Location: PHPKode > projects > MembersGear > membersgear/templates/admin_import.tpl
{$ADMIN_HEADER}
{php}
 require_once INCLUDE_DIR."/datepicker/class/class.oCalendarPicker.php";

     $aMonthNames=array(
         "FR"=>array("Janvier","Février","Mars","Avril","Mai","Juin","Juillet","Août","Septembre","Octobre","Novembre","Décembre"),
         "EN"=>array("January","February","March","April","May","June","July","August","September","October","November","December")
     );
     $aDaysNames=array(
         "FR"=>array("Lundi", "Mardi", "Mercredi", "Jeudi", "Vendredi", "Samedi", "Dimanche"),
         "EN"=>array("Monday", "Tuesday", "Wednesday", "Thursday", "Friday", "Saturday", "Sunday")
    );
     $sDateFormat=array(
         "FR"=>"m/d/Y",
         //"EN"=>"m/d/Y"
         "EN"=>"Y-m-d"
    );
    
    $sDate=(!empty($_GET['sDate']))?$_GET['sDate']:date("Ymd");

{/php}
{literal}
         <script language="javascript">
                  
                  function CheckDateDiff(begindate,enddate)
                  {
                            var BeginDateDDL = document.getElementById('ddlSubBeginDate');
                            var ExpireDateDDL = document.getElementById('ddlSubExpireDate');
                            //alert(BeginDateDDL.options[BeginDateDDL.selectedIndex].value+' '+ExpireDateDDL.options[ExpireDateDDL.selectedIndex].value);
                            
                            if(ExpireDateDDL.options[BeginDateDDL.selectedIndex].value == "FIXED")
                            {
                                begindate = (begindate != '') ? begindate=begindate : begindate=0;
                                enddate = (enddate != '') ? enddate=enddate : enddate=0;
                                //alert(begindate+' '+enddate);
                                return false;
                                date1 = begindate.replace(/-/g,'');
                                date2 = enddate.replace(/-/g,'');
                                
                                if(date1 > date2)               
                                {
                                    alert('Invalid date range.');
                                    return false;
                                }
                                else
                                {
                                    return true;
                                }
                            }
                            else
                            {
                                return true;
                            }
                    
                  }

                   function ShowFixedInputControl(changeValue,divid)
                    {
                        var divID = document.getElementById(divid);
                        divID.style.display = (changeValue == 'FIXED') ? '' : 'none';
                    }

                    function checkFileExt(ctrl) 
                    {
                        //set the name of our form
                        var id_value = document.getElementById('csvFile').value;
 
                         if(id_value != '')
                         { 
                          var valid_extensions = /(.csv)$/i;   
                          if(valid_extensions.test(id_value))
                          { 
                               return true;
                          }
                          else
                          {
                               alert('Please select only csv file.'); 
                               return false;
                          }
                         } 
                    }
         </script>
{/literal}
<div id="content" class="setdiv">

    {if $lsmsg neq ''}
        {if $action eq 'uploadfile'}
                <div class="errormsg" style="width:215px;">
                    {$lsmsg}
                </div> 
        {elseif $action eq 'setFields'}
                <div class="errormsg" style="width:480px;">
                        {$lsmsg}
                </div>
        {/if}    
    {/if}
    
    <div id="full-contentdiv">
        <div class="righttop">
            <h2 align="center">
                Import {$UserNote}
            </h2>
         </div>
         
         <div class="whole-page clear">
           <form name="frmImport" id="frmImport" action="admin_import.php?action={$action}" method="post" enctype="multipart/form-data">  
              <div class="formformat">
              <center>
              {if $action eq 'uploadfile'}
                      <table border="0" cellpadding="0" cellspacing="0" style="width:450px">
                           <tr>
                                <td colspan="2">
                                    <span style="font-size:14px;color:#CF6B00;margin-left:75px;text-decoration:underline">UPLOAD FILE</span>
                                </td>
                           </tr>
                           
                           <tr>
                                        <td class="right-side-text" style="width:100px"><label>
                                            File <label class="star">*</label>
                                        </label>
                                        </td>
                                        <td class="left-side-text" width="70%">
                                             <input type="file" id="csvFile" name="csvFile" size="45px">
                                        </td>
                           </tr>
                           <input type="hidden" id="hdnUsername" name="hdnUsername" {if $lsmsg neq ''}value="{$FieldValue.hdnUsername}"{else}value="{$FieldValue.ddlUsername}"{/if}>
                           <input type="hidden" id="hdnPassword" name="hdnPassword" {if $lsmsg neq ''}value="{$FieldValue.hdnPassword}"{else}{if $FieldValue.ddlPassword eq "FIXED"}value="{$FieldValue.txtFixedPassword}"{else}value="{$FieldValue.ddlPassword}"{/if}{/if}>
                           <input type="hidden" id="hdnEmail" name="hdnEmail" {if $lsmsg neq ''}value="{$FieldValue.hdnEmail}"{else}value="{$FieldValue.ddlEmail}"{/if}>
                           <input type="hidden" id="hdnFirstname" name="hdnFirstname" {if $lsmsg neq ''}value="{$FieldValue.hdnFirstname}"{else}value="{$FieldValue.ddlFirstname}"{/if}>
                           <input type="hidden" id="hdnLastname" name="hdnLastname" {if $lsmsg neq ''}value="{$FieldValue.hdnLastname}"{else}value="{$FieldValue.ddlLastname}"{/if}>
                           <input type="hidden" id="hdnAddress" name="hdnAddress" {if $lsmsg neq ''}value="{$FieldValue.hdnAddress}"{else}value="{$FieldValue.ddlStreetAddress}"{/if}>
                           <input type="hidden" id="hdnCity" name="hdnCity" {if $lsmsg neq ''}value="{$FieldValue.hdnCity}"{else}value="{$FieldValue.ddlCity}"{/if}>
                           <input type="hidden" id="hdnState" name="hdnState" {if $lsmsg neq ''}value="{$FieldValue.hdnState}"{else}value="{$FieldValue.ddlState}"{/if}>
                           <input type="hidden" id="hdnZIP" name="hdnZIP" {if $lsmsg neq ''}value="{$FieldValue.hdnZIP}"{else}value="{$FieldValue.ddlZIP}"{/if}>
                           <input type="hidden" id="hdnCountry" name="hdnCountry" {if $lsmsg neq ''}value="{$FieldValue.hdnCountry}"{else}value="{$FieldValue.ddlCountry}"{/if}>
                           <input type="hidden" id="hdnContact" name="hdnContact" {if $lsmsg neq ''}value="{$FieldValue.hdnContact}"{else}value="{$FieldValue.ddlContact}"{/if}>
                           <input type="hidden" id="hdnIsApproved" name="hdnIsApproved" {if $lsmsg neq ''}value="{$FieldValue.hdnIsApproved}"{else}value="{$FieldValue.ddlIsApproved}"{/if}>
                           <input type="hidden" id="hdnIsLockOut" name="hdnIsLockOut" {if $lsmsg neq ''}value="{$FieldValue.hdnIsLockedOut}"{else}value="{$FieldValue.ddlIsLockedOut}"{/if}>
                           <input type="hidden" id="hdnShippingAddtess" name="hdnShippingAddtess" {if $lsmsg neq ''}value="{$FieldValue.hdnShippingAddress}"{else}value="{$FieldValue.ddlShippingAddress}"{/if}>
                           <input type="hidden" id="hdnShippingCity" name="hdnShippingCity" {if $lsmsg neq ''}value="{$FieldValue.hdnShippingCity}"{else}value="{$FieldValue.ddlShippingCity}"{/if}>
                           <input type="hidden" id="hdnShippingState" name="hdnShippingState" {if $lsmsg neq ''}value="{$FieldValue.hdnShippingState}"{else}value="{$FieldValue.ddlShippingState}"{/if}>
                           <input type="hidden" id="hdnShippingCountry" name="hdnShippingCountry" {if $lsmsg neq ''}value="{$FieldValue.hdnShippingCountry}"{else}value="{$FieldValue.ddlShippingCountry}"{/if}>
                           <input type="hidden" id="hdnShippingZIP" name="hdnShippingZIP" {if $lsmsg neq ''}value="{$FieldValue.hdnShippingZIP}"{else}value="{$FieldValue.ddlShippingZIP}"{/if}>
                           <input type="hidden" id="hdnShippingContact" name="hdnShippingContact" {if $lsmsg neq ''}value="{$FieldValue.hdnShippingContact}"{else}value="{$FieldValue.ddlShippingContact}"{/if}>
                           <input type="hidden" id="hdnIsUnsubscription" name="hdnIsUnsubscription" {if $lsmsg neq ''}value="{$FieldValue.hdnIsUnsubscription}"{else}value="{$FieldValue.ddlIsUnsubscription}"{/if}>
                           <input type="hidden" id="hdnSubscriptionType" name="hdnSubscriptionType" {if $lsmsg neq ''}value="{$FieldValue.hdnSubscriptionType}"{else}value="{$FieldValue.ddlSubType}"{/if}>
                           <input type="hidden" id="hdnSubBeginDate" name="hdnSubBeginDate" {if $lsmsg neq ''}value="{$FieldValue.hdnSubBeginDate}"{else}{if $FieldValue.ddlSubBeginDate eq "FIXED"}value="{$FieldValue.txtSubBeginDate}"{else}value="{$FieldValue.ddlSubBeginDate}"{/if}{/if}>
                           <input type="hidden" id="hdnSubExpireDate" name="hdnSubExpireDate" {if $lsmsg neq ''}value="{$FieldValue.hdnSubExpireDate}"{else}{if $FieldValue.ddlSubExpireDate eq "FIXED"}value="{$FieldValue.txtSubExpireDate}"{else}value="{$FieldValue.ddlSubExpireDate}"{/if}{/if}>
                           <input type="hidden" id="hdnPaymentAmt" name="hdnPaymentAmt" {if $lsmsg neq ''}value="{$FieldValue.hdnPaymentAmt}"{else}value="{$FieldValue.ddlPaymentAmt}"{/if}>
                           <input type="hidden" id="hdnSubReceipt" name="hdnSubReceipt" {if $lsmsg neq ''}value="{$FieldValue.hdnSubReceipt}"{else}{if $FieldValue.ddlSubReceipt eq "FIXED"}value="{$FieldValue.txtSubReceiptNum}"{else}value="{$FieldValue.ddlSubReceipt}"{/if}{/if}>
                           <input type="hidden" id="hdnProductID" name="hdnProductID" {if $lsmsg neq ''}value="{$FieldValue.hdnProductID}"{else}value="{$FieldValue.ddlProductID}"{/if}>
                           <input type="hidden" id="hdnFieldDelimeted" name="hdnFieldDelimeted" {if $lsmsg neq ''}value="{$FieldValue.hdnFieldDelimeted}"{else}value="{$FieldValue.txtFieldDelimeted}"{/if}>
                           
