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{* * 2007-2011 PrestaShop * * NOTICE OF LICENSE * * This source file is subject to the Academic Free License (AFL 3.0) * that is bundled with this package in the file LICENSE.txt. * It is also available through the world-wide-web at this URL: * http://opensource.org/licenses/afl-3.0.php * If you did not receive a copy of the license and are unable to * obtain it through the world-wide-web, please send an email * to license@prestashop.com so we can send you a copy immediately. * * DISCLAIMER * * Do not edit or add to this file if you wish to upgrade PrestaShop to newer * versions in the future. If you wish to customize PrestaShop for your * needs please refer to http://www.prestashop.com for more information. * * @author PrestaShop SA <contact@prestashop.com> * @copyright 2007-2011 PrestaShop SA * @version Release: $Revision: 6594 $ * @license http://opensource.org/licenses/afl-3.0.php Academic Free License (AFL 3.0) * International Registered Trademark & Property of PrestaShop SA *} <script type="text/javascript"> // <![CDATA[ idSelectedCountry = {if isset($smarty.post.id_state)}{$smarty.post.id_state|intval}{else}false{/if}; countries = new Array(); {foreach from=$countries item='country'} {if isset($country.states)} countries[{$country.id_country|intval}] = new Array(); {foreach from=$country.states item='state' name='states'} countries[{$country.id_country|intval}]['{$state.id_state|intval}'] = '{$state.name|escape:'htmlall':'UTF-8'}'; {/foreach} {/if} {/foreach} //]]> </script> <h2>{l s='Check your information' mod='paypal'}</h2> {assign var='current_step' value='login'} {include file="$tpl_dir./order-steps.tpl"} {include file="$tpl_dir./errors.tpl"} <form action="{$base_dir_ssl}modules/paypal/express/submit.php" method="post" id="account-creation_form" class="std"> <fieldset class="account_creation"> <h3>{l s='Your personal information' mod='paypal'}</h3> <p class="radio required"> <span>{l s='Title'}</span> <input type="radio" name="id_gender" id="id_gender1" value="1" {if isset($smarty.post.id_gender) && $smarty.post.id_gender == 1}checked="checked"{/if} /> <label for="id_gender1" class="top">{l s='Mr.' mod='paypal'}</label> <input type="radio" name="id_gender" id="id_gender2" value="2" {if isset($smarty.post.id_gender) && $smarty.post.id_gender == 2}checked="checked"{/if} /> <label for="id_gender2" class="top">{l s='Ms.' mod='paypal'}</label> </p> <p class="required text"> <label for="customer_firstname">{l s='First name' mod='paypal'}</label> <input onkeyup="$('#firstname').val(this.value);" type="text" class="text" id="customer_firstname" name="customer_firstname" value="{$firstname}" /> <sup>*</sup> </p> <p class="required text"> <label for="customer_lastname">{l s='Last name' mod='paypal'}</label> <input onkeyup="$('#lastname').val(this.value);" type="text" class="text" id="customer_lastname" name="customer_lastname" value="{$lastname}" /> <sup>*</sup> </p> <p class="required text"> <label for="email">{l s='E-mail' mod='paypal'}</label> <input type="text" class="text" id="email" name="email" value="{$email}" /> <sup>*</sup> </p> <p class="required password"> <label for="password">{l s='Password' mod='paypal'}</label> <input type="password" class="text" name="passwd" id="passwd" /> <sup>*</sup> <span class="form_info">{l s='(5 characters min.)' mod='paypal'}</span> </p> <p class="select"> <span>{l s='Birthday' mod='paypal'}</span> <select id="days" name="days"> <option value="">-</option> {foreach from=$days item=day} <option value="{$day|escape:'htmlall':'UTF-8'}" {if ($sl_day == $day)} selected="selected"{/if}>{$day|escape:'htmlall':'UTF-8'} </option> {/foreach} </select> {* {l s='January' mod='paypal'} {l s='February' mod='paypal'} {l s='March' mod='paypal'} {l s='April' mod='paypal'} {l s='May' mod='paypal'} {l s='June' mod='paypal'} {l s='July' mod='paypal'} {l s='August' mod='paypal'} {l s='September' mod='paypal'} {l s='October' mod='paypal'} {l s='November' mod='paypal'} {l s='December' mod='paypal'} *} <select id="months" name="months"> <option value="">-</option> {foreach from=$months key=k item=month} <option value="{$k|escape:'htmlall':'UTF-8'}" {if ($sl_month == $k)} selected="selected"{/if}>{$month} </option> {/foreach} </select> <select