| 1 | <form method="POST" i18n:domain="waeup.kofa"> |
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| 2 | |
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| 3 | <ul class="tabs" data-tabs="tabs"> |
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| 4 | <li tal:attributes="class view/tab1"><a href="#tab-1"> |
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| 5 | <span i18n:translate="">Send new request</span></a></li> |
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| 6 | <li tal:attributes="class view/tab2"><a href="#tab-2"> |
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| 7 | <span i18n:translate="">View correspondence</span></a></li> |
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| 8 | </ul> |
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| 9 | |
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| 10 | <div class="tab-content"> |
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| 11 | <div id="tab-1" tal:attributes="class view/tab1"> |
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| 12 | |
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| 13 | <p i18n:translate="transcript_request"></p> |
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| 14 | |
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| 15 | <table class="form-table" tal:condition="view/with_ac"> |
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| 16 | <tbody> |
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| 17 | <tr> |
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| 18 | <td i18n:translate=""> |
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| 19 | Cover Letter: |
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| 20 | </td> |
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| 21 | <td> |
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| 22 | <textarea cols="60" name="comment" rows="6"></textarea> |
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| 23 | </td> |
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| 24 | </tr> |
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| 25 | <tr> |
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| 26 | <td i18n:translate=""> |
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| 27 | Dispatch Address: |
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| 28 | </td> |
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| 29 | <td> |
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| 30 | <textarea cols="60" name="address" rows="6"></textarea> |
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| 31 | </td> |
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| 32 | </tr> |
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| 33 | <tr> |
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| 34 | <td i18n:translate=""> |
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| 35 | Activation Code: |
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| 36 | </td> |
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| 37 | <td> |
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| 38 | <span tal:replace="view/ac_prefix">PIN Prefix</span> - |
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| 39 | <input name="ac_series" type="text" class="span1" maxlength="3" |
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| 40 | value="" tal:attributes="value view/ac_series"/> - |
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| 41 | <input name="ac_number" type="text" class="span3" maxlength="10" |
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| 42 | value="" tal:attributes="value view/ac_number" /> |
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| 43 | <font color="red"><span tal:replace="view/notice">Notice</span> |
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| 44 | </font> |
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| 45 | </td> |
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| 46 | </tr> |
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| 47 | <tr> |
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| 48 | <td> </td> |
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| 49 | <td i18n:translate=""> |
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| 50 | The activation code can be found on the payment slip. |
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| 51 | </td> |
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| 52 | </tr> |
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| 53 | <tr> |
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| 54 | <td colspan="2"> |
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| 55 | <input type="submit" name="SUBMIT" class="btn primary" |
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| 56 | tal:attributes="value view/buttonname" /> |
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| 57 | </td> |
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| 58 | </tr> |
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| 59 | </tbody> |
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| 60 | </table> |
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| 61 | <span tal:omit-tag="" tal:condition="not: view/with_ac"> |
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| 62 | <input type="submit" name="SUBMIT" class="btn primary" |
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| 63 | tal:attributes="value view/buttonname" /> |
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| 64 | </span> |
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| 65 | </div> |
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| 66 | |
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| 67 | <div id="tab-2" tal:attributes="class view/tab2"> |
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| 68 | <p tal:content="structure view/correspondence"></p> |
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| 69 | </div> |
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| 70 | </div> |
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| 71 | |
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| 72 | </form> |
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