                           <tr>
                                     <td/>
                                     <td class="buttontd">
                                            <input type="submit" class="btncss" name="submit" {if $IsEdit eq 'yes'}value="Save"{else}value="Submit"{/if} onclick="return checkFileExt('csvFile');">&nbsp;&nbsp;
                                            <input type="button" class="btncss" name="btnBack" value="Cancel" onclick="window.location.href='admin_import.php'">
                                     </td>
                                     
                                </tr>
                           
                      </table>
              {elseif $action eq 'confirmation'}
                        <div style="overflow-y:auto">
                        <table border="0" cellpadding="0" cellspacing="0">
                             <input type="hidden" id="hdnUserTableQuery" name="hdnUserTableQuery" value="
                             {foreach from=$UserTableQuery item="UserInsertQuery" key="key"}
                                    {$UserTableQuery.$key}
                             {/foreach}">
                             
                             <input type="hidden" id="hdnProductTempTableQuery" name="hdnProductTempTableQuery" value="
                             {foreach from=$ProductTempTableQuery item="ProductTempTableQuery" key="key"}
                                    {$ProductTempTableQuery}
                             {/foreach}">
                             
                             <tr>
                                  <td class="right-side-text" align="left"><strong>Username</strong></td>
                                  <td class="right-side-text" align="left"><strong>Password</strong></td>
                                  <td class="right-side-text" align="left"><strong>Email</strong></td>
                                  <td class="right-side-text" align="left"><strong>Firstname</strong></td>
                                  <td class="right-side-text" align="left"><strong>Lastname</strong></td>
                                  <td class="right-side-text" align="left"><strong>Country</strong></td>
                                  <td class="right-side-text" align="left"><strong>State</strong></td>
                                  <td class="right-side-text" align="left"><strong>City</strong></td>
                                  <td class="right-side-text" align="left"><strong>Street Address</strong></td>
                                  <td class="right-side-text" align="left"><strong>Zip</strong></td>
                                  <td class="right-side-text" align="left"><strong>Is Approved</strong></td>
                                  <td class="right-side-text" align="left"><strong>Is Locked Out</strong></td>
                                  <td class="right-side-text" align="left"><strong>Contact</strong></td>
                                  <td class="right-side-text" align="left"><strong>Shipping Country</strong></td>
                                  <td class="right-side-text" align="left"><strong>Shipping State</strong></td>
                                  <td class="right-side-text" align="left"><strong>Shipping City</strong></td>
                                  <td class="right-side-text" align="left"><strong>Shipping Address</strong></td>
                                  <td class="right-side-text" align="left"><strong>Shipping Contact</strong></td>
                                  <td class="right-side-text" align="left"><strong>Shipping ZIP</strong></td>
                                  <td class="right-side-text" align="left"><strong>Is UnSubscribed From Emails</strong></td>
                                  <td class="right-side-text" align="left"><strong>ProductID</strong></td>
                                  <td class="right-side-text" align="left"><strong>Subscription Begin Date</strong></td>
                                  <td class="right-side-text" align="left"><strong>Subscription Expire Date</strong></td>
                                  <td class="right-side-text" align="left"><strong>Payment Amount</strong></td>
                                  <td class="right-side-text" align="left"><strong>Subscription Receipt#</strong></td>
                                  
                             </tr>
                             {*--------------- Display Demo Data --------------------*}
                             

                             {if $DemoData neq 'false'}
                                {$DemoData}
                             {/if}
 
                                    
                             {*------------------------------------------------------*}       
                                    
                        </table>
                       </div> 
                        <table border="0" cellpadding="0" cellspacing="0" width="100%" class="borderless" >
                                <tr>
                                     <td align="center">
                                     {if $DemoData neq 'false'} 
                                        <label>First 20 records are shown above</label>
                                     {/if}   
                                     </td>
                                </tr>
                                
                                <tr>
                                    {if $DemoData neq 'false'} 
                                    
                                     <td align="center">
                                        <input type="submit" id="submit" class="btncss" name="submit" value="Do Import">
                                     </td>
                                    {else}
                                     <td colspan="25" style="color:red;text-align:left;">
                                        Imported CSV file doesn't have equal number of columns in each row. Please fix and import back csv file. 
                                        
                                        <input type="button" id="submit" class="btncss" name="submit" value="Go Back" onclick="window.location.href='admin_import.php';return false;"/>
                                        
                                        
                                     </td>
                                    {/if}
                                     
                                                                    
                                </tr>
                                
                        </table>
                        
                        
                        
              {elseif $action eq 'complete'}
                        {if $UserTableError neq ''}
                                <div style="text-align:left">
                                    {$UserTableError}
                                </div>
                        {/if}
                        {if $ProductTempTableError neq ''}
                                <div style="text-align:left">
                                    {$ProductTempTableError}
                                </div>
                        {/if}
                                <div style="margin:15px;">
                                      <label>
                                           {* Import finished. Now please go to Users Grid and check that users were imported correctly.*}
                                      Import is successfully finished.  <br/><br/>
                                      <center><input type="button" class="btncss" value="Go to Manage Users" onclick="window.location.href='admin_users_v.php';" /></center>

                                      </label>
                                </div>          
              {elseif $action eq 'setFields'}
                          <table border="0" cellpadding="0" cellspacing="0" style="width:650px;*width:700px">
                                   <tr>
                                        <td colspan="2">
                                            <span style="font-size:14px;color:#CF6B00;margin-left:10px;text-decoration:underline">MEMBER FIELDS</span>
                                        </td>
                                   </tr>
                                   
