>$errmsg.cp_wa_city</AJDF:output></span></td>
<td width="7%" valign="middle" align="right"> <a href="javascript:void(0);" class="under" title="<AJDF:output>$help.18.content</AJDF:output>">(?)</a></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> </td>
<td align="left" width="" valign="top">Area/County :</td>
<td align="left" width="" valign="top"><span id="w_dropState"><input type="text" class="text_b" tabindex="28" value="<AJDF:output>$errval.cp_wa_state</AJDF:output>" name="cp_wa_state" id="cp_wa_state"></span><br><span style="color: rgb(255, 0, 0);"><AJDF:output>$errmsg.cp_wa_state</AJDF:output></span></td>
<td width="7%" valign="middle" align="right"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.19.content</AJDF:output>">(?)</a></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td width="29%" align="left" valign="middle">Country :</td>
<td width="59%" align="left" valign="middle"><span id="country_ddcountry">
<AJDF:output>php</AJDF:output>
$errors=$this->get_template_vars('errval');
echo '<select name="cp_wa_country" class=cmb_bx1 id="cp_wa_country" tabindex="29">';
echo '<option value="0">Select</option>';
$optSql="select * from country_mas";
$optResult=mysql_query($optSql);
while($optRow=mysql_fetch_array($optResult)) {
if($optRow[0]==$errors["cp_wa_country"])
echo '<option value='.$optRow[0].' selected>'.$optRow[1].'</option>';
else
echo '<option value='.$optRow[0].'>'.$optRow[1].'</option>';
}
echo '</select>';
<AJDF:output>/php</AJDF:output>
</span><br/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_wa_country</AJDF:output></span></td>
<td align="right" valign="middle"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.20.content</AJDF:output>">(?)</a></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> </td>
<td align="left" width="" valign="top"> Post code :</td>
<td align="left" width="" valign="top"> <input type="text" class="text_b" tabindex="30" maxlength="8" size="8" name="cp_wa_pcode" id="cp_wa_pcode" value="<AJDF:output>$errval.cp_wa_pcode</AJDF:output>"></td>
<td width="7%" valign="middle" align="right"> <a href="javascript:void(0);" class="under" title="<AJDF:output>$help.21.content</AJDF:output>">(?)</a><br><span style="color: rgb(255, 0, 0);"><AJDF:output>$errmsg.cp_wa_pcode</AJDF:output></span></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td align="left" width="" valign="top">Phone Number :</td>
<td align="left" width="" valign="top"><table cellspacing="3" cellpadding="0" border="0" width="100%">
<tbody><tr>
<td align="left" width="12%" valign="top"><input type="text" class="text_c_code" tabindex="31" maxlength="5" size="5" name="cp_wa_ph_country" id="cp_wa_ph_country" value="<AJDF:output> if $errval.cp_wa_ph_country == ''</AJDF:output>00353<AJDF:output>else</AJDF:output><AJDF:output>$errval.cp_wa_ph_country</AJDF:output><AJDF:output>/if</AJDF:output>"><br><span style="color: rgb(255, 0, 0);"><AJDF:output>$errmsg.cp_wa_ph_country</AJDF:output></span>
</td>
<td align="left" width="9%" valign="top"><input type="text" class="text_area_code" tabindex="32" maxlength="3" size="3" name="cp_wa_ph_area" id="cp_wa_ph_area" value="<AJDF:output>$errval.cp_wa_ph_area</AJDF:output>"><br><span style="color: rgb(255, 0, 0);"><AJDF:output>$errmsg.cp_wa_ph_area</AJDF:output></span>
</td>
<td align="left" width="79%" valign="top"><input type="text" class="text_ph_code" tabindex="33" maxlength="8" size="8" name="cp_wa_ph_pn" id="cp_wa_ph_pn" value="<AJDF:output>$errval.cp_wa_ph_pn</AJDF:output>">
</td>
</tr>
<tr>
<td align="left" valign="top" class="txt_11_cute">Country</td>
<td align="left" valign="top" class="txt_11_cute">Area</td>
<td align="left" valign="top" class="txt_11_cute">Phone Number</td>
</tr>
</tbody></table>
<span style="color: rgb(255, 0, 0);"><AJDF:output>$errmsg.cp_wa_ph_pn</AJDF:output></span>
</td>
<td align="right" valign="top"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.22.content</AJDF:output>">(?)</a></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> </td>
<td align="left" width="" valign="top">Fax Number :</td>
<td align="left" width="" valign="top"><table cellspacing="3" cellpadding="0" border="0" width="100%">
<tbody><tr>
<td align="left" width="12%" valign="top"><input type="text" class="text_c_code" tabindex="34" maxlength="5" size="5" name="cp_wa_fn_country" id="cp_wa_fn_country" value="<AJDF:output> if $errval.cp_wa_fn_country == ''</AJDF:output>00353<AJDF:output>else</AJDF:output><AJDF:output>$errval.cp_wa_fn_country</AJDF:output><AJDF:output>/if</AJDF:output>"><br><span style="color: rgb(255, 0, 0);"><AJDF:output>$errmsg.cp_wa_fn_country</AJDF:output></span>
