<%= ($county_html, $state_html, $country_html) = FS::SelfService::regionselector( { prefix => $pre, selected_county => ${$pre.'county'}, selected_state => ${$pre.'state'}, selected_country => ${$pre.'country'}, default_state => $statedefault, default_country => $countrydefault, locales => \@cust_main_county, } ); $OUT .= qq!!; $OUT .= qq!!; $OUT .= qq!!; $OUT .= qq!!; $OUT .= qq!!; $OUT .= qq!!; $OUT .= qq!!; $OUT .= qq!!; %>
<%=$r%>Contact name
(last, first)
> , >
Company >
<%=$r%>Address >
<%= my $style = ( $disabled || !$require_address2 || ( !$pre && $ship_last ) ) ? 'visibility:hidden' : ''; $OUT .= qq!* Unit #!; %> >
<%=$r%>City > ${r}State/County$county_html $state_html${r}Zip
${r}Country$country_html
Day Phone >
Night Phone >
Fax >
<%=$r%>required fields