                                   <tr>
                                        <td class="right-side-text" style="width:250px"><label>
                                            Username <label class="star">*</label>
                                        </label>
                                        </td>
                                        <td class="left-side-text" style="width:350px">
                                            <select id="ddlUsername" name="ddlUsername" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlUsername eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlUsername eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlUsername eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlUsername eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlUsername eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlUsername eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlUsername eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlUsername eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlUsername eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlUsername eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlUsername eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlUsername eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlUsername eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlUsername eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlUsername eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlUsername eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlUsername eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlUsername eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlUsername eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlUsername eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlUsername eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlUsername eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlUsername eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlUsername eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlUsername eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlUsername eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlUsername eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlUsername eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlUsername eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlUsername eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlUsername eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlUsername eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlUsername eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlUsername eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlUsername eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                            Password <label class="star">*</label>
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <div style="float:left">
                                                    <select id="ddlPassword" name="ddlPassword" class="selectcss" onchange="ShowFixedInputControl(this.value,'pass-div');" style="width:150px">
                                                            <option value="">Select</option>
                                                            <option label="Fixed - please enter" value="FIXED" {if $Post.ddlPassword eq 'FIXED'}selected=""{/if}>Fixed - please enter</option>
                                                            <option label="Field 1" value="1" {if $Post.ddlPassword eq '1'}selected=""{/if}>Field 1</option>
                                                            <option label="Field 2" value="2" {if $Post.ddlPassword eq '2'}selected=""{/if}>Field 2</option>
                                                            <option label="Field 3" value="3" {if $Post.ddlPassword eq '3'}selected=""{/if}>Field 3</option>
                                                            <option label="Field 4" value="4" {if $Post.ddlPassword eq '4'}selected=""{/if}>Field 4</option>
                                                            <option label="Field 5" value="5" {if $Post.ddlPassword eq '5'}selected=""{/if}>Field 5</option>
                                                            <option label="Field 6" value="6" {if $Post.ddlPassword eq '6'}selected=""{/if}>Field 6</option>
                                                            <option label="Field 7" value="7" {if $Post.ddlPassword eq '7'}selected=""{/if}>Field 7</option>
                                                            <option label="Field 8" value="8" {if $Post.ddlPassword eq '8'}selected=""{/if}>Field 8</option>
                                                            <option label="Field 9" value="9" {if $Post.ddlPassword eq '9'}selected=""{/if}>Field 9</option>
                                                            <option label="Field 10" value="10" {if $Post.ddlPassword eq '10'}selected=""{/if}>Field 10</option>
                                                            <option label="Field 11" value="11" {if $Post.ddlPassword eq '11'}selected=""{/if}>Field 11</option>
                                                            <option label="Field 12" value="12" {if $Post.ddlPassword eq '12'}selected=""{/if}>Field 12</option>
                                                            <option label="Field 13" value="13" {if $Post.ddlPassword eq '13'}selected=""{/if}>Field 13</option>
                                                            <option label="Field 14" value="14" {if $Post.ddlPassword eq '14'}selected=""{/if}>Field 14</option>
                                                            <option label="Field 15" value="15" {if $Post.ddlPassword eq '15'}selected=""{/if}>Field 15</option>
                                                            <option label="Field 16" value="16" {if $Post.ddlPassword eq '16'}selected=""{/if}>Field 16</option>
                                                            <option label="Field 17" value="17" {if $Post.ddlPassword eq '17'}selected=""{/if}>Field 17</option>
                                                            <option label="Field 18" value="18" {if $Post.ddlPassword eq '18'}selected=""{/if}>Field 18</option>
                                                            <option label="Field 19" value="19" {if $Post.ddlPassword eq '19'}selected=""{/if}>Field 19</option>
                                                            <option label="Field 20" value="20" {if $Post.ddlPassword eq '20'}selected=""{/if}>Field 20</option>
                                                            <option label="Field 21" value="21" {if $Post.ddlPassword eq '21'}selected=""{/if}>Field 21</option>
                                                            <option label="Field 22" value="22" {if $Post.ddlPassword eq '22'}selected=""{/if}>Field 22</option>
                                                            <option label="Field 23" value="23" {if $Post.ddlPassword eq '23'}selected=""{/if}>Field 23</option>
                                                            <option label="Field 24" value="24" {if $Post.ddlPassword eq '24'}selected=""{/if}>Field 24</option>
                                                            <option label="Field 25" value="25" {if $Post.ddlPassword eq '25'}selected=""{/if}>Field 25</option>
                                                            <option label="Field 26" value="26" {if $Post.ddlPassword eq '26'}selected=""{/if}>Field 26</option>
                                                            <option label="Field 27" value="27" {if $Post.ddlPassword eq '27'}selected=""{/if}>Field 27</option>
                                                            <option label="Field 28" value="28" {if $Post.ddlPassword eq '28'}selected=""{/if}>Field 28</option>
                                                            <option label="Field 29" value="29" {if $Post.ddlPassword eq '29'}selected=""{/if}>Field 29</option>
                                                            <option label="Field 30" value="30" {if $Post.ddlPassword eq '30'}selected=""{/if}>Field 30</option>
                                                            <option label="Field 31" value="31" {if $Post.ddlPassword eq '31'}selected=""{/if}>Field 31</option>
                                                            <option label="Field 32" value="32" {if $Post.ddlPassword eq '32'}selected=""{/if}>Field 32</option>
                                                            <option label="Field 33" value="33" {if $Post.ddlPassword eq '33'}selected=""{/if}>Field 33</option>
                                                            <option label="Field 34" value="34" {if $Post.ddlPassword eq '34'}selected=""{/if}>Field 34</option>
                                                            <option label="Field 35" value="35" {if $Post.ddlPassword eq '35'}selected=""{/if}>Field 35</option>
                                                    </select>
                                            </div>
                                            <div id="pass-div" style="display:none;float:left;padding-left:5px">
                                                    <span style="font-size:12px;font-weight:normal;padding-top:-2px">fixed</span>
                                                    <input type="text" id="txtFixedPassword" name="txtFixedPassword" value="{$Post.txtFixedPassword}" class="txtcss">
                                            </div>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                            Email
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlEmail" name="ddlEmail" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlEmail eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlEmail eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlEmail eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlEmail eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlEmail eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlEmail eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlEmail eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlEmail eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlEmail eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlEmail eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlEmail eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlEmail eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlEmail eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlEmail eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlEmail eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlEmail eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlEmail eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlEmail eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlEmail eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlEmail eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlEmail eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlEmail eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlEmail eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlEmail eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlEmail eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlEmail eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlEmail eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlEmail eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlEmail eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlEmail eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlEmail eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlEmail eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlEmail eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlEmail eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlEmail eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                            Name 
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            
                                            <table class="borderless" style="width: 300px;" border="0" cellpadding="0" cellspacing="2">
                                                    <tbody><tr>
                                                        <td class="right-side-text"><label>First</label></td>
                                                        
