{include_php file="`$smarty.const.DIR_FS_INCLUDES`form_check.js.php"} {$tep_draw_form1} {if $messageStack_size1 > 0 } {/if} {if ($smarty.const.ACCOUNT_COMPANY == 'true') } {/if} {if ($smarty.const.LANGUAGE_CURRENCY == 'JPY')} {else} {* else of language_currency *} {/if} {* end of language_currency *}
{$smarty.const.HEADING_TITLE} {osc_image src="`$smarty.const.DIR_WS_IMAGES`table_background_delivery.gif" alt=$smarty.const.HEADING_TITLE width=$smarty.const.HEADING_IMAGE_WIDTH height=$smarty.const.HEADING_IMAGE_HEIGHT}
{osc_draw_separator image='pixel_trans.gif' width='100%' height='10'}

{$sprintf1}
{osc_draw_separator image='pixel_trans.gif' width='100%' height='10'}
{$messageStack_output1}
{osc_draw_separator image='pixel_trans.gif' width='100%' height='10'}
{$smarty.const.CATEGORY_PERSONAL} {$smarty.const.FORM_REQUIRED_INFORMATION}
{if ($smarty.const.ACCOUNT_GENDER == 'true')} {/if} {if ($smarty.const.LANGUAGE_CURRENCY == 'JPY')} {else} {/if} {if ($smarty.const.ACCOUNT_DOB == 'true')} {/if}
{$smarty.const.ENTRY_GENDER} {$tep_draw_radio_field1}  {$smarty.const.MALE}    {$tep_draw_radio_field2}  {$smarty.const.FEMALE}  {if (tep_not_null($smarty.const.ENTRY_GENDER_TEXT))}{$smarty.const.ENTRY_GENDER_TEXT}{/if}
{$smarty.const.ENTRY_LAST_NAME} {$tep_draw_input_field2}  {if (tep_not_null($smarty.const.ENTRY_LAST_NAME_TEXT))}{$smarty.const.ENTRY_LAST_NAME_TEXT}{/if}
{$smarty.const.ENTRY_FIRST_NAME} {$tep_draw_input_field1}  {if (tep_not_null($smarty.const.ENTRY_FIRST_NAME_TEXT))}{$smarty.const.ENTRY_FIRST_NAME_TEXT}{/if}
{$smarty.const.ENTRY_FIRST_NAME} {$tep_draw_input_field1}  {if (tep_not_null($smarty.const.ENTRY_FIRST_NAME_TEXT))}{$smarty.const.ENTRY_FIRST_NAME_TEXT}{/if}
{$smarty.const.ENTRY_LAST_NAME} {$tep_draw_input_field2}  {if (tep_not_null($smarty.const.ENTRY_LAST_NAME_TEXT))}{$smarty.const.ENTRY_LAST_NAME_TEXT}{/if}
{$smarty.const.ENTRY_DATE_OF_BIRTH} {$tep_draw_input_field3}  {if (tep_not_null($smarty.const.ENTRY_DATE_OF_BIRTH_TEXT))}{$smarty.const.ENTRY_DATE_OF_BIRTH_TEXT}{/if}
{$smarty.const.ENTRY_EMAIL_ADDRESS} {$tep_draw_input_field4}  {if (tep_not_null($smarty.const.ENTRY_EMAIL_ADDRESS_TEXT))}{$smarty.const.ENTRY_EMAIL_ADDRESS_TEXT}{/if}
{osc_draw_separator image='pixel_trans.gif' width='100%' height='10'}
{$smarty.const.CATEGORY_COMPANY}
{$smarty.const.ENTRY_COMPANY} {$tep_draw_input_field5}  {if (tep_not_null($smarty.const.ENTRY_COMPANY_TEXT))}{$smarty.const.ENTRY_COMPANY_TEXT}{/if}
{osc_draw_separator image='pixel_trans.gif' width='100%' height='10'}
{$smarty.const.CATEGORY_ADDRESS}
{if ($smarty.const.ACCOUNT_STATE == 'true')} {/if} {if ($smarty.const.ACCOUNT_SUBURB == 'true')} {/if}
{$smarty.const.ENTRY_POST_CODE} {$tep_draw_input_field8}  {if (tep_not_null($smarty.const.ENTRY_POST_CODE_TEXT))}{$smarty.const.ENTRY_POST_CODE_TEXT}{/if}
{$smarty.const.ENTRY_COUNTRY} {$tep_get_country_list1}  {if (tep_not_null($smarty.const.ENTRY_COUNTRY_TEXT))}{$smarty.const.ENTRY_COUNTRY_TEXT}{/if}
{$smarty.const.ENTRY_STATE} {if ($process == true)} {if ($entry_state_has_zones == true) } {$tep_draw_pull_down_menu1} {else} {$tep_draw_input_field10} {/if} {else} {$tep_draw_input_field11} {/if} {if (tep_not_null($smarty.const.ENTRY_STATE_TEXT))}  {$smarty.const.ENTRY_STATE_TEXT} {/if}
