[10458] | 1 | <form method="POST" i18n:domain="waeup.kofa"> |
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| 2 | |
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[11254] | 3 | <ul class="tabs nav nav-tabs" data-tabs="tabs"> |
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| 4 | <li class="active"> |
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| 5 | <a href="#tab1" data-toggle="tab"> |
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| 6 | <span i18n:translate="">Send new request</span> |
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| 7 | </a></li> |
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| 8 | <li> |
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| 9 | <a href="#tab2" data-toggle="tab"> |
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| 10 | <span i18n:translate="">View correspondence</span> |
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| 11 | </a> |
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| 12 | </li> |
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[10459] | 13 | </ul> |
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[10458] | 14 | |
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[10459] | 15 | <div class="tab-content"> |
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[11254] | 16 | <div id="tab1" class="active tab-pane"> |
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[10458] | 17 | |
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[10472] | 18 | <p i18n:translate="transcript_request"></p> |
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| 19 | |
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[10459] | 20 | <table class="form-table" tal:condition="view/with_ac"> |
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| 21 | <tbody> |
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| 22 | <tr> |
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[11551] | 23 | <td i18n:translate="" class="fieldname"> |
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| 24 | Cover Letter: |
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[10459] | 25 | </td> |
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| 26 | <td> |
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[11551] | 27 | <textarea cols="60" name="comment" rows="6"></textarea> |
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[10459] | 28 | </td> |
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| 29 | </tr> |
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| 30 | <tr> |
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[11551] | 31 | <td i18n:translate="" class="fieldname"> |
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| 32 | Dispatch Address: |
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[10459] | 33 | </td> |
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| 34 | <td> |
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[11551] | 35 | <textarea cols="60" name="address" rows="6"></textarea> |
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[10459] | 36 | </td> |
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| 37 | </tr> |
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| 38 | <tr> |
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| 39 | <td i18n:translate=""> |
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[11551] | 40 | Activation Code: |
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[10459] | 41 | </td> |
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| 42 | <td> |
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[11551] | 43 | <span tal:replace="view/ac_prefix">PIN Prefix</span> - |
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| 44 | <input name="ac_series" type="text" maxlength="3" |
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| 45 | class="ac-input ac-series" |
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| 46 | value="" tal:attributes="value view/ac_series"/> - |
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| 47 | <input name="ac_number" type="text" maxlength="10" |
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| 48 | class="ac-input ac-number" |
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| 49 | value="" tal:attributes="value view/ac_number" /> |
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| 50 | <font color="red"><span tal:replace="view/notice">Notice</span> |
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| 51 | </font> |
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[10459] | 52 | </td> |
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| 53 | </tr> |
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| 54 | <tr> |
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| 55 | <td> </td> |
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| 56 | <td i18n:translate=""> |
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| 57 | The activation code can be found on the payment slip. |
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| 58 | </td> |
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| 59 | </tr> |
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| 60 | <tr> |
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| 61 | <td colspan="2"> |
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[11551] | 62 | <input type="submit" name="SUBMIT" class="btn btn-primary" |
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[10459] | 63 | tal:attributes="value view/buttonname" /> |
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| 64 | </td> |
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| 65 | </tr> |
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| 66 | </tbody> |
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| 67 | </table> |
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| 68 | <span tal:omit-tag="" tal:condition="not: view/with_ac"> |
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[11551] | 69 | <input type="submit" name="SUBMIT" class="btn btn-primary" |
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[10459] | 70 | tal:attributes="value view/buttonname" /> |
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| 71 | </span> |
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| 72 | </div> |
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| 73 | |
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[11254] | 74 | <div id="tab2" class="tab-pane"> |
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[15163] | 75 | <br /><p tal:content="structure view/correspondence"></p> |
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[10459] | 76 | </div> |
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| 77 | </div> |
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| 78 | |
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[10458] | 79 | </form> |
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