                                                        <td class="left-side-text">
                                                                <select size="1" class="selectcss" id="ddlFirstname" name="ddlFirstname" style="width: 150px;">
                                                                    <option value="">Select</option>
                                                                    <option label="Field 1" value="1" {if $Post.ddlFirstname eq '1'}selected=""{/if}>Field 1</option>
                                                                    <option label="Field 2" value="2" {if $Post.ddlFirstname eq '2'}selected=""{/if}>Field 2</option>
                                                                    <option label="Field 3" value="3" {if $Post.ddlFirstname eq '3'}selected=""{/if}>Field 3</option>
                                                                    <option label="Field 4" value="4" {if $Post.ddlFirstname eq '4'}selected=""{/if}>Field 4</option>
                                                                    <option label="Field 5" value="5" {if $Post.ddlFirstname eq '5'}selected=""{/if}>Field 5</option>
                                                                    <option label="Field 6" value="6" {if $Post.ddlFirstname eq '6'}selected=""{/if}>Field 6</option>
                                                                    <option label="Field 7" value="7" {if $Post.ddlFirstname eq '7'}selected=""{/if}>Field 7</option>
                                                                    <option label="Field 8" value="8" {if $Post.ddlFirstname eq '8'}selected=""{/if}>Field 8</option>
                                                                    <option label="Field 9" value="9" {if $Post.ddlFirstname eq '9'}selected=""{/if}>Field 9</option>
                                                                    <option label="Field 10" value="10" {if $Post.ddlFirstname eq '10'}selected=""{/if}>Field 10</option>
                                                                    <option label="Field 11" value="11" {if $Post.ddlFirstname eq '11'}selected=""{/if}>Field 11</option>
                                                                    <option label="Field 12" value="12" {if $Post.ddlFirstname eq '12'}selected=""{/if}>Field 12</option>
                                                                    <option label="Field 13" value="13" {if $Post.ddlFirstname eq '13'}selected=""{/if}>Field 13</option>
                                                                    <option label="Field 14" value="14" {if $Post.ddlFirstname eq '14'}selected=""{/if}>Field 14</option>
                                                                    <option label="Field 15" value="15" {if $Post.ddlFirstname eq '15'}selected=""{/if}>Field 15</option>
                                                                    <option label="Field 16" value="16" {if $Post.ddlFirstname eq '16'}selected=""{/if}>Field 16</option>
                                                                    <option label="Field 17" value="17" {if $Post.ddlFirstname eq '17'}selected=""{/if}>Field 17</option>
                                                                    <option label="Field 18" value="18" {if $Post.ddlFirstname eq '18'}selected=""{/if}>Field 18</option>
                                                                    <option label="Field 19" value="19" {if $Post.ddlFirstname eq '19'}selected=""{/if}>Field 19</option>
                                                                    <option label="Field 20" value="20" {if $Post.ddlFirstname eq '20'}selected=""{/if}>Field 20</option>
                                                                    <option label="Field 21" value="21" {if $Post.ddlFirstname eq '21'}selected=""{/if}>Field 21</option>
                                                                    <option label="Field 22" value="22" {if $Post.ddlFirstname eq '22'}selected=""{/if}>Field 22</option>
                                                                    <option label="Field 23" value="23" {if $Post.ddlFirstname eq '23'}selected=""{/if}>Field 23</option>
                                                                    <option label="Field 24" value="24" {if $Post.ddlFirstname eq '24'}selected=""{/if}>Field 24</option>
                                                                    <option label="Field 25" value="25" {if $Post.ddlFirstname eq '25'}selected=""{/if}>Field 25</option>
                                                                    <option label="Field 26" value="26" {if $Post.ddlFirstname eq '26'}selected=""{/if}>Field 26</option>
                                                                    <option label="Field 27" value="27" {if $Post.ddlFirstname eq '27'}selected=""{/if}>Field 27</option>
                                                                    <option label="Field 28" value="28" {if $Post.ddlFirstname eq '28'}selected=""{/if}>Field 28</option>
                                                                    <option label="Field 29" value="29" {if $Post.ddlFirstname eq '29'}selected=""{/if}>Field 29</option>
                                                                    <option label="Field 30" value="30" {if $Post.ddlFirstname eq '30'}selected=""{/if}>Field 30</option>
                                                                    <option label="Field 31" value="31" {if $Post.ddlFirstname eq '31'}selected=""{/if}>Field 31</option>
                                                                    <option label="Field 32" value="32" {if $Post.ddlFirstname eq '32'}selected=""{/if}>Field 32</option>
                                                                    <option label="Field 33" value="33" {if $Post.ddlFirstname eq '33'}selected=""{/if}>Field 33</option>
                                                                    <option label="Field 34" value="34" {if $Post.ddlFirstname eq '34'}selected=""{/if}>Field 34</option>
                                                                    <option label="Field 35" value="35" {if $Post.ddlFirstname eq '35'}selected=""{/if}>Field 35</option> 
                                                                </select>
                                                       </td>
                                                    </tr>
                                           
                                                    <tr>
                                                        <td class="right-side-text"><label>Last</label></td>
                                           
                                                        <td class="left-side-text">
                                                                <select size="1" class="selectcss" id="ddlLastname" name="ddlLastname" style="width: 150px;">
                                                                    <option value="">Select</option>
                                                                    <option label="Field 1" value="1" {if $Post.ddlLastname eq '1'}selected=""{/if}>Field 1</option>
                                                                    <option label="Field 2" value="2" {if $Post.ddlLastname eq '2'}selected=""{/if}>Field 2</option>
                                                                    <option label="Field 3" value="3" {if $Post.ddlLastname eq '3'}selected=""{/if}>Field 3</option>
                                                                    <option label="Field 4" value="4" {if $Post.ddlLastname eq '4'}selected=""{/if}>Field 4</option>
                                                                    <option label="Field 5" value="5" {if $Post.ddlLastname eq '5'}selected=""{/if}>Field 5</option>
                                                                    <option label="Field 6" value="6" {if $Post.ddlLastname eq '6'}selected=""{/if}>Field 6</option>
                                                                    <option label="Field 7" value="7" {if $Post.ddlLastname eq '7'}selected=""{/if}>Field 7</option>
                                                                    <option label="Field 8" value="8" {if $Post.ddlLastname eq '8'}selected=""{/if}>Field 8</option>
                                                                    <option label="Field 9" value="9" {if $Post.ddlLastname eq '9'}selected=""{/if}>Field 9</option>
                                                                    <option label="Field 10" value="10" {if $Post.ddlLastname eq '10'}selected=""{/if}>Field 10</option>
                                                                    <option label="Field 11" value="11" {if $Post.ddlLastname eq '11'}selected=""{/if}>Field 11</option>
                                                                    <option label="Field 12" value="12" {if $Post.ddlLastname eq '12'}selected=""{/if}>Field 12</option>
                                                                    <option label="Field 13" value="13" {if $Post.ddlLastname eq '13'}selected=""{/if}>Field 13</option>
                                                                    <option label="Field 14" value="14" {if $Post.ddlLastname eq '14'}selected=""{/if}>Field 14</option>
                                                                    <option label="Field 15" value="15" {if $Post.ddlLastname eq '15'}selected=""{/if}>Field 15</option>
                                                                    <option label="Field 16" value="16" {if $Post.ddlLastname eq '16'}selected=""{/if}>Field 16</option>
                                                                    <option label="Field 17" value="17" {if $Post.ddlLastname eq '17'}selected=""{/if}>Field 17</option>
                                                                    <option label="Field 18" value="18" {if $Post.ddlLastname eq '18'}selected=""{/if}>Field 18</option>
                                                                    <option label="Field 19" value="19" {if $Post.ddlLastname eq '19'}selected=""{/if}>Field 19</option>
                                                                    <option label="Field 20" value="20" {if $Post.ddlLastname eq '20'}selected=""{/if}>Field 20</option>
                                                                    <option label="Field 21" value="21" {if $Post.ddlLastname eq '21'}selected=""{/if}>Field 21</option>
                                                                    <option label="Field 22" value="22" {if $Post.ddlLastname eq '22'}selected=""{/if}>Field 22</option>
                                                                    <option label="Field 23" value="23" {if $Post.ddlLastname eq '23'}selected=""{/if}>Field 23</option>
                                                                    <option label="Field 24" value="24" {if $Post.ddlLastname eq '24'}selected=""{/if}>Field 24</option>
                                                                    <option label="Field 25" value="25" {if $Post.ddlLastname eq '25'}selected=""{/if}>Field 25</option>
                                                                    <option label="Field 26" value="26" {if $Post.ddlLastname eq '26'}selected=""{/if}>Field 26</option>
                                                                    <option label="Field 27" value="27" {if $Post.ddlLastname eq '27'}selected=""{/if}>Field 27</option>
                                                                    <option label="Field 28" value="28" {if $Post.ddlLastname eq '28'}selected=""{/if}>Field 28</option>
                                                                    <option label="Field 29" value="29" {if $Post.ddlLastname eq '29'}selected=""{/if}>Field 29</option>
                                                                    <option label="Field 30" value="30" {if $Post.ddlLastname eq '30'}selected=""{/if}>Field 30</option>
                                                                    <option label="Field 31" value="31" {if $Post.ddlLastname eq '31'}selected=""{/if}>Field 31</option>
                                                                    <option label="Field 32" value="32" {if $Post.ddlLastname eq '32'}selected=""{/if}>Field 32</option>
                                                                    <option label="Field 33" value="33" {if $Post.ddlLastname eq '33'}selected=""{/if}>Field 33</option>
                                                                    <option label="Field 34" value="34" {if $Post.ddlLastname eq '34'}selected=""{/if}>Field 34</option>
                                                                    <option label="Field 35" value="35" {if $Post.ddlLastname eq '35'}selected=""{/if}>Field 35</option>    
                                                                </select>
                                                       </td>
                                                    </tr>
                                               </tbody>
                                            </table>
                                            