</td>
<td align="left" width="9%" valign="top"><input type="text" class="text_area_code" tabindex="35" maxlength="3" size="3" name="cp_wa_fn_area" id="cp_wa_fn_area" value="<AJDF:output>$errval.cp_wa_fn_area</AJDF:output>"><br><span style="color: rgb(255, 0, 0);"><AJDF:output>$errmsg.cp_wa_fn_area</AJDF:output></span>
</td>
<td align="left" width="79%" valign="top"><input type="text" class="text_ph_code" tabindex="36" maxlength="8" size="8" name="cp_wa_fn_pn" id="cp_wa_fn_pn" value="<AJDF:output>$errval.cp_wa_fn_pn</AJDF:output>"><br><span style="color: rgb(255, 0, 0);"><AJDF:output>$errmsg.cp_wa_fn_pn</AJDF:output></span>
</td>
</tr>
<tr>
<td align="left" valign="top" class="txt_11_cute">Country</td>
<td align="left" valign="top" class="txt_11_cute">Area</td>
<td align="left" valign="top" class="txt_11_cute">Phone Number</td>
</tr>
</tbody></table><br/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_wa_fn_pn</AJDF:output></span></td>
<td align="right" valign="top"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.23.content</AJDF:output>">(?)</a></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td width="37%" align="left" valign="middle">Email Address :</td>
<td width="53%" align="left" valign="middle"><input type="text" name="cp_wa_email" value="<AJDF:output>$errval.cp_wa_email</AJDF:output>" id="cp_wa_email" class="text_b" tabindex="37"/><br/><span style="color:#FF0000"><AJDF:output>$errmsg.cp_wa_email</AJDF:output></span></td>
<td width="7%" valign="middle" align="right"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.24.content</AJDF:output>">(?)</a></td>
</tr>
</table></td>
</tr>
</table></td>
</tr>
<tr>
<td align="right" valign="top" class="very_lite_gray"><a href="javascript:void(0);" class="under" onclick="addForm();"> <b tabindex="37">Add Another Contact</b></a></td>
<!-- addNewContact('new_table'); -->
</tr>
<tr class="very_lite_gray">
<td align="left" valign="top" id="multiAddress" style="padding:0; margin:0;"></td>
</tr>
<tr class="very_lite_gray"><TD colspan="3"><div id="new_table"></TD></tr>
<AJDF:output>$contact</AJDF:output></div>
</table></td>
</tr>
<tr>
<td align="left" valign="top" class="inves_top_bg"><span>Application Submitted By </span></td>
</tr>
<tr>
<td align="center" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="50%" align="center" valign="top"><table width="100%" border="0" cellpadding="3" cellspacing="3">
<tr>
<td width="4%" align="center" valign="top" class="txt_11_red"> * </td>
<td width="43%" align="left" valign="top">Submitter First Name :</td>
<td width="47%" align="left" valign="middle"><input type="text" name="sub_fname" value="<AJDF:output>$errval.sub_fname</AJDF:output>" class="text_b" tabindex="77"/><br/><span style="color:#FF0000"><AJDF:output>$errmsg.sub_fname</AJDF:output></span></td>
<td width="6%" align="right" valign="middle"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.25.content</AJDF:output>">(?)</a></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td width="43%" align="left" valign="top">Submitter Last Name :</td>
<td width="47%" align="left" valign="middle"><input type="text" name="sub_lname" value="<AJDF:output>$errval.sub_lname</AJDF:output>" class="text_b" tabindex="78"/><br/><span style="color:#FF0000"><AJDF:output>$errmsg.sub_lname</AJDF:output></span></td>
<td align="right" valign="middle"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.26.content</AJDF:output>">(?)</a></td>
</tr>
</table></td>
<td align="center" valign="middle" class="gray_1"></td>
<td width="50%" align="center" valign="top"><table width="100%" border="0" cellpadding="3" cellspacing="3">
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td width="43%" align="left" valign="top">Submitted Date :</td>
<td width="47%" align="left" valign="middle"><table width="46%" border="0" cellspacing="3" cellpadding="0">
<tr>
<td width="29%" align="center" valign="top"><input type="text" value="<AJDF:output>$errval.sub_date</AJDF:output>" name="sub_date" size="2" maxlength="2" class="text_dd_code" tabindex="79"/></td>
<td width="30%" align="center" valign="top"><input type="text" value="<AJDF:output>$errval.sub_month</AJDF:output>" name="sub_month" size="2" maxlength="2" class="text_dd_code" tabindex="80"/></td>
<td width="41%" align="center" valign="top"><input type="text" value="<AJDF:output>$errval.sub_year</AJDF:output>" name="sub_year" size="4" maxlength="4" class="text_c_code" tabindex="81"/></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_cute">DD</td>
