<?lsmb INCLUDE 'ui-header.html' ?> 
<?lsmb PROCESS elements.html ?>
<body>
<form method="post" action="<?lsmb form.script ?>">
<table width="100%">
  <tr><th class="listtop"><?lsmb form.title ?></th></tr>
  <tr><td /></tr>
  <tr>
    <td>
      <table width="100%">
        <tr valign="top">
          <td width="50%">
            <table width="100%">
              <tr class="listheading">
                <th class="listheading" colspan="2" width="50%"><?lsmb text('Billing Address') ?></th>
              </tr>
              <tr>
                <th align="right"><?lsmb text("${form.label} Number") ?></th>
                <td><?lsmb PROCESS input element_data={
  name => form.dbnumber,
  size => '35',
  maxlength => '32',
  value => form.${form.dbnumber},
  } -?></td>
              </tr>
              <tr>
                <th align="right"><?lsmb text('Company Name') ?></th>
                <td><?lsmb PROCESS input element_data={
  name => 'name',
  size => '35',
  maxlength => '64',
  value => form.name,
  } -?></td>
              </tr>
              <tr>
                <th align="right"><?lsmb text('Address') ?></th>
                <td><?lsmb PROCESS input element_data={
  name => 'address1',
  size => '35',
  maxlength => '32',
  value => form.address1,
  } -?></td>
              </tr>
              <tr>
                <th />
                <td><?lsmb PROCESS input element_data={
  name => 'address2',
  size => '35',
  maxlength => '32',
  value => form.address2,
  } -?></td>
              </tr>
              <tr>
                <th align="right"><?lsmb text('City') ?></th>
                <td><?lsmb PROCESS input element_data={
  name => 'city',
  size => '35',
  maxlength => '32',
  value => form.city,
  } -?></td>
              </tr>
              <tr>
                <th align="right"><?lsmb text('State/Province') ?></th>
                <td><?lsmb PROCESS input element_data={
  name => 'state',
  size => '35',
  maxlength => '32',
  value => form.state,
  } -?></td>
              </tr>
              <tr>
                <th align="right"><?lsmb text('Zip/Postal Code') ?></th>
                <td><?lsmb PROCESS input element_data={
  name => 'zipcode',
  size => '10',
  maxlength => '10',
  value => form.zipcode,
  } -?></td>
              </tr>
              <tr>
                <th align="right"><?lsmb text('Country') ?></th>
                <td><?lsmb PROCESS input element_data={
  name => 'country',
  size => '35',
  maxlength => '32',
  value => form.country,
  } -?></td>
              </tr>
              <tr>
                <th align="right"><?lsmb text('Contact') ?></th>
                <td><?lsmb PROCESS input element_data={
  name => 'contact',
  size => '35',
  maxlength => '64',
  value => form.contact,
  } -?></td>
              </tr>
              <tr>
                <th align="right"><?lsmb text('Phone') ?></th>
                <td><?lsmb PROCESS input element_data={
  name => 'phone',
  size => '20',
  maxlength => '20',
  value => form.phone,
  } -?></td>
              </tr>
              <tr>
                <th align="right"><?lsmb text('Fax') ?></th>
                <td><?lsmb PROCESS input element_data={
  name => 'fax',
  size => '20',
  maxlength => '20',
  value => form.fax,
  } -?></td>
              </tr>
              <tr>
                <th align="right"><?lsmb text('E-mail') ?></th>
                <td><?lsmb PROCESS input element_data={
  name => 'email',
  size => '35',
  value => form.email,
  } -?></td>
              </tr>
              <tr>
                <th align="right"><?lsmb text('Cc') ?></th>
                <td><?lsmb PROCESS input element_data={
  name => 'cc',
  size => '35',
  value => form.cc,
  } -?></td>
              </tr>
<?lsmb IF user.role.matches('(admin|manager)') -?>
              <tr>
                <th align="right"><?lsmb text('Bcc') ?></th>
                <td><?lsmb PROCESS input element_data={
