{txt key=TEXT_EDIT_ADDRESS}

{button text=$smarty.const.BUTTON_BACK file='back.gif'}

{button text=$smarty.const.BUTTON_BACK file='back.gif'}

{button text=$smarty.const.BUTTON_BACK file='back.gif'}

{txt key=TEXT_MUST}

{txt key=TEXT_PERSONAL}

{if $show_gender eq 1}
• {txt key=TEXT_GENDER}:{form type=select name=customers_gender value=$gender_data default=$customers_gender note=*}
{/if} {if $show_company eq 1}
• {txt key=TEXT_COMPANY_NAME}:{if _STORE_COMPANY_MIN_LENGTH > 0}*{/if}{form type=text name=customers_company value=$customers_company}
{/if}
• {txt key=TEXT_FIRSTNAME}:{form type=text name=customers_firstname value=$customers_firstname note=*}
• {txt key=TEXT_LASTNAME}:{form type=text name=customers_lastname value=$customers_lastname note=*}
{if $show_birthdate eq 1}
• {txt key=TEXT_BIRTHDATE}:{form type=text name=customers_dob value=$customers_dob note=*} {txt key=TEXT_BIRTHDATE_INFO}
{/if}

{txt key=TEXT_ADDRESS}

• {txt key=TEXT_STREET}:{form type=text name=customers_street_address value=$customers_street_address note=*}
{if $show_suburb eq 1}
• {txt key=TEXT_SUBURB}:{form type=text name=customers_suburb value=$customers_suburb}
{/if}
• {txt key=TEXT_CODE}:{form type=text name=customers_postcode value=$customers_postcode note=*}
• {txt key=TEXT_CITY}:{form type=text name=customers_city value=$customers_city note=*}
• {txt key=TEXT_COUNTRY}:{form type=select name=customers_country_code value=$country_data default=$selected_country note=*}
{if $show_federal_states eq 1}
{/if} {if $show_state eq 1}
• {txt key=TEXT_STATE}: {form type=select name=customers_country_code value=$country_data default=$selected_country note=*}
{/if} {if $show_county eq 1}
• {txt key=TEXT_COUNTY}:{$INPUT_COUNTY}
{/if}

{txt key=TEXT_CONTACT}

• {txt key=TEXT_PHONE}:{form type=text name=customers_phone value=$customers_phone}
• {txt key=TEXT_MOBILE_PHONE}{if _STORE_MOBILE_PHONE_MIN_LENGTH > 0}*{/if}:{form id=customers_mobile_phone type=text name=customers_mobile_phone value=$customers_mobile_phone}
• {txt key=TEXT_FAX}:{if _STORE_FAX_MIN_LENGTH > 0}*{/if}{form type=text name=customers_fax value=$customers_fax}

{foreach item='federal_states' from=$country_data} {if $federal_states.federal_states} {txt key=TEXT_FEDERAL_STATES}* {form type=select name=customers_federal_state_code value=$federal_states.federal_states default=$customers_federal_state_code} {/if} {/foreach}

{txt key=TEXT_ADDRESS_TYPE}:

• {txt key=TEXT_ADDRESS_TYPE}{form type=hidden name=old_address_class value=$old_address_class}{form type=select name=address_class value=$address_type default=$address_class}