<td align="center" valign="top" class="txt_11_cute">MM</td>
<td align="center" valign="top" class="txt_11_cute">YYYY</td>
</tr>
</table><span style="color:#FF0000"><AJDF:output>$errmsg.sub_year</AJDF:output></span></td>
<td width="6%" align="right" valign="middle"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.27.content</AJDF:output>">(?)</a></td>
</tr>
<tr>
<td align="center" valign="top" class="txt_11_red">*</td>
<td width="43%" align="left" valign="top">Submitter Legally Approved :</td>
<td width="47%" align="left" valign="middle"><span>
<input type="radio" name="sub_approvel" tabindex="82" value="1" <AJDF:output>if $errval.sub_approvel == '1'</AJDF:output>'checked'<AJDF:output>/if </AJDF:output>/>
Yes </span> <span>
<input type="radio" name="sub_approvel" value="0" tabindex="83" <AJDF:output>if $errval.sub_approvel == '0'</AJDF:output>'checked'<AJDF:output>/if </AJDF:output> />
No </span><br/><span style="color:#FF0000"><AJDF:output>$errmsg.sub_approvel</AJDF:output></span></td>
<td align="right" valign="middle"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.28.content</AJDF:output>">(?)</a></td>
</tr>
</table></td>
</tr>
</table></td>
</tr>
<tr>
<td align="center" valign="top"><table width="100%" border="0" cellspacing="2" cellpadding="2">
<tr>
<td align="center" valign="top" class="txt_11_red"> * </td>
<td align="left" valign="top"> Terms & Conditions :<br />
<br />
<div class="text_b_terms" style="width:100%;height:100px;color:#555;overflow-y:scroll;text-align:justify;background:#fff;">
<AJDF:output>php</AJDF:output>
$sqlnew="SELECT * FROM terms_table WHERE id='1'";
$querynew=mysql_query($sqlnew);
$rownew=mysql_fetch_array($querynew);
echo $rownew['inv_app_form'];
<AJDF:output>/php</AJDF:output>
</div></td>
<td align="right" valign="top"><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.29.content</AJDF:output>">(?)</a></td>
</tr>
</table></td>
</tr>
<tr>
<td align="left" valign="top"> </td>
</tr>
<tr>
<td align="left" valign="top">  <input type="checkbox" tabindex="84" value="1" name="terms"
<AJDF:output>if $errval.terms == '1'</AJDF:output>'checked'<AJDF:output>/if </AJDF:output>
/> I agree to the terms of use and privacy statement <span style="color:#FF0000"><AJDF:output>$errmsg.terms</AJDF:output></span></td>
</tr>
<tr>
<td align="left" valign="top"> </td>
</tr>
</table></td>
</tr>
<tr>
<td align="center" valign="top" class="dark_gray_bg">
<input name="submit" value="Submit" class="mem_bttn" tabindex="85" type="submit">
</a></td>
</tr>
</table></form></td>
</tr>
</table></td>
</tr>
</table></td>
</tr>
</table></td>
</tr>
<tr>
<td align="left" valign="top"> </td>
</tr>
</table></td>
</tr>
<div id="success_bg"></div>
<div id="popUp" style="display:none;">
<div id="light" class="white_content">
<div id="view_plans"> </div>
</div>
<div id="fade" class="black_overlay"></div>
</div>
<div id="hiddenForm" style="display:none;"></div>
<AJDF:output>include file="footer.html"</AJDF:output>
<script type="text/javascript">
var flag1=1;
var $i1=0;
var counter=4;
function addForm(){
if($i1<flag1){
$i1++;
$.post(
"?do=fetchcontactform",
{id: $i1,label: "form"},
function(responseText){
if(responseText !=3){
$('#view_plans').html(responseText);
$("#popUp").show("slow");
scroll(0,0);
}else{
alert('Only three Contact Person Details are allowed');
}
},
"html"
);
flag1++;
}else{
alert('Only three Contact Person Details are allowed');
}
}
function removeForm(id){
$("#popUp").hide("slow");
$i1--;
}
function removeContact(str){
$.post(
"?do=deletecontactdetails",
{id: str},
function(responseText){
$("#multiAddress").html(responseText);
//$("#popUp").show("slow");
},
"html"
);
}
//if same option. duplicate the address for Billing
$(function() {
//jQuery(document).ready(function($) {
$.post(
"?do=savecontactform",
function(responseText){
$("#multiAddress").html("");
$("#multiAddress").html(responseText);
//$("#popUp").show("slow");
},
"html"
);
$("#addr_close").click(function () {
$("#addPopUp").hide("slow");
});
});
var $i=1;
var flag=2;
var counter1=4;
function addNewContact(divName)
{
var d10=document.getElementById('d10').innerHTML;
var d11=document.getElementById('d11').innerHTML;
var d12=document.getElementById('d12').innerHTML;
var d13=document.getElementById('d13').innerHTML;
var d14=document.getElementById('d14').innerHTML;
var d15=document.getElementById('d15').innerHTML;
var d16=document.getElementById('d16').innerHTML;
var d17=document.getElementById('d17').innerHTML;
