{txt key=TEXT_EDIT_ADDRESS}

{form type=form name=edit_address action='dynamic' link_params='page_action=edit_address' method=post conn=SSL} {form type=hidden name=action value=edit_address} {if $address_book_id} {form type=hidden name=address_book_id value=$address_book_id} {/if} {$message} {* 2011-08-05: for xt_klicktel *} {hook key=account_tpl_edit_address_center}

{txt key=TEXT_PERSONAL}

{if $show_gender eq 1} {/if} {if $show_company eq 1} {/if} {if $show_birthdate eq 1} {/if}
{txt key=TEXT_COMPANY_NAME}: {form type=text name=customers_company value=$customers_company}
{txt key=TEXT_COMPANY_NAME_2}: {form type=text name=customers_company_2 value=$customers_company_2}
{txt key=TEXT_COMPANY_NAME_3}: {form type=text name=customers_company_3 value=$customers_company_3}
{txt key=TEXT_FIRSTNAME} *: {form type=text name=customers_firstname value=$customers_firstname}
{txt key=TEXT_LASTNAME} *: {form type=text name=customers_lastname value=$customers_lastname}
{txt key=TEXT_BIRTHDATE} *:
{txt key=TEXT_BIRTHDATE_INFO}
{form type=tel name=customers_dob value=$customers_dob}

{txt key=TEXT_ADDRESS}

{if $show_suburb eq 1} {/if} {if $show_federal_states eq 1} {/if} {if $show_state eq 1} {/if} {if $show_county eq 1} {/if}
{txt key=TEXT_STREET} *: {form type=text name=customers_street_address value=$customers_street_address}
{txt key=TEXT_SUBURB}: {form type=text name=customers_suburb value=$customers_suburb}
{txt key=TEXT_CODE} *: {form type=number name=customers_postcode value=$customers_postcode}
{txt key=TEXT_CITY} *: {form type=text name=customers_city value=$customers_city}
{txt key=TEXT_STATE}: {form type=select name=customers_zone_code value=$customers_zone_code default=$selected_zone}
{txt key=TEXT_COUNTY}: {$INPUT_COUNTY}

{txt key=TEXT_CONTACT}

{txt key=TEXT_PHONE} {if _STORE_TELEPHONE_MIN_LENGTH > 0}*{/if}: {form type=tel name=customers_phone value=$customers_phone}
{txt key=TEXT_MOBILE_PHONE} {if _STORE_MOBILE_PHONE_MIN_LENGTH > 0}*{/if}: {form type=tel name=customers_mobile_phone value=$customers_mobile_phone}
{txt key=TEXT_FAX}: {form type=tel name=customers_fax value=$customers_fax}
{if $adType} {form type=hidden name=address_class value=$adType} {form type=hidden name=adType value=$adType} {else}

{txt key=TEXT_ADDRESS_TYPE}

{/if}

{txt key=TEXT_MUST}

{form type=formend}
{literal} {/literal}