{config_load file="$language/lang_$language.conf" section="create_account"}
{#title_personal#} ({#text_must#})
{#text_gender#} |
|
||
{#text_firstname#} | {$INPUT_FIRSTNAME} | ||
{#text_lastname#} | {$INPUT_LASTNAME} | ||
{#text_birthdate#} | {$INPUT_DOB} | ||
{#text_email#} | {$INPUT_EMAIL} | ||
{#text_confirm_email#} | {$INPUT_CONFIRM_EMAIL} |
{#title_company#}
{#text_company#} | {$INPUT_COMPANY} |
{#text_ustid#} | {$INPUT_VAT} |
{#title_address#}
{#text_street#} | {$INPUT_STREET} |
{#text_suburb#} | {$INPUT_SUBURB} |
{#text_code#} | {$INPUT_CODE} |
{#text_city#} | {$INPUT_CITY} |
{#text_state#} | {$INPUT_STATE} |
{#text_country#} | {$SELECT_COUNTRY} |
{#title_contact#}
{#text_tel#} | {$INPUT_TEL} |
{#text_fax#} | {$INPUT_FAX} |
{#title_newsletter#}
{$CHECKBOX_NEWSLETTER} | {#text_newsletter#} |
{#title_password#}
{#text_password#} | {$INPUT_PASSWORD} |
{#text_confirmation#} | {$INPUT_CONFIRMATION} |
{$PRIVACY_CHECKBOX} | {#text_privacy_accept#} {$PRIVACY_LINK} |
{$BUTTON_SUBMIT}
{#text_must#}
{$FORM_END}