  name => 'bcc',
  size => '35',
  value => form.bcc,
  } -?></td>
              </tr>
<?lsmb END -?>
            </table>
          </td>
          <td width="50%">
            <table width="100%">
              <tr>
                <th class="listheading" colspan="2">
                  <?lsmb text('Shipping Address') ?>
                </th>
              </tr>
              <tr><td>&nbsp;<br />&nbsp;</td></tr>
              <tr>
                <td><?lsmb PROCESS input element_data={
  name => 'shiptoname',
  size => '35',
  maxlength => '64',
  value => form.shiptoname,
  } -?></td>
              </tr>
              <tr>
                <td><?lsmb PROCESS input element_data={
  name => 'shiptoaddress1',
  size => '35',
  maxlength => '32',
  value => form.shiptoaddress1,
  } -?></td>
              </tr>
              <tr>
                <td><?lsmb PROCESS input element_data={
  name => 'shiptoaddress2',
  size => '35',
  maxlength => '32',
  value => form.shiptoaddress2,
  } -?></td>
              </tr>
              <tr>
                <td><?lsmb PROCESS input element_data={
  name => 'shiptocity',
  size => '35',
  maxlength => '32',
  value => form.shiptocity,
  } -?></td>
              </tr>
              <tr>
                <td><?lsmb PROCESS input element_data={
  name => 'shiptostate',
  size => '35',
  maxlength => '32',
  value => form.shiptostate,
  } -?></td>
              </tr>
              <tr>
                <td><?lsmb PROCESS input element_data={
  name => 'shiptozipcode',
  size => '10',
  maxlength => '10',
  value => form.shiptozipcode,
  } -?></td>
              </tr>
              <tr>
                <td><?lsmb PROCESS input element_data={
  name => 'shiptocountry',
  size => '35',
  maxlength => '32',
  value => form.shiptocountry,
  } -?></td>
              </tr>
              <tr>
                <td><?lsmb PROCESS input element_data={
  name => 'shiptocontact',
  size => '35',
  maxlength => '32',
  value => form.shiptocontact,
  } -?></td>
              </tr>
              <tr>
                <td><?lsmb PROCESS input element_data={
  name => 'shiptophone',
  size => '20',
  maxlength => '20',
  value => form.shiptophone,
  } -?></td>
              </tr>
              <tr>
                <td><?lsmb PROCESS input element_data={
  name => 'shiptofax',
  size => '20',
  maxlength => '20',
  value => form.shiptofax,
  } -?></td>
              </tr>
              <tr>
                <td><?lsmb PROCESS input element_data={
  name => 'shiptoemail',
  size => '35',
  value => form.shiptoemail,
  } -?></td>
              </tr>
            </table>
          </td>
        </tr>
      </table>
    </td>
  </tr>
  <tr>
    <td>
      <table>
<?lsmb IF form.taxable -?>
        <tr>
          <th align="right"><?lsmb text('Taxable') ?></th>
          <td colspan="5">
            <table>
              <tr>
                <td>
  <?lsmb FOREACH tax IN form.taxable;
    PROCESS input element_data=tax;
  END -?>
                </td>
                <td>
  <?lsmb PROCESS input element_data={
    name => 'taxincluded',
    type => 'checkbox',
    value => '1',
    label => text('Tax Included'),
    ${form.taxincluded} => form.taxincluded
    } -?>
                </td>
              </tr>
            </table>
          </td>
        </tr>
<?lsmb END -?>
        <tr>
          <th align="right"><?lsmb text('Startdate') ?></th>
          <td><?lsmb PROCESS input element_data={
  class => 'date',
  name => 'startdate',
  size => '11',
  value => form.startdate,
  title => user.dateformat,
  } -?></td>
          <th align="right"><?lsmb text('Enddate') ?></th>
          <td><?lsmb PROCESS input element_data={
  class => 'date',
  name => 'enddate',
  size => '11',
  value => form.enddate,
  title => user.dateformat,
  } -?></td>
        </tr>
        <tr>
          <th align="right"><?lsmb text('Credit Limit') ?></th>