id="years" name="years"> <option value="">-</option> {foreach from=$years item=year} <option value="{$year|escape:'htmlall':'UTF-8'}" {if ($sl_year == $year)} selected="selected"{/if}>{$year|escape:'htmlall':'UTF-8'} </option> {/foreach} </select> </p> <p class="checkbox" > <input type="checkbox" name="newsletter" id="newsletter" value="1" {if isset($smarty.post.newsletter) AND $smarty.post.newsletter == 1} checked="checked"{/if} /> <label for="newsletter">{l s='Sign up for our newsletter' mod='paypal'}</label> </p> <p class="checkbox" > <input type="checkbox"name="optin" id="optin" value="1" {if isset($smarty.post.optin) AND $smarty.post.optin == 1} checked="checked"{/if} /> <label for="optin">{l s='Receive special offers from our partners' mod='paypal'}</label> </p> </fieldset> <fieldset class="account_creation"> <h3>{l s='Your address' mod='paypal'}</h3> <p class="text"> <label for="company">{l s='Company' mod='paypal'}</label> <input type="text" class="text" id="company" name="company" value="{if isset($smarty.post.company)}{$smarty.post.company}{/if}" /> </p> <p class="required text"> <label for="firstname">{l s='First name' mod='paypal'}</label> <input type="text" class="text" id="firstname" name="firstname" value="{$firstname}" /> <sup>*</sup> </p> <p class="required text"> <label for="lastname">{l s='Last name' mod='paypal'}</label> <input type="text" class="text" id="lastname" name="lastname" value="{$lastname}" /> <sup>*</sup> </p> <p class="required text"> <label for="address1">{l s='Address' mod='paypal'}</label> <input type="text" class="text" name="address1" id="address1" value="{$street}" /> <sup>*</sup> </p> <p class="text"> <label for="address2">{l s='Address (2)' mod='paypal'}</label> <input type="text" class="text" name="address2" id="address2" value="{if isset($smarty.post.address2)}{$smarty.post.address2}{/if}" /> </p> <p class="required text"> <label for="postcode">{l s='Postal code / Zip code' mod='paypal'}</label> <input type="text" class="text" name="postcode" id="postcode" value="{$zip}" /> <sup>*</sup> </p> <p class="required text"> <label for="city">{l s='City' mod='paypal'}</label> <input type="text" class="text" name="city" id="city" value="{$city}" /> <sup>*</sup> </p> <p class="required select"> <label for="id_country">{l s='Country' mod='paypal'}</label> <select name="id_country" id="id_country"> <option value="">-</option> {foreach from=$countries item=v} <option value="{$v.id_country}" {if ($sl_country == $v.id_country)} selected="selected"{/if}>{$v.name|escape:'htmlall':'UTF-8'}</option> {/foreach} </select> <sup>*</sup> </p> <p class="required id_state select"> <label for="id_state">{l s='State' mod='paypal'}</label> <select name="id_state" id="id_state"> <option value="">-</option> </select> <sup>*</sup> </p> <p class="textarea"> <label for="other">{l s='Additional information' mod='paypal'}</label> <textarea name="other" id="other" cols="26" rows="3">{if isset($smarty.post.other)}{$smarty.post.other}{/if}</textarea> </p> <p class="text"> <label for="phone">{l s='Home phone' mod='paypal'}</label> <input type="text" class="text" name="phone" id="phone" value="{if isset($smarty.post.phone)}{$smarty.post.phone}{/if}" /> </p> <p class="text"> <label for="phone_mobile">{l s='Mobile phone' mod='paypal'}</label> <input type="text" class="text" name="phone_mobile" id="phone_mobile" value="{if isset($smarty.post.phone_mobile)}{$smarty.post.phone_mobile}{/if}" /> </p> <p class="required text" id="address_alias"> <label for="alias">{l s='Assign an address title for future reference' mod='paypal'} !</label> <input type="text" class="text" name="alias" id="alias" value="{if isset($smarty.post.alias)}{$smarty.post.alias}{else}{l s='My address' mod='paypal'}{/if}" /> <sup>*</sup> </p> </fieldset> <p class="cart_navigation required submit"> <input type="hidden" name="token" value="{$ppToken|escape:'htmlall'|stripslashes}" /> <input type="hidden" name="payerID" value="{$payerID|escape:'htmlall'|stripslashes}" /> <input type="submit" name="submitAccount" id="submitAccount" value="{l s='Continue' mod='paypal'}" class="exclusive" /> <span><sup>*</sup>{l s='Required field' mod='paypal'}</span> </p> </form>
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