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                            Country
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlCountry" name="ddlCountry" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlCountry eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlCountry eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlCountry eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlCountry eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlCountry eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlCountry eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlCountry eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlCountry eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlCountry eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlCountry eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlCountry eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlCountry eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlCountry eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlCountry eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlCountry eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlCountry eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlCountry eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlCountry eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlCountry eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlCountry eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlCountry eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlCountry eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlCountry eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlCountry eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlCountry eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlCountry eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlCountry eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlCountry eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlCountry eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlCountry eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlCountry eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlCountry eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlCountry eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlCountry eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlCountry eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                            State
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlState" name="ddlState" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlState eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlState eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlState eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlState eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlState eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlState eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlState eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlState eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlState eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlState eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlState eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlState eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlState eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlState eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlState eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlState eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlState eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlState eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlState eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlState eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlState eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlState eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlState eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlState eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlState eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlState eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlState eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlState eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlState eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlState eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlState eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlState eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlState eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlState eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlState eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                            City
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlCity" name="ddlCity" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlCity eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlCity eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlCity eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlCity eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlCity eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlCity eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlCity eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlCity eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlCity eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlCity eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlCity eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlCity eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlCity eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlCity eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlCity eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlCity eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlCity eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlCity eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlCity eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlCity eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlCity eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlCity eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlCity eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlCity eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlCity eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlCity eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlCity eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlCity eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlCity eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlCity eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlCity eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlCity eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlCity eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlCity eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlCity eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                            Street Address 
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlStreetAddress" name="ddlStreetAddress" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlStreetAddress eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlStreetAddress eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlStreetAddress eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlStreetAddress eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlStreetAddress eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlStreetAddress eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlStreetAddress eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlStreetAddress eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlStreetAddress eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlStreetAddress eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlStreetAddress eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlStreetAddress eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlStreetAddress eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlStreetAddress eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlStreetAddress eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlStreetAddress eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlStreetAddress eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlStreetAddress eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlStreetAddress eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlStreetAddress eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlStreetAddress eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlStreetAddress eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlStreetAddress eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlStreetAddress eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlStreetAddress eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlStreetAddress eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlStreetAddress eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlStreetAddress eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlStreetAddress eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlStreetAddress eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlStreetAddress eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlStreetAddress eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlStreetAddress eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlStreetAddress eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlStreetAddress eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                            ZIP
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlZIP" name="ddlZIP" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlZIP eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlZIP eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlZIP eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlZIP eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlZIP eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlZIP eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlZIP eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlZIP eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlZIP eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlZIP eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlZIP eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlZIP eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlZIP eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlZIP eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlZIP eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlZIP eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlZIP eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlZIP eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlZIP eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlZIP eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlZIP eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlZIP eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlZIP eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlZIP eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlZIP eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlZIP eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlZIP eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlZIP eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlZIP eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlZIP eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlZIP eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlZIP eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlZIP eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlZIP eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlZIP eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                           Contact 
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlContact" name="ddlContact" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlContact eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlContact eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlContact eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlContact eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlContact eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlContact eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlContact eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlContact eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlContact eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlContact eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlContact eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlContact eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlContact eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlContact eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlContact eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlContact eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlContact eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlContact eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlContact eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlContact eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlContact eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlContact eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlContact eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlContact eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlContact eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlContact eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlContact eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlContact eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlContact eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlContact eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlContact eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlContact eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlContact eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlContact eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlContact eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                            Is Approved 
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlIsApproved" name="ddlIsApproved" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlIsApproved eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlIsApproved eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlIsApproved eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlIsApproved eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlIsApproved eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlIsApproved eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlIsApproved eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlIsApproved eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlIsApproved eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlIsApproved eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlIsApproved eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlIsApproved eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlIsApproved eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlIsApproved eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlIsApproved eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlIsApproved eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlIsApproved eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlIsApproved eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlIsApproved eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlIsApproved eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlIsApproved eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlIsApproved eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlIsApproved eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlIsApproved eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlIsApproved eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlIsApproved eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlIsApproved eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlIsApproved eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlIsApproved eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlIsApproved eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlIsApproved eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlIsApproved eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlIsApproved eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlIsApproved eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlIsApproved eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                           Is Locked Out 
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlIsLockedOut" name="ddlIsLockedOut" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlIsLockedOut eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlIsLockedOut eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlIsLockedOut eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlIsLockedOut eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlIsLockedOut eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlIsLockedOut eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlIsLockedOut eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlIsLockedOut eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlIsLockedOut eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlIsLockedOut eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlIsLockedOut eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlIsLockedOut eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlIsLockedOut eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlIsLockedOut eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlIsLockedOut eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlIsLockedOut eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlIsLockedOut eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlIsLockedOut eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlIsLockedOut eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlIsLockedOut eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlIsLockedOut eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlIsLockedOut eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlIsLockedOut eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlIsLockedOut eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlIsLockedOut eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlIsLockedOut eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlIsLockedOut eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlIsLockedOut eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlIsLockedOut eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlIsLockedOut eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlIsLockedOut eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlIsLockedOut eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlIsLockedOut eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlIsLockedOut eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlIsLockedOut eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                           Shipping Country 
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlShippingCountry" name="ddlShippingCountry" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlShippingCountry eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlShippingCountry eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlShippingCountry eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlShippingCountry eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlShippingCountry eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlShippingCountry eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlShippingCountry eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlShippingCountry eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlShippingCountry eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlShippingCountry eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlShippingCountry eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlShippingCountry eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlShippingCountry eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlShippingCountry eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlShippingCountry eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlShippingCountry eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlShippingCountry eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlShippingCountry eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlShippingCountry eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlShippingCountry eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlShippingCountry eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlShippingCountry eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlShippingCountry eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlShippingCountry eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlShippingCountry eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlShippingCountry eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlShippingCountry eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlShippingCountry eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlShippingCountry eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlShippingCountry eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlShippingCountry eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlShippingCountry eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlShippingCountry eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlShippingCountry eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlShippingCountry eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                           Shipping State 
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlShippingState" name="ddlShippingState" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlShippingState eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlShippingState eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlShippingState eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlShippingState eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlShippingState eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlShippingState eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlShippingState eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlShippingState eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlShippingState eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlShippingState eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlShippingState eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlShippingState eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlShippingState eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlShippingState eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlShippingState eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlShippingState eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlShippingState eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlShippingState eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlShippingState eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlShippingState eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlShippingState eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlShippingState eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlShippingState eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlShippingState eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlShippingState eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlShippingState eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlShippingState eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlShippingState eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlShippingState eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlShippingState eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlShippingState eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlShippingState eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlShippingState eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlShippingState eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlShippingState eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                           Shipping City 
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlShippingCity" name="ddlShippingCity" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlShippingCity eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlShippingCity eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlShippingCity eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlShippingCity eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlShippingCity eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlShippingCity eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlShippingCity eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlShippingCity eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlShippingCity eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlShippingCity eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlShippingCity eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlShippingCity eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlShippingCity eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlShippingCity eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlShippingCity eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlShippingCity eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlShippingCity eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlShippingCity eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlShippingCity eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlShippingCity eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlShippingCity eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlShippingCity eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlShippingCity eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlShippingCity eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlShippingCity eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlShippingCity eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlShippingCity eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlShippingCity eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlShippingCity eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlShippingCity eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlShippingCity eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlShippingCity eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlShippingCity eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlShippingCity eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlShippingCity eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                           Shipping Address 
