1 <!-- TMPL_INCLUDE NAME="members-top.inc" -->
3 <!-- TMPL_IF NAME="surname" -->
4 <h1>Edit Institution</h1>
6 <h1>Add new Institution</h1>
8 <form action="/cgi-bin/koha/members/newimember.pl" method="post">
9 <input type="hidden" name="joining" value="">
10 <input type="hidden" name="expiry" value="">
11 <input type="hidden" name="type" value="borrowers">
12 <input type="hidden" name="borrowernumber" value="<!-- TMPL_VAR NAME="member" -->">
13 <input type="hidden" name="updtype" value="I">
15 <table border="0" cellspacing="0" cellpadding="5">
18 <td colspan="3"><input type="reset" value="Clear all Fields"></td>
22 <td colspan="2" align="right">
23 <strong>Member# <!-- TMPL_VAR NAME="member" -->, Card number*</strong>
25 <td align="right"><input type="text" name="cardnumber_institution" size="20" value="<!-- TMPL_VAR NAME="cardnumber_institution" -->"></td>
28 <tr valign="top" bgcolor="#99cc33">
29 <td background="<!-- TMPL_VAR NAME="themelang" -->/images/background-mem.gif">
30 <b>INSTITUTION DETAILS</b>
32 <td colspan="2" align="right" background="<!-- TMPL_VAR NAME="themelang" -->/images/background-mem.gif"> </td>
36 <td colspan="3">Institution Name</td>
39 <td colspan="3"><input type="text" name="institution_name" size="50" value="<!-- TMPL_VAR NAME="surname" -->"></td>
42 <tr valign="top" bgcolor="#99cc33" >
43 <td colspan="3" background="<!-- TMPL_VAR NAME="themelang" -->/images/background-mem.gif">
44 <b>INSTITUTION ADDRESS</b>
49 <td >Postal Address*</td>
50 <td>Zipcode / Town*</td>
54 <td><input type="text" name="address" size="40" value="<!-- TMPL_VAR NAME="streetaddress" -->"></td>
55 <td><input type="text" name="zipcode" size="20" value="<!-- TMPL_VAR NAME="zipcode" -->"> <br> <input type="text" name="city" size="20" value="<!-- TMPL_VAR NAME="city" -->"></td>
57 <!-- TMPL_VAR NAME="CGIbranch" -->
61 <tr valign="top" bgcolor="#99cc33">
62 <td colspan="3" background="<!-- TMPL_VAR NAME="themelang" -->/images/background-mem.gif">
63 <b>CONTACT DETAILS</b>
68 <td colspan="3">Contact Name*</td>
71 <td colspan="3"><input type="text" name="contactname" size="40" value="<!-- TMPL_VAR NAME="contactname" -->"></td>
81 <td ><input type="text" name="phoneday" size="20" value="<!-- TMPL_VAR NAME="phoneday" -->"></td>
82 <td><input type="text" name="faxnumber" size="20" value="<!-- TMPL_VAR NAME="faxnumber" -->"></td>
83 <td ><input type="text" name="emailaddress" size="20" value="<!-- TMPL_VAR NAME="emailaddress" -->"></td>
90 <td colspan="3"><textarea name="altnotes" cols="70" rows="3"><!-- TMPL_VAR NAME="altnotes" --></textarea></td>
93 <tr valign="top" bgcolor="#99cc33" >
94 <td colspan="3" background="<!-- TMPL_VAR NAME="themelang" -->/images/background-mem.gif"><b>LIBRARY USE</b></td>
98 <td colspan="3">Notes</td>
101 <td colspan="3"><textarea name="borrowernotes" cols="70" rows="3"><!-- TMPL_VAR NAME="borrowernotes" --></textarea></td>
105 <td colspan="3" align="right" >
106 <input type="submit" class="button" value="Save Changes">
112 <!-- TMPL_VAR NAME="endmenumember" -->