var d18=document.getElementById('d18').innerHTML;
var d19=document.getElementById('d19').innerHTML;
var d20=document.getElementById('d20').innerHTML;
var d21=document.getElementById('d21').innerHTML;
var d22=document.getElementById('d22').innerHTML;
var d23=document.getElementById('d23').innerHTML;
var d24=document.getElementById('d24').innerHTML;
var d25=document.getElementById('d25').innerHTML;
var d26=document.getElementById('d26').innerHTML;
var d27=document.getElementById('d27').innerHTML;
var d28=document.getElementById('d28').innerHTML;
var d29=document.getElementById('d29').innerHTML;
var d30=document.getElementById('d30').innerHTML;
var d31=document.getElementById('d31').innerHTML;
var d32=document.getElementById('d32').innerHTML;
var d33=document.getElementById('d33').innerHTML;
var d34=document.getElementById('d34').innerHTML;
var coun =document.getElementById('country_ddcountry').innerHTML;
var dd = coun.replace("name=\"cp_wa_country[]\"","name=\"cp_ha_country[]\"");
var dd1 = dd.replace("id=\"cp_wa_country0\"","id=\"cp_ha_country"+$i+"\"");
var coun1 =document.getElementById('country_ddcountry').innerHTML;
var hcname = coun1.replace("name=\"cp_wa_country[]\"","name=\"cp_wa_country[]\"");
var hcid = hcname.replace("id=\"cp_wa_country0\"","id=\"cp_wa_country"+$i+"\"");
if (counter1 == flag)
{
alert("You have reached the limit of adding " + $i + " Contact Person Details");
}
else
{
var newdiv = document.createElement('div');
newdiv.innerHTML = '<table width="100%" border="0" cellpadding="0" cellspacing="0"><tr class="very_lite_gray"><td align="left" valign="top" class="inves_top1"><table width="100%" border="0" cellpadding="0" cellspacing="0"><tr><td width="50%" align="left" valign="top" class="inves_top1">Contact #'+flag+'</td><td width="50%" align="left" valign="top" class="inves_top1"> </td></tr></table></td></tr><tr class="very_lite_gray"><td align="center" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"><tr><td width="50%" align="center" valign="top"><table width="100%" border="0" cellpadding="3" cellspacing="3"> <tr> <td width="4%" align="center" valign="top" class="txt_11_red"> * </td><td width="35%" align="left" valign="top">First Name :</td><td width="53%" align="left" valign="top"><input type="text" name="cp_fname[]" value="" class="text_b"/></td><td width="8%" align="right" valign="top">'+d10+'</td></tr><tr><td align="center" valign="top" class="txt_11_red"> * </td><td width="35%" align="left" valign="top">Last Name :</td><td width="53%" align="left" valign="top"><input type="text" name="cp_lname[]" value="" class="text_b"/><br/></td><td align="right" valign="top">'+d11+'</td> </tr> <tr><td align="center" valign="top" class="txt_11_red"> * </td> <td width="35%" align="left" valign="top">Job title :</td> <td width="53%" align="left" valign="top"><input type="text" name="cp_jtitle[]" value="" class="text_b"/></td> <td align="right" valign="top">'+d12+'</td> </tr> <tr> <td align="center" valign="top" class="txt_11_red"> * </td> <td width="35%" align="left" valign="top">Date of Birth :</td> <td width="53%" align="left" valign="top"><table width="46%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="29%" align="center" valign="top"><div class="text_dd_code"><input type="text" value="" name="cp_dob_date[]" size="2" maxlength="2"/></div></td><td width="30%" align="center" valign="top"><div class="text_dd_code"> <input type="text" value="" name="cp_dob_mon[]" size="2" maxlength="2"/> </div></td><td width="41%" align="center" valign="top"><div class="text_c_code"> <input type="text" value="" name="cp_dob_year[]" size="4" maxlength="4"/> </div></td> </tr> <tr> <td align="center" valign="top" class="txt_11_cute">DD</td><td align="center" valign="top" class="txt_11_cute">MM</td> <td align="center" valign="top" class="txt_11_cute">YYYY</td> </tr> </table></td> <td align="right" valign="top">'+d13+'</td></tr></table></td><td align="center" valign="top" class="gray_1"></td> <td width="50%" align="center" valign="top"><table width="100%" border="0" cellpadding="3" cellspacing="3"> <tr><td width="4%" align="center" valign="top" class="txt_11_red"> * </td> <td width="34%" align="left" valign="top">Ownership</td> <td width="53%" align="left" valign="top"><input type="radio" name="cp_os_type[]" value="0" /> Owner <input type="radio" name="cp_os_type[]" value="1"/>Shareholder<br/></td><td align="right" valign="top">'+d14+'</td></tr><tr><td align="center" valign="top" class="txt_11_red">*</td><td width="34%" align="left" valign="top">( % ) Percent Owned :</td><td width="53%" align="left" valign="top"><div class="text_area_code"><input type="text" value="" name="cp_per[]" size="3" maxlength="3"/></div></td><td align="right" valign="top">'+d15+'</td></tr><tr><td align="center" valign="top" class="txt_11_red">*</td><td width="34%" align="left" valign="top">Active Participation :</td><td width="53%" align="left" valign="top"><span> <input type="radio" name="cp_act_part[]" value="0" /> Yes</span><span><input type="radio" name="cp_act_part[]" value="1" />No</span></td> <td width="9%" align="right" valign="top">'+d16+'</td></tr></table></td></tr></table></td></tr> <tr><td align="left" valign="top" class="inves_top1"><table width="100%" border="0" cellpadding="0" cellspacing="0"><tr><td width="50%" align="left" valign="top" class="inves_top1">Home Address </td><td width="50%" align="left" valign="top" class="inves_top1">Work Address<a href="javascript:void(0);" onclick="showSuccessMsg(\'contact\','+$i+');"><span style="color:#0000FF">SELECT</span></a></td></tr> </table></td></tr><tr class="very_lite_gray"> <td align="center" valign="top"><table width="100%" border="0" cellspacing="3" cellpadding="3"> <tr><td width="50%" align="center" valign="top"><table width="100%" border="0" cellpadding="3" cellspacing="3"> <tr> <td align="center" valign="top" class="txt_11_red"> * </td> <td width="37%" align="left" valign="top">Home Address Line 1 :</td> <td width="53%" align="left" valign="middle"><input type="text" name="cp_ha_addr1[]" id="cp_ha_addr1[]" value="" class="text_b"/></td><td width="10%" align="right" valign="middle">'+d17+'</td> </tr><tr><td align="center" valign="top" class="txt_11_red"> </td><td width="37%" align="left" valign="top">Home Address Line 2 :</td><td width="53%" align="left" valign="middle"><input type="text" name="cp_ha_addr2[]" value="" class="text_b"/></td><td align="right" valign="middle">'+d18+'</td> </tr> <tr><td align="center" valign="top" class="txt_11_red"> </td><td width="37%" align="left" valign="top">City :</td><td width="53%" align="left" valign="middle"><input type="text" name="cp_ha_city[]" value="" class="text_b"/></td><td align="right" valign="middle">'+d19+'</td> </tr><tr><td align="center" valign="top" class="txt_11_red"> </td><td width="37%" align="left" valign="top">State :</td><td width="53%" align="left" valign="middle"><input type="text" name="cp_ha_state[]" value="" class="text_b"/></td><td align="right" valign="middle">'+d20+'</td></tr><tr><td align="center" valign="top" class="txt_11_red"> </td><td width="37%" align="left" valign="top">Country :</td><td width="53%" align="left" valign="middle">'+dd1+'</td><td align="right" valign="middle">'+d21+'</td></tr><tr><td align="center" valign="top" class="txt_11_red"> </td><td width="37%" align="left" valign="top"> Post code :</td><td width="54%" align="left" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"><tr><td width="56%" align="left" valign="top"><div class="text_b"> <input type="text" value="" name="cp_ha_pcode[]" size="8" maxlength="8"/></div></td><td width="44%" align="left" valign="top"> </td></tr></table></td><td align="right" valign="middle">'+d22+'</td></tr><tr> <td align="center" valign="top" class="txt_11_red"> * </td> <td width="37%" align="left" valign="top">Phone Number :</td> <td width="54%" align="left" valign="top"><table width="80%" border="0" cellspacing="3" cellpadding="0"> <tr> <td width="12%" align="left" valign="top"><div class="text_c_code"> <input type="text" value="00353" name="cp_ha_ph_country[]" size="5" maxlength="5"/> </div></td> <td width="9%" align="left" valign="top"><div class="text_area_code"><input type="text" value="" name="cp_ha_ph_area[]" size="3" maxlength="3"/></div></td><td width="79%" align="left" valign="top"><div class="text_ph_code"><input type="text" value="" name="cp_ha_ph_pn[]" size="8" maxlength="8"/></div></td> </tr> <tr> <td align="left" valign="top" class="txt_11_cute">Country</td><td align="left" valign="top" class="txt_11_cute">Area</td> <td align="left" valign="top" class="txt_11_cute">Phone Number</td></tr></table></td><td align="right" valign="top">'+d23+'</td></tr><tr><td align="center" valign="top" class="txt_11_red"> </td><td width="37%" align="left" valign="top">Fax Number:</td><td width="54%" align="left" valign="top"><table width="80%" border="0" cellspacing="3" cellpadding="0"><tr><td width="12%" align="left" valign="top"><div class="text_c_code"> <input type="text" value="00353" name="cp_ha_fn_country[]" size="5" maxlength="5"/></div></td><td