freeside/fs_signup/FS-SignupClient/cgi signup-freeoption.html,NONE,1.1

Tue Nov 30 19:35:09 PST 2004

Update of /home/cvs/cvsroot/freeside/fs_signup/FS-SignupClient/cgi
In directory pouncequick:/tmp/cvs-serv24250/fs_signup/FS-SignupClient/cgi

Added Files:
	signup-freeoption.html 
Log Message:
creditcard-less promo code signup

--- NEW FILE: signup-freeoption.html ---
<HTML><HEAD><TITLE>ISP Signup form</TITLE></HEAD>
<BODY BGCOLOR="#e8e8e8" onUnload="myclose()">
<script language="JavaScript"><!--
  var mywindow = -1;
  function myopen(filename,windowname,properties) {
    myclose();
    mywindow = window.open(filename,windowname,properties);
  }
  function myclose() {
    if ( mywindow != -1 )
      mywindow.close();
    mywindow = -1
  }
//--></script>
<FONT SIZE=7>ISP Signup form</FONT><BR><BR>
<FONT SIZE="+1" COLOR="#ff0000"><%= $error %></FONT>
<FORM NAME="OneTrueForm" ACTION="<%= $self_url %>" METHOD=POST onSubmit="document.OneTrueForm.signup.disabled=true">
<INPUT TYPE="hidden" NAME="magic" VALUE="process">
<INPUT TYPE="hidden" NAME="ref" VALUE="<%= $referral_custnum %>">
<INPUT TYPE="hidden" NAME="ss" VALUE="">
Where did you hear about our service? <SELECT NAME="refnum">
<%=
  $OUT .= '<OPTION VALUE="">' unless $refnum;
  foreach my $part_referral ( @{$init_data->{'part_referral'}} ) {
    $OUT .= '<OPTION VALUE="'. $part_referral->{'refnum'}. '"';
    $OUT .= ' SELECTED' if $part_referral->{'refnum'} eq $refnum;
    $OUT .= '>'. $part_referral->{'referral'};
  }
%>
</SELECT><BR><BR>
Contact Information
<TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0 WIDTH="100%">
<TR>
  <TH ALIGN="right"><font color="#ff0000">*</font>Contact name<BR>(last, first)</TH>
  <TD COLSPAN=5><INPUT TYPE="text" NAME="last" VALUE="<%= $last %>">,
                <INPUT TYPE="text" NAME="first" VALUE="<%= $first %>"></TD>
</TR>
<TR>
  <TD ALIGN="right">Company</TD>
  <TD COLSPAN=5><INPUT TYPE="text" NAME="company" SIZE=70 VALUE="<%= $company %>"></TD>
</TR>
<TR>
  <TH ALIGN="right"><font color="#ff0000">*</font>Address</TH>
  <TD COLSPAN=5><INPUT TYPE="text" NAME="address1" SIZE=70 VALUE="<%= $address1 %>"></TD>
</TR>
<TR>
  <TD ALIGN="right">&nbsp;</TD>
  <TD COLSPAN=5><INPUT TYPE="text" NAME="address2" SIZE=70 VALUE="<%= $address2 %>"></TD>
</TR>
<TR>
  <TH ALIGN="right"><font color="#ff0000">*</font>City</TH>
  <TD><INPUT TYPE="text" NAME="city" VALUE="<%= $city %>"></TD>
  <TH ALIGN="right"><font color="#ff0000">*</font>State/Country</TH>
  <TD>
    <%=
        ($county_html, $state_html, $country_html) =
          regionselector( $county, $state, $country );
 
        "$county_html $state_html";
    %>
  </TD>
  <TH><font color="#ff0000">*</font>Zip</TH>
  <TD><INPUT TYPE="text" NAME="zip" SIZE=10 VALUE="<%= $zip %>"></TD>
</TR>
<TR>
  <TH ALIGN="right"><font color="#ff0000">*</font>Country</TH>
  <TD><%= $country_html %></TD>
<TR>
  <TD ALIGN="right">Day Phone</TD>
  <TD COLSPAN=5><INPUT TYPE="text" NAME="daytime" VALUE="<%= $daytime %>" SIZE=18></TD>
</TR>
<TR>
  <TD ALIGN="right">Night Phone</TD>
  <TD COLSPAN=5><INPUT TYPE="text" NAME="night" VALUE="<%= $night %>" SIZE=18></TD>
</TR>
<TR>
  <TD ALIGN="right">Fax</TD>
  <TD COLSPAN=5><INPUT TYPE="text" NAME="fax" VALUE="<%= $fax %>" SIZE=12></TD>
</TR>
</TABLE><font color="#ff0000">*</font> required fields<BR>
<BR>
<%=
  my $first_payby = $packages->[0]{'payby'}[0];
  unless ( grep { scalar( @{$_->{'payby'}} ) > 1
                    || $_->{'payby'}->[0] ne $first_payby
                } @$packages
  ) { 
    @payby = ( $first_payby );
  }