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlShippingAddress" name="ddlShippingAddress" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlShippingAddress eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlShippingAddress eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlShippingAddress eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlShippingAddress eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlShippingAddress eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlShippingAddress eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlShippingAddress eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlShippingAddress eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlShippingAddress eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlShippingAddress eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlShippingAddress eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlShippingAddress eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlShippingAddress eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlShippingAddress eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlShippingAddress eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlShippingAddress eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlShippingAddress eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlShippingAddress eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlShippingAddress eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlShippingAddress eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlShippingAddress eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlShippingAddress eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlShippingAddress eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlShippingAddress eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlShippingAddress eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlShippingAddress eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlShippingAddress eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlShippingAddress eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlShippingAddress eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlShippingAddress eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlShippingAddress eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlShippingAddress eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlShippingAddress eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlShippingAddress eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlShippingAddress eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                           Shipping ZIP 
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlShippingZIP" name="ddlShippingZIP" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlShippingZIP eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlShippingZIP eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlShippingZIP eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlShippingZIP eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlShippingZIP eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlShippingZIP eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlShippingZIP eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlShippingZIP eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlShippingZIP eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlShippingZIP eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlShippingZIP eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlShippingZIP eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlShippingZIP eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlShippingZIP eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlShippingZIP eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlShippingZIP eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlShippingZIP eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlShippingZIP eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlShippingZIP eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlShippingZIP eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlShippingZIP eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlShippingZIP eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlShippingZIP eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlShippingZIP eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlShippingZIP eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlShippingZIP eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlShippingZIP eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlShippingZIP eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlShippingZIP eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlShippingZIP eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlShippingZIP eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlShippingZIP eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlShippingZIP eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlShippingZIP eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlShippingZIP eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                           Shipping Contact 
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlShippingContact" name="ddlShippingContact" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlShippingContact eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlShippingContact eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlShippingContact eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlShippingContact eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlShippingContact eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlShippingContact eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlShippingContact eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlShippingContact eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlShippingContact eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlShippingContact eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlShippingContact eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlShippingContact eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlShippingContact eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlShippingContact eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlShippingContact eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlShippingContact eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlShippingContact eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlShippingContact eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlShippingContact eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlShippingContact eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlShippingContact eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlShippingContact eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlShippingContact eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlShippingContact eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlShippingContact eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlShippingContact eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlShippingContact eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlShippingContact eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlShippingContact eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlShippingContact eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlShippingContact eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlShippingContact eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlShippingContact eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlShippingContact eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlShippingContact eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                           Is UnSubscription From Emails
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlIsUnSubscription" name="ddlIsUnsubscription" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlIsUnsubscription eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlIsUnsubscription eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlIsUnsubscription eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlIsUnsubscription eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlIsUnsubscription eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlIsUnsubscription eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlIsUnsubscription eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlIsUnsubscription eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlIsUnsubscription eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlIsUnsubscription eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlIsUnsubscription eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlIsUnsubscription eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlIsUnsubscription eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlIsUnsubscription eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlIsUnsubscription eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlIsUnsubscription eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlIsUnsubscription eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlIsUnsubscription eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlIsUnsubscription eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlIsUnsubscription eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlIsUnsubscription eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlIsUnsubscription eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlIsUnsubscription eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlIsUnsubscription eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlIsUnsubscription eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlIsUnsubscription eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlIsUnsubscription eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlIsUnsubscription eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlIsUnsubscription eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlIsUnsubscription eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlIsUnsubscription eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlIsUnsubscription eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlIsUnsubscription eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlIsUnsubscription eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlIsUnsubscription eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td colspan="2">
                                            <span style="font-size:14px;color:#CF6B00;margin-left:10px;text-decoration:underline">SUBSCRIPTION</span>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                            Product ID <label class="star">*</label>
                                        </label>
                                        <div class="FieldLabelNote">
                                                Field must contain numeric id of product
                                        </div>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlProductID" name="ddlProductID" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlProductID eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlProductID eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlProductID eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlProductID eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlProductID eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlProductID eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlProductID eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlProductID eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlProductID eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlProductID eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlProductID eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlProductID eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlProductID eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlProductID eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlProductID eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlProductID eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlProductID eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlProductID eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlProductID eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlProductID eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlProductID eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlProductID eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlProductID eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlProductID eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlProductID eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlProductID eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlProductID eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlProductID eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlProductID eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlProductID eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlProductID eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlProductID eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlProductID eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlProductID eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlProductID eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                               <!-- 
                                <tr>
                                        <td class="right-side-text"><label>
                                            Subscription Type <label class="star">*</label>
                                        </label>
                                        <div class="FieldLabelNote">
                                                field must contain numeric id of subscription
                                        </div>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlSubType" name="ddlSubType" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlSubType eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlSubType eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlSubType eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlSubType eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlSubType eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlSubType eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlSubType eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlSubType eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlSubType eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlSubType eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlSubType eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlSubType eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlSubType eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlSubType eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlSubType eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlSubType eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlSubType eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlSubType eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlSubType eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlSubType eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlSubType eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlSubType eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlSubType eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlSubType eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlSubType eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlSubType eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlSubType eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlSubType eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlSubType eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlSubType eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlSubType eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlSubType eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlSubType eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlSubType eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlSubType eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                 -->
                                <tr>
                                        <td class="right-side-text"><label>
                                            Subscription Begin Date 
                                        </label>
                                        <div class="FieldLabelNote">
                                                Date Format: yyyy-mm-dd
                                        </div>
                                        </td>
                                        <td class="left-side-text">
                                            <div style="float:left">
                                                    <select id="ddlSubBeginDate" name="ddlSubBeginDate" class="selectcss" onchange="ShowFixedInputControl(this.value,'sub-begin-date');" style="width:150px">
                                                            <option value="">Select</option>
                                                            <option label="Fixed - please enter" value="FIXED" {if $Post.ddlSubBeginDate eq 'FIXED'}selected=""{/if}>Fixed - please enter</option>
                                                            <option label="Field 1" value="1" {if $Post.ddlSubBeginDate eq '1'}selected=""{/if}>Field 1</option>
                                                            <option label="Field 2" value="2" {if $Post.ddlSubBeginDate eq '2'}selected=""{/if}>Field 2</option>
                                                            <option label="Field 3" value="3" {if $Post.ddlSubBeginDate eq '3'}selected=""{/if}>Field 3</option>
                                                            <option label="Field 4" value="4" {if $Post.ddlSubBeginDate eq '4'}selected=""{/if}>Field 4</option>
                                                            <option label="Field 5" value="5" {if $Post.ddlSubBeginDate eq '5'}selected=""{/if}>Field 5</option>
                                                            <option label="Field 6" value="6" {if $Post.ddlSubBeginDate eq '6'}selected=""{/if}>Field 6</option>
                                                            <option label="Field 7" value="7" {if $Post.ddlSubBeginDate eq '7'}selected=""{/if}>Field 7</option>
                                                            <option label="Field 8" value="8" {if $Post.ddlSubBeginDate eq '8'}selected=""{/if}>Field 8</option>
                                                            <option label="Field 9" value="9" {if $Post.ddlSubBeginDate eq '9'}selected=""{/if}>Field 9</option>
                                                            <option label="Field 10" value="10" {if $Post.ddlSubBeginDate eq '10'}selected=""{/if}>Field 10</option>
                                                            <option label="Field 11" value="11" {if $Post.ddlSubBeginDate eq '11'}selected=""{/if}>Field 11</option>
                                                            <option label="Field 12" value="12" {if $Post.ddlSubBeginDate eq '12'}selected=""{/if}>Field 12</option>
                                                            <option label="Field 13" value="13" {if $Post.ddlSubBeginDate eq '13'}selected=""{/if}>Field 13</option>
                                                            <option label="Field 14" value="14" {if $Post.ddlSubBeginDate eq '14'}selected=""{/if}>Field 14</option>
                                                            <option label="Field 15" value="15" {if $Post.ddlSubBeginDate eq '15'}selected=""{/if}>Field 15</option>
                                                            <option label="Field 16" value="16" {if $Post.ddlSubBeginDate eq '16'}selected=""{/if}>Field 16</option>
                                                            <option label="Field 17" value="17" {if $Post.ddlSubBeginDate eq '17'}selected=""{/if}>Field 17</option>
                                                            <option label="Field 18" value="18" {if $Post.ddlSubBeginDate eq '18'}selected=""{/if}>Field 18</option>
                                                            <option label="Field 19" value="19" {if $Post.ddlSubBeginDate eq '19'}selected=""{/if}>Field 19</option>
                                                            <option label="Field 20" value="20" {if $Post.ddlSubBeginDate eq '20'}selected=""{/if}>Field 20</option>
                                                            <option label="Field 21" value="21" {if $Post.ddlSubBeginDate eq '21'}selected=""{/if}>Field 21</option>
                                                            <option label="Field 22" value="22" {if $Post.ddlSubBeginDate eq '22'}selected=""{/if}>Field 22</option>
                                                            <option label="Field 23" value="23" {if $Post.ddlSubBeginDate eq '23'}selected=""{/if}>Field 23</option>
                                                            <option label="Field 24" value="24" {if $Post.ddlSubBeginDate eq '24'}selected=""{/if}>Field 24</option>
                                                            <option label="Field 25" value="25" {if $Post.ddlSubBeginDate eq '25'}selected=""{/if}>Field 25</option>
                                                            <option label="Field 26" value="26" {if $Post.ddlSubBeginDate eq '26'}selected=""{/if}>Field 26</option>
                                                            <option label="Field 27" value="27" {if $Post.ddlSubBeginDate eq '27'}selected=""{/if}>Field 27</option>
                                                            <option label="Field 28" value="28" {if $Post.ddlSubBeginDate eq '28'}selected=""{/if}>Field 28</option>
                                                            <option label="Field 29" value="29" {if $Post.ddlSubBeginDate eq '29'}selected=""{/if}>Field 29</option>
                                                            <option label="Field 30" value="30" {if $Post.ddlSubBeginDate eq '30'}selected=""{/if}>Field 30</option>
                                                            <option label="Field 31" value="31" {if $Post.ddlSubBeginDate eq '31'}selected=""{/if}>Field 31</option>
                                                            <option label="Field 32" value="32" {if $Post.ddlSubBeginDate eq '32'}selected=""{/if}>Field 32</option>
                                                            <option label="Field 33" value="33" {if $Post.ddlSubBeginDate eq '33'}selected=""{/if}>Field 33</option>
                                                            <option label="Field 34" value="34" {if $Post.ddlSubBeginDate eq '34'}selected=""{/if}>Field 34</option>
                                                            <option label="Field 35" value="35" {if $Post.ddlSubBeginDate eq '35'}selected=""{/if}>Field 35</option>
                                                    </select>
                                            </div>
                                            <div id="sub-begin-date" style="display:none;float:left;padding-left:5px">
                                                <span style="font-size:12px;font-weight:normal;padding-top:-2px">fixed</span>
                                                <input type="text" id="txtSubBeginDate" name="txtSubBeginDate" value="{$Post.txtSubBeginDate}" class="txtcss" readonly="readonly">
                                                {php}
                                                         $aCalendarParams=array(
                                                         "sIconPath"     =>  ADMIN_IMAGE_DIR."/calendar1.gif",
                                                         "iAction"       =>  1,   //0=>reloadCurrentPage with get param sDate, 1=>fill field sFieldName
                                                         "sFieldName"    =>  "txtSubBeginDate",
                                                         "iStyle"        =>  1,   //0=>display calendar, 1=>display div on icon click
                                                         "aMonthNames"   =>  $aMonthNames["EN"],
                                                         "aDaysNames"    =>  $aDaysNames["EN"],
                                                         "sDateFormat"   =>  $sDateFormat["EN"]