width="9%" align="left" valign="top"><div class="text_area_code"><input type="text" value="" name="cp_ha_fn_area[]" size="3" maxlength="3"/></div></td><td width="79%" align="left" valign="top"><div class="text_ph_code"> <input type="text" value="" name="cp_ha_fn_pn[]" size="8" maxlength="8"/></div></td></tr><tr><td align="left" valign="top" class="txt_11_cute">Country</td><td align="left" valign="top" class="txt_11_cute">Area</td><td align="left" valign="top" class="txt_11_cute">Phone Number</td></tr></table></td> <td align="right" valign="top">'+d24+'</td></tr><tr><td align="center" valign="top" class="txt_11_red">*</td><td width="37%" align="left" valign="top">Email Address:</td><td width="53%" align="left" valign="middle"><input type="text" name="cp_ha_email[]" value="" class="text_b"/><br/></td><td align="right" valign="middle">'+d25+'</td></tr></table></td><td align="center" valign="middle" class="gray_1"></td><td width="50%" align="center" valign="top"><table width="100%" border="0" cellpadding="3" cellspacing="3"> <tr><td align="center" valign="top" class="txt_11_red">*</td><td width="37%" align="left" valign="top">Work Address Line 1:</td><td width="53%" align="left" valign="middle"><input type="text" name="cp_wa_addr1[]" id="cp_wa_addr1'+$i+'" value="" class="text_b"/><br/></td><td width="10%" align="right" valign="middle">'+d26+'</td></tr><tr><td align="center" valign="top" class="txt_11_red"> </td><td width="37%" align="left" valign="top">Work Address Line 2:</td><td width="53%" align="left" valign="middle"><input type="text" name="cp_wa_addr2[]" id="cp_wa_addr2'+$i+'" value="" class="text_b"/></td><td align="right" valign="middle">'+d27+'</td></tr><tr><td align="center" valign="top" class="txt_11_red">*</td><td width="37%" align="left" valign="top">City:</td><td width="53%" align="left" valign="middle"><input type="text" name="cp_wa_city[]" id="cp_wa_city'+$i+'" value="" class="text_b"/></td><td align="right" valign="middle">'+d28+'</td></tr><tr><td align="center" valign="top" class="txt_11_red"> </td> <td width="37%" align="left" valign="top">State:</td><td width="53%" align="left" valign="middle"><input type="text" name="cp_wa_state[]" id="cp_wa_state'+$i+'" value="" class="text_b"/></td><td align="right" valign="middle">'+d29+'</td></tr><tr><td align="center" valign="top" class="txt_11_red"> </td> <td width="37%" align="left" valign="top">Country:</td><td width="53%" align="left" valign="middle">'+hcid+'</td><td align="right" valign="middle">'+d30+'</td></tr><tr> <td align="center" valign="top" class="txt_11_red"> </td><td width="37%" align="left" valign="top">Post code:</td><td width="53%" align="left" valign="middle"><table width="100%" border="0" cellspacing="0" cellpadding="0"><tr><td width="57%" align="left" valign="top"><div class="text_b"><input type="text" value="" name="cp_wa_pcode[]" id="cp_wa_pcode'+$i+'" size="8" maxlength="8"/></div></td><td width="43%" align="left" valign="top"> </td></tr></table></td> <td align="right" valign="middle">'+d31+'</td></tr><tr><td align="center" valign="top" class="txt_11_red"><td width="37%" align="left" valign="top">Phone Number:</td><td width="53%" align="left" valign="top"><table width="80%" border="0" cellspacing="3" cellpadding="0"><tr><td width="12%" align="left" valign="top"><div class="text_c_code"><input type="text" value="00353" name="cp_wa_ph_country[]" id="cp_wa_ph_country'+$i+'" size="5" maxlength="5"/></div></td><td width="9%" align="left" valign="top"><div class="text_area_code"><input type="text" value="" name="cp_wa_ph_area[]" id="cp_wa_ph_area'+$i+'" size="3" maxlength="3"/></div></td><td width="79%" align="left" valign="top"><div class="text_ph_code"><input type="text" value="" name="cp_wa_ph_pn[]" id="cp_wa_ph_pn'+$i+'" size="8" maxlength="8"/></div></td></tr><tr><td align="left" valign="top" class="txt_11_cute">Country</td><td align="left" valign="top" class="txt_11_cute">Area</td> <td align="left" valign="top" class="txt_11_cute">Phone Number</td></tr></table></td><td align="right" valign="top">'+d32+'</td></tr><tr><td align="center" valign="top" class="txt_11_red"> </td><td width="37%" align="left" valign="top">Fax Number :</td> <td width="53%" align="left" valign="top"><table width="80%" border="0" cellspacing="3" cellpadding="0"><tr> <td width="12%" align="left" valign="top"><div class="text_c_code"><input type="text" value="00353" name="cp_wa_fn_country[]" id="cp_wa_fn_country'+$i+'" size="5" maxlength="5"/></div></td> <td width="9%" align="left" valign="top"><div