  unless ( scalar(@payby) == 1 && $payby[0] eq 'BILL' ) {

    $OUT .= ' Billing information
            <TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0 WIDTH="100%">
            <TR><TD>
            <INPUT TYPE="checkbox" NAME="invoicing_list_POST" VALUE="POST"';

    my @invoicing_list = split(', ', $invoicing_list );

    $OUT .= ' CHECKED'
      if ! @invoicing_list || grep { $_ eq 'POST' } @invoicing_list;

    $OUT .= '> Postal mail invoice
            </TD></TR>
            <TR><TD>Email invoice 
            <INPUT TYPE="text" NAME="invoicing_list" VALUE="'
              .join(', ', grep { $_ ne 'POST' } split(', ', $invoicing_list ) ).
            '"></TD></TR>';

    $OUT .= '<TR><TD>Billing type</TD></TR>'
      if scalar(@payby) > 1;

    $OUT .= '</TABLE>';

  } else {
    $OUT .= '<INPUT TYPE="hidden" NAME="invoicing_list" VALUE="">
             <INPUT TYPE="hidden" NAME="invoicing_list_POST" VALUE="">';
  }

%>

<TABLE BGCOLOR="#c0c0c0" BORDER=1 WIDTH="100%">
<TR>

  <%=

    my $cardselect = '<SELECT NAME="CARD_type"><OPTION></OPTION>';
    my %types = (
                  'VISA' => 'VISA card',
                  'MasterCard' => 'MasterCard',
                  'Discover' => 'Discover card',
                  'American Express' => 'American Express card',
                );
    foreach ( keys %types ) {
      $selected = $cgi->param('CARD_type') eq $types{$_} ? 'SELECTED' : '';
      $cardselect .= qq!<OPTION $selected VALUE="$types{$_}">$_</OPTION>!;
    }
    $cardselect .= '</SELECT>';
  
    my %payby = (
      'CARD' => qq!Credit card<BR><font color="#ff0000">*</font>$cardselect<INPUT TYPE="text" NAME="CARD_payinfo" VALUE="" MAXLENGTH=19><BR><font color="#ff0000">*</font>Exp !. expselect("CARD"). qq!<BR><font color="#ff0000">*</font>Name on card<BR><INPUT TYPE="text" NAME="CARD_payname" VALUE="">!,
      'DCRD' => qq!Credit card<BR><font color="#ff0000">*</font>$cardselect<INPUT TYPE="text" NAME="DCRD_payinfo" VALUE="" MAXLENGTH=19><BR><font color="#ff0000">*</font>Exp !. expselect("DCRD"). qq!<BR><font color="#ff0000">*</font>Name on card<BR><INPUT TYPE="text" NAME="DCRD_payname" VALUE="">!,
      'CHEK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="CHEK_payinfo1" VALUE="" MAXLENGTH=10><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="CHEK_payinfo2" VALUE="" SIZE=10 MAXLENGTH=9><INPUT TYPE="hidden" NAME="CHEK_month" VALUE="12"><INPUT TYPE="hidden" NAME="CHEK_year" VALUE="2037"><BR>${r}Bank name <INPUT TYPE="text" NAME="CHEK_payname" VALUE="">!,
      'DCHK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="DCHK_payinfo1" VALUE="" MAXLENGTH=10><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="DCHK_payinfo2" VALUE="" SIZE=10 MAXLENGTH=9><INPUT TYPE="hidden" NAME="DCHK_month" VALUE="12"><INPUT TYPE="hidden" NAME="DCHK_year" VALUE="2037"><BR>${r}Bank name <INPUT TYPE="text" NAME="DCHK_payname" VALUE="">!,
      'LECB' => qq!Phone bill billing<BR>${r}Phone number <INPUT TYPE="text" BANE="LECB_payinfo" VALUE="" MAXLENGTH=15 SIZE=16><INPUT TYPE="hidden" NAME="LECB_month" VALUE="12"><INPUT TYPE="hidden" NAME="LECB_year" VALUE="2037"><INPUT TYPE="hidden" NAME="LECB_payname" VALUE="">!,
      'BILL' => <<'END',
<INPUT TYPE="hidden" NAME="BILL_payinfo" VALUE="">
<INPUT TYPE="hidden" NAME="BILL_month" VALUE="12">
<INPUT TYPE="hidden" NAME="BILL_year" VALUE="2037">
<INPUT TYPE="hidden" NAME="BILL_payname" VALUE="">
END
      'COMP' => qq!Complimentary<BR><font color="#ff0000">*</font>Approved by<INPUT TYPE="text" NAME="COMP_payinfo" VALUE=""><BR><font color="#ff0000">*</font>Exp !. expselect("COMP"),
      'PREPAY' => qq!Prepaid card<BR><font color="#ff0000">*</font><INPUT TYPE="text" NAME="PREPAY_payinfo" VALUE="" MAXLENGTH=80>!,
    );

