"copied"
[mailer.git] / 0.2.1-FINAL / templates / de / html / member / member_mydata_edit.tpl
1 <FORM action="{!URL!}/modules.php?module=login&amp;what=mydata"
2         method="POST" style="margin-bottom: 0px">
3 <TABLE border="0" cellspacing="0" cellpadding="0" width="530"
4         class="member_main dashed" align="center">
5         <TR>
6                 <TD colspan="5" height="7" class="seperator">&nbsp;</TD>
7         </TR>
8         <TR>
9                 <TD width="10" rowspan="25">&nbsp;</TD>
10                 <TD width="225" align="right">{--YOUR_LOGIN--}:</TD>
11                 <TD width="10" class="seperator">&nbsp;</TD>
12                 <TD width="225"><STRONG>{!UID_VALUE!}</STRONG></TD>
13                 <TD width="10" rowspan="25">&nbsp;</TD>
14         </TR>
15         <TR>
16                 <TD colspan="3" height="3" class="seperator">&nbsp;</TD>
17         </TR>
18         <TR>
19                 <TD align="right">{--GENDER--}:</TD>
20                 <TD width="10" class="seperator">&nbsp;</TD>
21                 <TD><SELECT name="gender" size="1" class="member_select">
22                         <OPTION value="M"{--M_DEFAULT--}>{--GENDER_M--}</OPTION>
23                         <OPTION value="F"{--F_DEFAULT--}>{--GENDER_F--}</OPTION>
24                         <OPTION value="C"{--C_DEFAULT--}>{--GENDER_C--}</OPTION>
25                 </SELECT></TD>
26         </TR>
27         <TR>
28                 <TD colspan="3" height="3" class="seperator">&nbsp;</TD>
29         </TR>
30         <TR>
31                 <TD align="right">{--SURNAME--}, {--FAMILY_NAME--}:</TD>
32                 <TD width="10" class="seperator">&nbsp;</TD>
33                 <TD><INPUT type="text" name="surname" class="member_normal"
34                         size="15" maxlength="255" value="$DATA[0]">&nbsp; <INPUT
35                         type="text" name="family_name" class="member_normal" size="15"
36                         maxlength="255" value="$DATA[1]"></TD>
37         </TR>
38         <TR>
39                 <TD colspan="3" height="3" class="seperator">&nbsp;</TD>
40         </TR>
41         <TR>
42                 <TD align="right">{--STREET_NR--}:</TD>
43                 <TD width="10" class="seperator">&nbsp;</TD>
44                 <TD><INPUT type="text" name="street_nr" class="member_normal"
45                         size="25" maxlength="255" value="$DATA[2]"></TD>
46         </TR>
47         <TR>
48                 <TD colspan="3" height="3" class="seperator">&nbsp;</TD>
49         </TR>
50         <TR>
51                 <TD align="right">{--COUNTRY--}, {--ZIP--}, {--CITY--}:</TD>
52                 <TD width="10" class="seperator">&nbsp;</TD>
53                 <TD>{!__COUNTRY_CONTENT!}&nbsp; <INPUT type="text" name="zip"
54                         class="member_normal" size="5" maxlength="10" value="$DATA[4]">&nbsp;
55                 <INPUT type="text" name="city" class="member_normal" size="20"
56                         maxlength="255" value="$DATA[5]"></TD>
57         </TR>
58         <TR>
59                 <TD colspan="3" height="3" class="seperator">&nbsp;</TD>
60         </TR>
61         <TR>
62                 <TD align="right">{--ADDY--}:</TD>
63                 <TD width="10" class="seperator">&nbsp;</TD>
64                 <TD><INPUT type="text" name="addy" class="member_normal"
65                         size="30" maxlength="255" value="$DATA[6]"></TD>
66         </TR>
67         <TR>
68                 <TD colspan="3" height="3" class="seperator">&nbsp;</TD>
69         </TR>
70         <TR>
71                 <TD align="right">{--BIRTHDAY--}:</TD>
72                 <TD width="10" class="seperator">&nbsp;</TD>
73                 <TD>{!DOB!}</TD>
74         </TR>
75         <TR>
76                 <TD colspan="3" height="3" class="seperator">&nbsp;</TD>
77         </TR>
78         <TR>
79                 <TD align="center" colspan="3">{--MAX_REC_LIST--}</TD>
80         </TR>
81         <TR>
82                 <TD colspan="3" height="7" class="seperator">&nbsp;</TD>
83         </TR>
84         <TR>
85                 <TD colspan="3" height="3" class="seperator member_note_bg">&nbsp;</TD>
86         </TR>
87         <TR>
88                 <TD colspan="3" align="center" class="member_note_bg"><SPAN
89                         class="member_note">{--MYDATA_NOTE--}</SPAN></TD>
90         </TR>
91         <TR>
92                 <TD colspan="3" height="3" class="seperator member_note_bg">&nbsp;</TD>
93         </TR>
94         <TR>
95                 <TD colspan="3" height="7" class="seperator">&nbsp;</TD>
96         </TR>
97         <TR>
98                 <TD align="right">{--PASS_1--}:</TD>
99                 <TD width="10" class="seperator">&nbsp;</TD>
100                 <TD><INPUT type="password" name="pass1" class="member_normal"
101                         size="25" maxlength="255"></TD>
102         </TR>
103         <TR>
104                 <TD colspan="3" height="3" class="seperator">&nbsp;</TD>
105         </TR>
106         <TR>
107                 <TD align="right">{--PASS_2--}:</TD>
108                 <TD width="10" class="seperator">&nbsp;</TD>
109                 <TD><INPUT type="password" name="pass2" class="member_normal"
110                         size="25" maxlength="255"></TD>
111         </TR>
112         <TR>
113                 <TD colspan="3" height="7" class="seperator">&nbsp;</TD>
114         </TR>
115         <TR>
116                 <TD colspan="3" align="center"><INPUT type="reset"
117                         class="member_reset" value="{--CLEAR_FORM--}" />&nbsp;<INPUT
118                         type="submit" name="save" class="member_submit"
119                         value="{--SAVE_CHANGES--}" /></TD>
120         </TR>
121         <TR>
122                 <TD colspan="5" height="7" class="seperator">&nbsp;</TD>
123         </TR>
124 </TABLE>
125 </FORM>