125 lines
4.0 KiB
Plaintext
125 lines
4.0 KiB
Plaintext
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{{- /*gotype: dev.tandem.ws/tandem/camper/pkg/customer.ContactForm*/ -}}
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<fieldset class="customer-details">
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<legend>{{( pgettext "Customer Details" "title" )}}</legend>
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{{ with .FullName -}}
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<label>
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{{( pgettext "Full name" "input" )}}<br>
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<input type="text"
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required
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minlength="2"
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name="{{ .Name }}"
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value="{{ .Val }}"
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{{ template "error-attrs" . }}
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><br>
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{{ template "error-message" . }}
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</label>
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{{- end }}
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{{ with .IDDocumentNumber -}}
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<label>
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{{( pgettext "ID document number" "input" )}}<br>
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<input type="text"
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required
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name="{{ .Name }}"
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value="{{ .Val }}"
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{{ template "error-attrs" . }}
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><br>
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{{ template "error-message" . }}
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</label>
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{{- end }}
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{{ with .IDDocumentType -}}
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<label>
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{{( pgettext "ID document type" "input" )}}<br>
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<select name="{{ .Name }}"
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required
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{{ template "error-attrs" . }}
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>
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<option value="">{{( gettext "Choose an ID document type" )}}</option>
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{{ template "list-options" . }}
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</select><br>
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{{ template "error-message" . }}
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</label>
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{{- end }}
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{{ with .Address -}}
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<label class="colspan">
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{{( pgettext "Address" "input" )}}<br>
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<input type="text"
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required
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name="{{ .Name }}"
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value="{{ .Val }}"
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{{ template "error-attrs" . }}
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><br>
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{{ template "error-message" . }}
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</label>
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{{- end }}
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{{ with .City -}}
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<label>
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{{( pgettext "Town or village" "input" )}}<br>
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<input type="text"
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required
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name="{{ .Name }}"
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value="{{ .Val }}"
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{{ template "error-attrs" . }}
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><br>
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{{ template "error-message" . }}
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</label>
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{{- end }}
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{{ with .Province -}}
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<label>
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{{( pgettext "Province" "input" )}}<br>
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<input type="text"
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required
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name="{{ .Name }}"
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value="{{ .Val }}"
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{{ template "error-attrs" . }}
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><br>
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{{ template "error-message" . }}
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</label>
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{{- end }}
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{{ with .PostalCode -}}
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<label>
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{{( pgettext "Postcode" "input" )}}<br>
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<input type="text"
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required
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name="{{ .Name }}"
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value="{{ .Val }}"
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{{ template "error-attrs" . }}
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><br>
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{{ template "error-message" . }}
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</label>
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{{- end }}
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{{ with .Country -}}
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<label>
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{{( pgettext "Country" "input" )}}<br>
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<select name="{{ .Name }}"
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{{ template "error-attrs" . }}
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>
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<option value="">{{( gettext "Choose a country" )}}</option>
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{{ template "list-options" . }}
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</select><br>
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{{ template "error-message" . }}
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</label>
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{{- end }}
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{{ with .Email -}}
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<label>
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{{( pgettext "Email (optional)" "input" )}}<br>
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<input type="email"
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name="{{ .Name }}"
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value="{{ .Val }}"
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{{ template "error-attrs" . }}
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><br>
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{{ template "error-message" . }}
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</label>
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{{- end }}
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{{ with .Phone -}}
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<label>
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{{( pgettext "Phone (optional)" "input" )}}<br>
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<input type="tel"
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name="{{ .Name }}"
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value="{{ .Val }}"
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{{ template "error-attrs" . }}
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><br>
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{{ template "error-message" . }}
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</label>
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{{- end }}
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</fieldset>
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