{$smarty.const.ENTRY_CITY} {$tep_draw_input_field9}  {if (tep_not_null($smarty.const.ENTRY_CITY_TEXT))}{$smarty.const.ENTRY_CITY_TEXT}{/if}
{$smarty.const.ENTRY_STREET_ADDRESS} {$tep_draw_input_field6}  {if (tep_not_null($smarty.const.ENTRY_STREET_ADDRESS_TEXT))}{$smarty.const.ENTRY_STREET_ADDRESS_TEXT}{/if}
{$smarty.const.ENTRY_SUBURB} {$tep_draw_input_field7}  {if (tep_not_null($smarty.const.ENTRY_SUBURB_TEXT))}{$smarty.const.ENTRY_SUBURB_TEXT}{/if}
{$smarty.const.CATEGORY_ADDRESS}
{if ($smarty.const.ACCOUNT_SUBURB == 'true')} {/if} {if ($smarty.const.ACCOUNT_STATE == 'true')} {/if}
{$smarty.const.ENTRY_STREET_ADDRESS} {$tep_draw_input_field6}  {if (tep_not_null($smarty.const.ENTRY_STREET_ADDRESS_TEXT))}{$smarty.const.ENTRY_STREET_ADDRESS_TEXT}{/if}
{$smarty.const.ENTRY_SUBURB} {$tep_draw_input_field7}  {if (tep_not_null($smarty.const.ENTRY_SUBURB_TEXT))}{$smarty.const.ENTRY_SUBURB_TEXT}{/if}
{$smarty.const.ENTRY_POST_CODE} {$tep_draw_input_field8}  {if (tep_not_null($smarty.const.ENTRY_POST_CODE_TEXT))}{$smarty.const.ENTRY_POST_CODE_TEXT}{/if}
{$smarty.const.ENTRY_CITY} {$tep_draw_input_field9}  {if (tep_not_null($smarty.const.ENTRY_CITY_TEXT))}{$smarty.const.ENTRY_CITY_TEXT}{/if}
{$smarty.const.ENTRY_COUNTRY} {$tep_get_country_list1}  {if (tep_not_null($smarty.const.ENTRY_COUNTRY_TEXT))}{$smarty.const.ENTRY_COUNTRY_TEXT}{/if}
{$smarty.const.ENTRY_STATE} {if ($process == true)} {if ($entry_state_has_zones == true) } {$tep_draw_pull_down_menu1} {else} {$tep_draw_input_field10} {/if} {else} {$tep_draw_input_field11} {/if} {if (tep_not_null($smarty.const.ENTRY_STATE_TEXT))}  {$smarty.const.ENTRY_STATE_TEXT} {/if}
{osc_draw_separator image='pixel_trans.gif' width='100%' height='10'}
{$smarty.const.CATEGORY_CONTACT}
{$smarty.const.ENTRY_TELEPHONE_NUMBER} {$tep_draw_input_field12}  {if (tep_not_null($smarty.const.ENTRY_TELEPHONE_NUMBER_TEXT))}{$smarty.const.ENTRY_TELEPHONE_NUMBER_TEXT}{/if}
{$smarty.const.ENTRY_FAX_NUMBER} {$tep_draw_input_field13}  {if (tep_not_null($smarty.const.ENTRY_FAX_NUMBER_TEXT))}{$smarty.const.ENTRY_FAX_NUMBER_TEXT}{/if}
{osc_draw_separator image='pixel_trans.gif' width='100%' height='10'}
{$smarty.const.CATEGORY_OPTIONS}
{$smarty.const.ENTRY_NEWSLETTER} {$tep_draw_checkbox_field1}  {if (tep_not_null(ENTRY_NEWSLETTER_TEXT))}{$smarty.const.ENTRY_NEWSLETTER_TEXT}{/if}
{osc_draw_separator image='pixel_trans.gif' width='100%' height='10'}
{$smarty.const.CATEGORY_PASSWORD}
{$smarty.const.ENTRY_PASSWORD} {$tep_draw_password_field1}  {if (tep_not_null($smarty.const.ENTRY_PASSWORD_TEXT))}{$smarty.const.ENTRY_PASSWORD_TEXT}{/if}
{$smarty.const.ENTRY_PASSWORD_CONFIRMATION} {$tep_draw_password_field2}  {if (tep_not_null($smarty.const.ENTRY_PASSWORD_CONFIRMATION_TEXT))}{$smarty.const.ENTRY_PASSWORD_CONFIRMATION_TEXT}{/if}
{osc_draw_separator image='pixel_trans.gif' width='100%' height='10'}
{osc_draw_separator image='pixel_trans.gif' width='10' height='1'} {osc_image_submit image='button_continue.gif' alt=$smarty.const.IMAGE_BUTTON_CONTINUE} {osc_draw_separator image='pixel_trans.gif' width='10' height='1'}