          <td><?lsmb PROCESS input element_data={
  name => 'creditlimit',
  size => '9',
  value => form.creditlimit,
  } -?></td>
          <th align="right"><?lsmb text('Terms') ?></th>
          <td><?lsmb PROCESS input element_data={
  name => 'terms',
  size => '2',
  value => form.terms,
  }; text('days') -?></td>
          <th align="right"><?lsmb text('Discount') ?></th>
          <td><?lsmb PROCESS input element_data={
  name => 'discount',
  size => '4',
  value => form.discount,
  } -?>%</td>
        </tr>
        <tr>
          <th align="right"><?lsmb text('Tax Number / SSN') ?></th>
          <td><?lsmb PROCESS input element_data={
  name => 'taxnumber',
  size => '20',
  value => form.taxnumber,
  } -?></td>
<?lsmb IF form.db == 'vendor' ?>
          <th align="right"><?lsmb text('Sub-contract GIFI') ?></th>
          <td><?lsmb PROCESS input element_data={
  name => 'gifi_accno',
  size => '9',
  value => form.gifi_accno,
  } -?></td>
<?lsmb ELSE ?>
          <th />
          <td />
<?lsmb END ?>
          <th align="right"><?lsmb text('SIC') ?></th>
          <td><?lsmb PROCESS input element_data={
  name => 'sic_code',
  size => '6',
  maxlength => '6',
  value => form.sic_code,
  } -?>%</td>
        </tr>
        <tr>
<?lsmb IF form.all_business -?>
          <th align="right"><?lsmb text('Type of Business') ?></th>
          <td><?lsmb PROCESS select element_data=form.selectbusiness -?></td>
<?lsmb ELSE -?>
          <th />
          <td />
<?lsmb END -?>
          <th align="right"><?lsmb text('BIC') ?></th>
          <td><?lsmb PROCESS input element_data={
  name => 'bic',
  size => '11',
  maxlength => '11',
  value => form.bic,
  } -?></td>
          <th align="right"><?lsmb text('IBAN') ?></th>
          <td><?lsmb PROCESS input element_data={
  name => 'iban',
  size => '24',
  maxlength => '24',
  value => form.iban,
  } -?></td>
        </tr>
        <tr>
<?lsmb IF form.all_pricegroup AND form.db == 'customer' -?>
          <th align="right"><?lsmb text('Pricegroup') ?></th>
          <td><?lsmb PROCESS select element_data=form.selectpricegroup -?></td>
<?lsmb ELSE -?>
          <th />
          <td />
<?lsmb END -?>
<?lsmb IF form.all_language -?>
          <th align="right"><?lsmb text('Language') ?></th>
          <td><?lsmb PROCESS select element_data=form.selectlanguage -?></td>
<?lsmb ELSE -?>
          <th />
          <td />
<?lsmb END -?>
<?lsmb IF form.currencies -?>
          <th align="right"><?lsmb text('Currency') ?></th>
          <td><?lsmb PROCESS select element_data=form.selectcurrency -?></td>
<?lsmb ELSE -?>
          <th />
          <td />
<?lsmb END -?>
        </tr>
        <tr valign="top">
<?lsmb IF form.all_employee -?>
          <th align="right">
  <?lsmb IF form.db == 'vendor' -?>
    <?lsmb text('Employee') -?>
  <?lsmb ELSE -?>
    <?lsmb text('Salesperson') -?>
  <?lsmb END -?>
          </th>
          <td>
  <?lsmb IF user.role != 'user' OR !form.id -?>
    <?lsmb PROCESS select element_data=form.selectemployee -?>
  <?lsmb ELSE -?>
    <?lsmb form.employee -?>
  <?lsmb END -?>
          </td>
<?lsmb ELSE -?>
          <th />
          <td />
<?lsmb END -?>
          <td colspan="4">
            <table>
              <tr valign="top">
                <th align="left"><?lsmb text('Notes') ?></th>
                <td>
<?lsmb PROCESS textarea element_data={
  name => 'notes',
  rows => '3',
  cols => '40',
  text => form.notes,
  } -?>
                </td>
              </tr>
            </table>
          </td>
        </tr>
      </table>
    </td>
  </tr>
  <tr><td><hr size="3" noshade="noshade" /></td></tr>
</table>



<?lsmb FOREACH hidden IN hiddens.keys;
	PROCESS input element_data={
		type => 'hidden',
		name => hidden,
		value => hiddens.item(hidden)
		}; END ?>
<?lsmb FOREACH button IN buttons; PROCESS button element_data=button; END ?>
</form>
</body>
</html>