                                                         );
                                                         new oCalendarPicker("calFixe1",$sDate,$aCalendarParams);
                                                {/php}
                                            </div>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                            Subscription Expire Date <label class="star">*</label>
                                        </label>
                                        <div class="FieldLabelNote">
                                                Date Format: yyyy-mm-dd
                                        </div>
                                        </td>
                                        <td class="left-side-text">
                                            <div style="float:left">
                                                    <select id="ddlSubExpireDate" name="ddlSubExpireDate" class="selectcss" onchange="ShowFixedInputControl(this.value,'sub-expire-fixed-date');" style="width:150px">
                                                            <option value="" >Select</option>
                                                            <option label="Fixed - please enter" value="FIXED" {if $Post.ddlSubExpireDate eq 'FIXED'}selected=""{/if}>Fixed - please enter</option>
                                                            <option label="Field 1" value="1"  {if $Post.ddlSubExpireDate eq '1'}selected=""{/if}>Field 1</option>
                                                            <option label="Field 2" value="2"  {if $Post.ddlSubExpireDate eq '2'}selected=""{/if}>Field 2</option>
                                                            <option label="Field 3" value="3"  {if $Post.ddlSubExpireDate eq '3'}selected=""{/if}>Field 3</option>
                                                            <option label="Field 4" value="4"  {if $Post.ddlSubExpireDate eq '4'}selected=""{/if}>Field 4</option>
                                                            <option label="Field 5" value="5"  {if $Post.ddlSubExpireDate eq '5'}selected=""{/if}>Field 5</option>
                                                            <option label="Field 6" value="6"  {if $Post.ddlSubExpireDate eq '6'}selected=""{/if}>Field 6</option>
                                                            <option label="Field 7" value="7"  {if $Post.ddlSubExpireDate eq '7'}selected=""{/if}>Field 7</option>
                                                            <option label="Field 8" value="8"  {if $Post.ddlSubExpireDate eq '8'}selected=""{/if}>Field 8</option>
                                                            <option label="Field 9" value="9"  {if $Post.ddlSubExpireDate eq '9'}selected=""{/if}>Field 9</option>
                                                            <option label="Field 10" value="10"  {if $Post.ddlSubExpireDate eq '10'}selected=""{/if}>Field 10</option>
                                                            <option label="Field 11" value="11"  {if $Post.ddlSubExpireDate eq '11'}selected=""{/if}>Field 11</option>
                                                            <option label="Field 12" value="12"  {if $Post.ddlSubExpireDate eq '12'}selected=""{/if}>Field 12</option>
                                                            <option label="Field 13" value="13"  {if $Post.ddlSubExpireDate eq '13'}selected=""{/if}>Field 13</option>
                                                            <option label="Field 14" value="14"  {if $Post.ddlSubExpireDate eq '14'}selected=""{/if}>Field 14</option>
                                                            <option label="Field 15" value="15"  {if $Post.ddlSubExpireDate eq '15'}selected=""{/if}>Field 15</option>
                                                            <option label="Field 16" value="16"  {if $Post.ddlSubExpireDate eq '16'}selected=""{/if}>Field 16</option>
                                                            <option label="Field 17" value="17"  {if $Post.ddlSubExpireDate eq '17'}selected=""{/if}>Field 17</option>
                                                            <option label="Field 18" value="18"  {if $Post.ddlSubExpireDate eq '18'}selected=""{/if}>Field 18</option>
                                                            <option label="Field 19" value="19"  {if $Post.ddlSubExpireDate eq '19'}selected=""{/if}>Field 19</option>
                                                            <option label="Field 20" value="20"  {if $Post.ddlSubExpireDate eq '20'}selected=""{/if}>Field 20</option>
                                                            <option label="Field 21" value="21"  {if $Post.ddlSubExpireDate eq '21'}selected=""{/if}>Field 21</option>
                                                            <option label="Field 22" value="22"  {if $Post.ddlSubExpireDate eq '22'}selected=""{/if}>Field 22</option>
                                                            <option label="Field 23" value="23"  {if $Post.ddlSubExpireDate eq '23'}selected=""{/if}>Field 23</option>
                                                            <option label="Field 24" value="24"  {if $Post.ddlSubExpireDate eq '24'}selected=""{/if}>Field 24</option>
                                                            <option label="Field 25" value="25"  {if $Post.ddlSubExpireDate eq '25'}selected=""{/if}>Field 25</option>
                                                            <option label="Field 26" value="26"  {if $Post.ddlSubExpireDate eq '26'}selected=""{/if}>Field 26</option>
                                                            <option label="Field 27" value="27"  {if $Post.ddlSubExpireDate eq '27'}selected=""{/if}>Field 27</option>
                                                            <option label="Field 28" value="28"  {if $Post.ddlSubExpireDate eq '28'}selected=""{/if}>Field 28</option>
                                                            <option label="Field 29" value="29"  {if $Post.ddlSubExpireDate eq '29'}selected=""{/if}>Field 29</option>
                                                            <option label="Field 30" value="30"  {if $Post.ddlSubExpireDate eq '30'}selected=""{/if}>Field 30</option>
                                                            <option label="Field 31" value="31"  {if $Post.ddlSubExpireDate eq '31'}selected=""{/if}>Field 31</option>
                                                            <option label="Field 32" value="32"  {if $Post.ddlSubExpireDate eq '32'}selected=""{/if}>Field 32</option>
                                                            <option label="Field 33" value="33"  {if $Post.ddlSubExpireDate eq '33'}selected=""{/if}>Field 33</option>
                                                            <option label="Field 34" value="34"  {if $Post.ddlSubExpireDate eq '34'}selected=""{/if}>Field 34</option>
                                                            <option label="Field 35" value="35"  {if $Post.ddlSubExpireDate eq '35'}selected=""{/if}>Field 35</option>
                                                    </select>
                                            </div>
                                            <div id="sub-expire-fixed-date" style="display:none;float:left;padding-left:5px">
                                                <span style="font-size:12px;font-weight:normal;padding-top:-2px">fixed</span>
                                                <input type="text" id="txtSubExpireDate" name="txtSubExpireDate" value="{$Post.txtSubExpireDate}" class="txtcss" readonly="readonly">
                                                {php}
                                                         $aCalendarParams=array(
                                                         "sIconPath"     =>  ADMIN_IMAGE_DIR."/calendar1.gif",
                                                         "iAction"       =>  1,   //0=>reloadCurrentPage with get param sDate, 1=>fill field sFieldName
                                                         "sFieldName"    =>  "txtSubExpireDate",
                                                         "iStyle"        =>  1,   //0=>display calendar, 1=>display div on icon click
                                                         "aMonthNames"   =>  $aMonthNames["EN"],
                                                         "aDaysNames"    =>  $aDaysNames["EN"],
                                                         "sDateFormat"   =>  $sDateFormat["EN"]