class="text_area_code"><input type="text" value="" name="cp_wa_fn_area[]" id="cp_wa_fn_area'+$i+'" size="3" maxlength="3"/></div></td> <td width="79%" align="left" valign="top"><div class="text_ph_code"><input type="text" value="" name="cp_wa_fn_pn[]" id="cp_wa_fn_pn'+$i+'" size="8" maxlength="8"/></div></td></tr><tr><td align="left" valign="top" class="txt_11_cute">Country</td><td align="left" valign="top" class="txt_11_cute">Area</td><td align="left" valign="top" class="txt_11_cute">Phone Number</td></tr></table></td> <td align="right" valign="top">'+d33+'</td></tr><tr><td align="center" valign="top" class="txt_11_red">*</td><td width="37%" align="left" valign="top">Email Address :</td><td width="53%" align="left" valign="middle"><input type="text" name="cp_wa_email[]" id="cp_wa_email'+$i+'" value="" class="text_b"/></td><td align="right" valign="middle">'+d34+'</td></tr> </table></td></tr></table></td></tr> </table>';
document.getElementById(divName).appendChild(newdiv);
$i++;
flag++;
}
}
</script>
<script type="text/javascript">
function choseaddress(str, num, indexval){
add_id = document.getElementById("address_select").selectedIndex;
if(str == ''){
billhide(num);
return true;
}else if(str == "0"){
billshow(num)
return true;
}
if(add_id >3){
add_id = 3;
}
if(num == false){
$("#wrk_addr").show();
}else{
$("#w_wrk_addr").show();
}
if(num == true)
num =1;
else
num =0;
$.post(
"?do=fetchworkaddress",
{id: <AJDF:output>$smarty.session.organisation_id</AJDF:output>,label: add_id, values: str},
function(responseText){
$('#hiddenForm').html(responseText);
//var num = document.getElementById("frm_mng").value;
if(num ==0){
var work = new Array("cp_wa_addr1","cp_wa_addr2","cp_wa_city","cp_wa_state","cp_wa_country","cp_wa_pcode","cp_wa_ph_country","cp_wa_ph_area","cp_wa_ph_pn","cp_wa_fn_country","cp_wa_fn_area","cp_wa_fn_pn","cp_wa_email"); //,"w_email"
for(inc=0;inc < work.length;inc++){
if(work[inc] !='cp_wa_country' && work[inc] !='cp_wa_state'){
work_repl = work[inc].replace("cp_wa_","v_");
//alert(document.getElementById(work[inc]).value);
if(document.getElementById(work_repl)){
document.getElementById(work[inc]).value = document.getElementById(work_repl).value;
}
}else if(work[inc] =='cp_wa_country'){
document.getElementById('cp_wa_country').value = document.getElementById('v_country').value;
document.getElementById('cp_wa_state').value = document.getElementById('v_state').value;
/*var country = document.getElementById('v_country').value;
var state = document.getElementById('v_state').value;
$.post(
'?do=getstatebycountry',
{id: country, label: 'cp_wa_state',num: state},
function(responseText){
$("#w_dropState").html(responseText);
},
"html"
);*/
}
}
}else{
var work = new Array("cp_wa_addr1","cp_wa_addr2","cp_wa_city","cp_wa_pcode","cp_wa_state","cp_wa_country","cp_wa_ph_country","cp_wa_ph_area","cp_wa_ph_pn","cp_wa_fn_country","cp_wa_fn_area","cp_wa_fn_pn","cp_wa_email"); //,"w_email"
for(inc=0;inc < work.length;inc++){
if(work[inc] !='cp_wa_country' && work[inc] !='cp_wa_state'){
work_repl = work[inc].replace("cp_wa_","v_");
//alert(document.getElementById(work[inc]).value);
document.getElementById(work[inc]+"_"+num).value = document.getElementById(work_repl).value;
}else if(work[inc] =='cp_wa_country'){
document.getElementById('cp_wa_country'+"_"+num).value = document.getElementById('v_country').value;
document.getElementById('cp_wa_state'+"_"+num).value = document.getElementById('v_state').value;
/*var country = document.getElementById('v_country').value;
var state = document.getElementById('v_state').value;
var state_label = 'cp_wa_state_'+num;
$.post(
'?do=getstatebycountry',
{id: country, label: state_label,num: state},
function(responseText){
$("#w_dropState"+"_"+num).html(responseText);
},
"html"
);*/
}
}
}
},
"html"
);
}
function billshow(str){
if(str == false){
$("#wrk_addr").show();
var work = new Array("cp_wa_addr1","cp_wa_addr2","cp_wa_city","cp_wa_pcode","cp_wa_state","cp_wa_country","cp_wa_ph_country","cp_wa_ph_area","cp_wa_ph_pn","cp_wa_fn_country","cp_wa_fn_area","cp_wa_fn_pn","cp_wa_email"); //,"w_email"
for(inc=0;inc < work.length;inc++){
document.getElementById(work[inc]).value='';
document.getElementById("cp_wa_country").value = '0';
}
/* $.post(
'?do=getstatebycountry',
{id: "", label: "orgp_state"},
function(responseText){
$("#w_dropState").html(responseText);
},
"html"
); */
}else{
$("#w_wrk_addr").show();
var work = new Array("cp_wa_addr1","cp_wa_addr2","cp_wa_city","cp_wa_pcode","cp_wa_state","cp_wa_country","cp_wa_ph_country","cp_wa_ph_area","cp_wa_ph_pn","cp_wa_fn_country","cp_wa_fn_area","cp_wa_fn_pn","cp_wa_email"); //,"w_email"