    if ( $init_data->{'cvv_enabled'} ) {
      foreach my $payby ( grep { exists $payby{$_} } qw(CARD DCRD) ) { #1.4/1.5
        $payby{$payby} .= qq!<BR>CVV2&nbsp;(<A HREF="javascript:myopen('cvv2.html','cvv2','toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=yes,copyhistory=no,width=480,height=288')">help</A>)&nbsp;<INPUT TYPE="text" NAME=${payby}_paycvv VALUE="" SIZE=4 MAXLENGTH=4>!;
      }
    }

    my( $account, $aba ) = split('@', $payinfo);
    my %paybychecked = (
      'CARD' => qq!Credit card<BR><font color="#ff0000">*</font>$cardselect<INPUT TYPE="text" NAME="CARD_payinfo" VALUE="$payinfo" MAXLENGTH=19><BR><font color="#ff0000">*</font>Exp !. expselect("CARD", $paydate). qq!<BR><font color="#ff0000">*</font>Name on card<BR><INPUT TYPE="text" NAME="CARD_payname" VALUE="$payname">!,
      'DCRD' => qq!Credit card<BR><font color="#ff0000">*</font>$cardselect<INPUT TYPE="text" NAME="DCRD_payinfo" VALUE="$payinfo" MAXLENGTH=19><BR><font color="#ff0000">*</font>Exp !. expselect("DCRD", $paydate). qq!<BR><font color="#ff0000">*</font>Name on card<BR><INPUT TYPE="text" NAME="DCRD_payname" VALUE="$payname">!,
      'CHEK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="CHEK_payinfo1" VALUE="$account" MAXLENGTH=10><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="CHEK_payinfo2" VALUE="$aba" SIZE=10 MAXLENGTH=9><INPUT TYPE="hidden" NAME="CHEK_month" VALUE="12"><INPUT TYPE="hidden" NAME="CHEK_year" VALUE="2037"><BR>${r}Bank name <INPUT TYPE="text" NAME="CHEK_payname" VALUE="$payname">!,
      'DCHK' => qq!Electronic check<BR>${r}Account number <INPUT TYPE="text" NAME="DCHK_payinfo1" VALUE="$account" MAXLENGTH=10><BR>${r}ABA/Routing code <INPUT TYPE="text" NAME="DCHK_payinfo2" VALUE="$aba" SIZE=10 MAXLENGTH=9><INPUT TYPE="hidden" NAME="DCHK_month" VALUE="12"><INPUT TYPE="hidden" NAME="DCHK_year" VALUE="2037"><BR>${r}Bank name <INPUT TYPE="text" NAME="DCHK_payname" VALUE="$payname">!,
      'LECB' => qq!Phone bill billing<BR>${r}Phone number <INPUT TYPE="text" BANE="LECB_payinfo" VALUE="$payinfo" MAXLENGTH=15 SIZE=16><INPUT TYPE="hidden" NAME="LECB_month" VALUE="12"><INPUT TYPE="hidden" NAME="LECB_year" VALUE="2037"><INPUT TYPE="hidden" NAME="LECB_payname" VALUE="">!,
      'BILL' => <<'END',
<INPUT TYPE="hidden" NAME="BILL_payinfo" VALUE="">
<INPUT TYPE="hidden" NAME="BILL_month" VALUE="12">
<INPUT TYPE="hidden" NAME="BILL_year" VALUE="2037">
<INPUT TYPE="hidden" NAME="BILL_payname" VALUE="">
END

