dolibarr/htdocs/adherents/canvas/default/tpl/adherentcard_create.tpl.php

<?php
/* Copyright (C) 2010 Regis Houssin  <regis.houssin@inodbox.com>
 * Copyright (C) 2012 Philippe Grand <philippe.grand@atoo-net.com>
 *
 * This program is free software; you can redistribute it and/or modify
 * it under the terms of the GNU General Public License as published by
 * the Free Software Foundation; either version 3 of the License, or
 * (at your option) any later version.
 *
 * This program is distributed in the hope that it will be useful,
 * but WITHOUT ANY WARRANTY; without even the implied warranty of
 * MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
 * GNU General Public License for more details.
 *
 * You should have received a copy of the GNU General Public License
 * along with this program. If not, see <https://www.gnu.org/licenses/>.
 */

// Protection to avoid direct call of template
if (empty($conf) || !is_object($conf))
{
	print "Error, template page can't be called as URL";
	exit;
}

?>

<!-- BEGIN PHP TEMPLATE ADHERENTCARD_CREATE.TPL.PHP DEFAULT -->

<?php
print load_fiche_titre($this->control->tpl['title']);

dol_htmloutput_errors((is_numeric($object->error) ? '' : $object->error), $object->errors);

dol_htmloutput_errors((is_numeric($GLOBALS['error']) ? '' : $GLOBALS['error']), $GLOBALS['errors']);

dol_htmloutput_errors($this->control->tpl['error'], $this->control->tpl['errors']);

echo $this->control->tpl['ajax_selectcountry']; ?>

<br>

<form method="post" name="formmember" action="<?php echo $_SERVER["PHP_SELF"]; ?>">
<input type="hidden" name="token" value="<?php echo newToken(); ?>">
<input type="hidden" name="canvas" value="<?php echo $canvas ?>">
<input type="hidden" name="action" value="add">
<?php if ($this->control->tpl['company_id']) { ?>
<input type="hidden" name="socid" value="<?php echo $this->control->tpl['company_id']; ?>">
<?php } ?>

<table class="border allwidth">

<tr>
	<td width="15%" class="fieldrequired"><?php echo $langs->trans("Lastname").' / '.$langs->trans("Label"); ?></td>
	<td><input name="lastname" type="text" size="30" maxlength="80" value="<?php echo $this->control->tpl['name']; ?>"></td>
	<td width="20%"><?php echo $langs->trans("Firstname"); ?></td>
	<td width="25%"><input name="firstname" type="text" size="30" maxlength="80" value="<?php echo $this->control->tpl['firstname']; ?>"></td>
</tr>

<tr>
	<td><?php echo $langs->trans("Company"); ?></td>
	<td colspan="3"><?php echo $this->control->tpl['company']; ?></td>
</tr>

<tr>
	<td width="15%"><?php echo $langs->trans("UserTitle"); ?></td>
	<td colspan="3"><?php echo $this->control->tpl['select_civility']; ?></td>
</tr>

<tr>
	<td><?php echo $langs->trans("Morphy"); ?></td>
	<td colspan="3"><input name="morphy" type="text" size="50" maxlength="80" value="<?php echo $this->control->tpl['select_morphy']; ?>"></td>
</tr>

<tr>
	<td><?php echo $langs->trans("Address"); ?></td>
	<td colspan="3"><textarea class="flat" name="address" cols="70"><?php echo $this->control->tpl['address']; ?></textarea></td>
</tr>

<tr>
	<td><?php echo $langs->trans("Zip").' / '.$langs->trans("Town"); ?></td>
	<td colspan="3"><?php echo $this->control->tpl['select_zip'].'&nbsp;'.$this->control->tpl['select_town']; ?></td>
</tr>

<tr>
	<td><?php echo $langs->trans("Country"); ?></td>
	<td colspan="3"><?php echo $this->control->tpl['select_country'].$this->control->tpl['info_admin']; ?></td>
</tr>

<tr>
	<td><?php echo $langs->trans('State'); ?></td>
	<td colspan="3"><?php echo $this->control->tpl['select_state']; ?></td>
</tr>

<tr>
	<td><?php echo $langs->trans("PhonePro"); ?></td>
	<td><input name="phone_pro" type="text" size="18" maxlength="80" value="<?php echo $this->control->tpl['phone_pro']; ?>"></td>
	<td><?php echo $langs->trans("PhonePerso"); ?></td>
	<td><input name="phone_perso" type="text" size="18" maxlength="80" value="<?php echo $this->control->tpl['phone_perso']; ?>"></td>
</tr>

<tr>
	<td><?php echo $langs->trans("PhoneMobile"); ?></td>
	<td><input name="phone_mobile" type="text" size="18" maxlength="80" value="<?php echo $this->control->tpl['phone_mobile']; ?>"></td>
</tr>

<tr>
	<td><?php echo $langs->trans("Email"); ?></td>
	<td colspan="3"><input name="email" type="text" size="50" maxlength="80" value="<?php echo $this->control->tpl['email']; ?>"></td>
</tr>

<tr>
	<td><?php echo $langs->trans("ContactVisibility"); ?></td>
	<td colspan="3"><?php echo $this->control->tpl['select_visibility']; ?></td>
</tr>

<tr>
	<td class="tdtop"><?php echo $langs->trans("Note"); ?></td>
	<td colspan="3" class="tdtop"><textarea name="note" cols="70" rows="<?php echo ROWS_3; ?>"><?php echo $this->control->tpl['note']; ?></textarea></td>
</tr>

<tr>
	<td class="center" colspan="4"><input type="submit" class="button" value="<?php echo $langs->trans("Add"); ?>"></td>
</tr>

</table><br>

</form>

<!-- END PHP TEMPLATE -->