for(inc=0;inc < work.length;inc++){
document.getElementById(work[inc]+"_1").value='';
}
/*$.post(
'?do=getstatebycountry',
{id: "", label: "orgp_state_1"},
function(responseText){
$("#w_dropState_1").html(responseText);
},
"html"
);*/
}
}
<AJDF:output>if $errval.address_select != ''</AJDF:output>
$("#wrk_addr").show();
<AJDF:output>/if</AJDF:output>
function billhide(str){
if(str == false){
$("#wrk_addr").hide();
var work = new Array("cp_wa_addr1","cp_wa_addr2","cp_wa_city","cp_wa_pcode","cp_wa_state","cp_wa_country","cp_wa_ph_country","cp_wa_ph_area","cp_wa_ph_pn","cp_wa_fn_country","cp_wa_fn_area","cp_wa_fn_pn","cp_wa_email"); //,"w_email"
for(inc=0;inc < work.length;inc++){
document.getElementById(work[inc]).value='';
}
/*$.post(
'?do=getstatebycountry',
{id: "", label: "w_state"},
function(responseText){
$("#w_dropState").html(responseText);
},
"html"
); */
}else{
$("#w_wrk_addr").hide();
var work = new Array("cp_wa_addr1","cp_wa_addr2","cp_wa_city","cp_wa_pcode","cp_wa_state","cp_wa_country","cp_wa_ph_country","cp_wa_ph_area","cp_wa_ph_pn","cp_wa_fn_country","cp_wa_fn_area","cp_wa_fn_pn","cp_wa_email"); //,"w_email"
for(inc=0;inc < work.length;inc++){
document.getElementById(work[inc]+"_1").value='';
}
/*$.post(
'?do=getstatebycountry',
{id: "", label: "w_state_1"},
function(responseText){
$("#w_dropState_1").html(responseText);
},
"html"
);*/
}
}
</script>
<script type="text/javascript">
function showSuccessMsg(nm,totval)
{
/*alert(totval);*/
var len='<AJDF:output>$smarty.session.branchcount</AJDF:output>';
if (/MSIE (\d+\.\d+);/.test(navigator.userAgent)){ //test for MSIE x.x;
var ieversion=new Number(RegExp.$1)// capture x.x portion and store as a number
if (ieversion>=6)
document.body.style.overflowY = "hidden";
}
/* document.getElementById('newradio1').innerHTML='';*/
document.getElementById('newradio5').innerHTML='';
document.getElementById('newradio6').innerHTML='';
document.getElementById('newradio7').innerHTML='';
/* if(nm=='trad')
{
document.getElementById('newradio1').innerHTML = '<table cellspacing="0" cellpadding="0" border="0" width="100%" align="center"><tr><TD align="right" width="30%" style="padding-right:20px;"><input type="radio" onclick="showSelectedRegaddr();" name="orgsamereg" value="1" /></TD><TD align="left">Same as Registered Office Address </TD></tr><tr><TD> </TD></tr></table>';
}
else*/ if(nm=='contact')
{
document.getElementById('newradio5').innerHTML = '<table cellspacing="0" cellpadding="0" border="0" width="100%" align="center"><tr><TD align="right" width="30%" style="padding-right:20px;"><input type="radio" onclick="cpshowSelectedRegaddr('+totval+');" name="orgsamereg" value="1" /></TD><TD align="left">Same as Registered Office Address </TD></tr><tr><TD> </TD></tr></table>';
document.getElementById('newradio6').innerHTML = '<table cellspacing="0" cellpadding="0" border="0" width="100%" align="center"><tr><TD align="right" width="30%" style="padding-right:20px;"><input type="radio" onclick="cpshowSelectedPTA('+totval+');" name="orgsamereg" value="1" /></TD><TD align="left">Same as Primary Trading Address </TD></tr><tr><TD> </TD></tr></table>';
/* $j=1;*/
var bb='';
for(var i=0;i<len;i++)
{
$j=i+1;
bb = bb+' <table cellspacing="0" cellpadding="0" border="0" width="100%" align="center"><tr><TD align="right" width="30%" style="padding-right:20px;"><input type="radio" onclick="cpshowSelectedBOA('+i+','+totval+');" name="orgsamereg'+$j+'" value="'+$j+'" /></TD><TD align="left">Same as Branch Office Address '+$j+'</TD></tr><tr><TD> </TD></tr></table>';
}
document.getElementById('newradio7').innerHTML = bb;
}
document.getElementById("successmsg_id").style.display="block";
document.getElementById("success_bg").style.display="block";
}
function hidesuccess(){
if(document.body.style.overflowY == 'hidden')
document.body.style.overflowY ='visible'
document.getElementById("successmsg_id").style.display="none";
document.getElementById("success_bg").style.display="none";
}
</script>
<style>
#success_bg{
display:none;
position:fixed;
_position:absolute; /* hack for internet explorer 6*/
height:108%;
width:100%;
top:0;
left:0;
background:#000000;
border:1px solid #cecece;
z-index:6;
opacity: 0.2;/* FOR IE 6 USE THIS CODE*/
filter: alpha(opacity = 20);
}
#successmsg_id {
display:none;
position:fixed;
_position:absolute; /* hack for internet explorer 6*/
left:25%;
top:25%;
padding-left:1px;
padding-top:1px;
z-index:8;
color:#000;
}
</style>