      'COMP' => qq!Complimentary<BR><font color="#ff0000">*</font>Approved by<INPUT TYPE="text" NAME="COMP_payinfo" VALUE="$payinfo"><BR><font color="#ff0000">*</font>Exp !. expselect("COMP", $paydate),
      'PREPAY' => qq!Prepaid card<BR><font color="#ff0000">*</font><INPUT TYPE="text" NAME="PREPAY_payinfo" VALUE="$payinfo" MAXLENGTH=80>!,
    );

    if ( $init_data->{'cvv_enabled'} ) {
      foreach my $payby ( grep { exists $payby{$_} } qw(CARD DCRD) ) { #1.4/1.5
        $paybychecked{$payby} .= qq!<BR>CVV2&nbsp;(<A HREF="javascript:myopen('cvv2.html','cvv2','toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=yes,copyhistory=no,width=480,height=288')">help</A>)&nbsp;<INPUT TYPE="text" NAME=${payby}_paycvv VALUE="$paycvv" SIZE=4 MAXLENGTH=4>!;
      }
    }

    for (@payby) {
      if ( scalar(@payby) == 1) {
        $OUT .= '<TD VALIGN=TOP>'.
                qq!<INPUT TYPE="hidden" NAME="payby" VALUE="$_">!.
                "$paybychecked{$_}</TD>";
      } else {
        $OUT .= qq!<TD VALIGN=TOP><INPUT TYPE="radio" NAME="payby" VALUE="$_"!;
        if ($payby eq $_) {
          $OUT .= qq! CHECKED> $paybychecked{$_}</TD>!;
        } else {
          $OUT .= qq!> $payby{$_}</TD>!;
        }

      }
    }
  %>

</TR></TABLE>
<%= unless ( scalar(@payby) == 1 && $payby[0] eq 'BILL' ) {
      $OUT .= '<font color="#ff0000">*</font> required fields for each billing type';
    }
    '';
%>
<BR><BR>First package
<INPUT TYPE="hidden" NAME="promo_code" VALUE="<%= $cgi->param('promo_code') %>"><TABLE BGCOLOR="#c0c0c0" BORDER=0 CELLSPACING=0 WIDTH="100%">
<TR>
  <TD COLSPAN=2><SELECT NAME="pkgpart">

  <%=
    $OUT .= '<OPTION VALUE="">(none)' unless scalar(@$packages) == 1;
    foreach my $package ( @{$packages} ) {
      $OUT .= '<OPTION VALUE="'. $package->{'pkgpart'}. '"';
      $OUT .= ' SELECTED'
        if ( $pkgpart && $package->{'pkgpart'} == $pkgpart )
           || scalar(@$packages) == 1;
      $OUT .= '>'. $package->{'pkg'};
    }
  %>

  </SELECT></TD>
</TR>
<TR>
  <TD ALIGN="right">Username</TD>
  <TD><INPUT TYPE="text" NAME="username" VALUE="<%= $username %>"></TD>
</TR>
<TR>
  <TD ALIGN="right">Password</TD>
  <TD><INPUT TYPE="password" NAME="_password" VALUE="<%= $password %>"></TD>
</TR>
<TR>
  <TD ALIGN="right">Re-enter Password</TD>
  <TD><INPUT TYPE="password" NAME="_password2" VALUE="<%= $password2 %>"></TD>
</TR>
<%=
  if ( $init_data->{'security_phrase'} ) {
    $OUT .= <<ENDOUT;
<TR>
  <TD ALIGN="right">Security Phrase</TD>
  <TD><INPUT TYPE="text" NAME="sec_phrase" VALUE="$sec_phrase">
  </TD>
</TR>
ENDOUT
  } else {
    $OUT .= '<INPUT TYPE="hidden" NAME="sec_phrase" VALUE="">';
  }
%>
<%=
  if ( scalar(@$pops) ) {
    $OUT .= '<TR><TD ALIGN="right">Access number</TD><TD>'.
            popselector($popnum). '</TD></TR>';
  } else {
    $OUT .= popselector($popnum);
  }
%>
</TABLE>
<BR><BR><INPUT TYPE="submit" NAME="signup" VALUE="Signup">
</FORM></BODY></HTML>