                                                         );
                                                         new oCalendarPicker("calFixe1End",$sDate,$aCalendarParams);
                                                {/php}
                                            <div>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                            Payment Amount
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                            <select id="ddlPaymentAmt" name="ddlPaymentAmt" class="selectcss" style="width:150px">
                                                    <option value="">Select</option>
                                                    <option label="Field 1" value="1" {if $Post.ddlPaymentAmt eq '1'}selected=""{/if}>Field 1</option>
                                                    <option label="Field 2" value="2" {if $Post.ddlPaymentAmt eq '2'}selected=""{/if}>Field 2</option>
                                                    <option label="Field 3" value="3" {if $Post.ddlPaymentAmt eq '3'}selected=""{/if}>Field 3</option>
                                                    <option label="Field 4" value="4" {if $Post.ddlPaymentAmt eq '4'}selected=""{/if}>Field 4</option>
                                                    <option label="Field 5" value="5" {if $Post.ddlPaymentAmt eq '5'}selected=""{/if}>Field 5</option>
                                                    <option label="Field 6" value="6" {if $Post.ddlPaymentAmt eq '6'}selected=""{/if}>Field 6</option>
                                                    <option label="Field 7" value="7" {if $Post.ddlPaymentAmt eq '7'}selected=""{/if}>Field 7</option>
                                                    <option label="Field 8" value="8" {if $Post.ddlPaymentAmt eq '8'}selected=""{/if}>Field 8</option>
                                                    <option label="Field 9" value="9" {if $Post.ddlPaymentAmt eq '9'}selected=""{/if}>Field 9</option>
                                                    <option label="Field 10" value="10" {if $Post.ddlPaymentAmt eq '10'}selected=""{/if}>Field 10</option>
                                                    <option label="Field 11" value="11" {if $Post.ddlPaymentAmt eq '11'}selected=""{/if}>Field 11</option>
                                                    <option label="Field 12" value="12" {if $Post.ddlPaymentAmt eq '12'}selected=""{/if}>Field 12</option>
                                                    <option label="Field 13" value="13" {if $Post.ddlPaymentAmt eq '13'}selected=""{/if}>Field 13</option>
                                                    <option label="Field 14" value="14" {if $Post.ddlPaymentAmt eq '14'}selected=""{/if}>Field 14</option>
                                                    <option label="Field 15" value="15" {if $Post.ddlPaymentAmt eq '15'}selected=""{/if}>Field 15</option>
                                                    <option label="Field 16" value="16" {if $Post.ddlPaymentAmt eq '16'}selected=""{/if}>Field 16</option>
                                                    <option label="Field 17" value="17" {if $Post.ddlPaymentAmt eq '17'}selected=""{/if}>Field 17</option>
                                                    <option label="Field 18" value="18" {if $Post.ddlPaymentAmt eq '18'}selected=""{/if}>Field 18</option>
                                                    <option label="Field 19" value="19" {if $Post.ddlPaymentAmt eq '19'}selected=""{/if}>Field 19</option>
                                                    <option label="Field 20" value="20" {if $Post.ddlPaymentAmt eq '20'}selected=""{/if}>Field 20</option>
                                                    <option label="Field 21" value="21" {if $Post.ddlPaymentAmt eq '21'}selected=""{/if}>Field 21</option>
                                                    <option label="Field 22" value="22" {if $Post.ddlPaymentAmt eq '22'}selected=""{/if}>Field 22</option>
                                                    <option label="Field 23" value="23" {if $Post.ddlPaymentAmt eq '23'}selected=""{/if}>Field 23</option>
                                                    <option label="Field 24" value="24" {if $Post.ddlPaymentAmt eq '24'}selected=""{/if}>Field 24</option>
                                                    <option label="Field 25" value="25" {if $Post.ddlPaymentAmt eq '25'}selected=""{/if}>Field 25</option>
                                                    <option label="Field 26" value="26" {if $Post.ddlPaymentAmt eq '26'}selected=""{/if}>Field 26</option>
                                                    <option label="Field 27" value="27" {if $Post.ddlPaymentAmt eq '27'}selected=""{/if}>Field 27</option>
                                                    <option label="Field 28" value="28" {if $Post.ddlPaymentAmt eq '28'}selected=""{/if}>Field 28</option>
                                                    <option label="Field 29" value="29" {if $Post.ddlPaymentAmt eq '29'}selected=""{/if}>Field 29</option>
                                                    <option label="Field 30" value="30" {if $Post.ddlPaymentAmt eq '30'}selected=""{/if}>Field 30</option>
                                                    <option label="Field 31" value="31" {if $Post.ddlPaymentAmt eq '31'}selected=""{/if}>Field 31</option>
                                                    <option label="Field 32" value="32" {if $Post.ddlPaymentAmt eq '32'}selected=""{/if}>Field 32</option>
                                                    <option label="Field 33" value="33" {if $Post.ddlPaymentAmt eq '33'}selected=""{/if}>Field 33</option>
                                                    <option label="Field 34" value="34" {if $Post.ddlPaymentAmt eq '34'}selected=""{/if}>Field 34</option>
                                                    <option label="Field 35" value="35" {if $Post.ddlPaymentAmt eq '35'}selected=""{/if}>Field 35</option>
                                            </select>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                            Subscription Receipt#
                                        </label><label class="star">*</label>
                                        <div class="FieldLabelNote">
                                            Must include transaction or receipt number on original purchase.
                                        </div>
                                        </td>
                                        <td class="left-side-text">
                                            <div style="float:left">
                                                    <select id="ddlSubReceipt" name="ddlSubReceipt" class="selectcss" style="width:150px" onchange="ShowFixedInputControl(this.value,'sub-receipt-no');">
                                                            <option value="">Select</option>
                                                            <option label="Fixed - please enter" value="FIXED" {if $Post.ddlSubReceipt eq 'FIXED'}selected=""{/if}>Fixed - please enter</option>
                                                            <option label="Field 1" value="1" {if $Post.ddlSubReceipt eq '1'}selected=""{/if}>Field 1</option>
                                                            <option label="Field 2" value="2" {if $Post.ddlSubReceipt eq '2'}selected=""{/if}>Field 2</option>
                                                            <option label="Field 3" value="3" {if $Post.ddlSubReceipt eq '3'}selected=""{/if}>Field 3</option>
                                                            <option label="Field 4" value="4" {if $Post.ddlSubReceipt eq '4'}selected=""{/if}>Field 4</option>
                                                            <option label="Field 5" value="5" {if $Post.ddlSubReceipt eq '5'}selected=""{/if}>Field 5</option>
                                                            <option label="Field 6" value="6" {if $Post.ddlSubReceipt eq '6'}selected=""{/if}>Field 6</option>
                                                            <option label="Field 7" value="7" {if $Post.ddlSubReceipt eq '7'}selected=""{/if}>Field 7</option>
                                                            <option label="Field 8" value="8" {if $Post.ddlSubReceipt eq '8'}selected=""{/if}>Field 8</option>
                                                            <option label="Field 9" value="9" {if $Post.ddlSubReceipt eq '9'}selected=""{/if}>Field 9</option>
                                                            <option label="Field 10" value="10" {if $Post.ddlSubReceipt eq '10'}selected=""{/if}>Field 10</option>
                                                            <option label="Field 11" value="11" {if $Post.ddlSubReceipt eq '11'}selected=""{/if}>Field 11</option>
                                                            <option label="Field 12" value="12" {if $Post.ddlSubReceipt eq '12'}selected=""{/if}>Field 12</option>
                                                            <option label="Field 13" value="13" {if $Post.ddlSubReceipt eq '13'}selected=""{/if}>Field 13</option>
                                                            <option label="Field 14" value="14" {if $Post.ddlSubReceipt eq '14'}selected=""{/if}>Field 14</option>
                                                            <option label="Field 15" value="15" {if $Post.ddlSubReceipt eq '15'}selected=""{/if}>Field 15</option>
                                                            <option label="Field 16" value="16" {if $Post.ddlSubReceipt eq '16'}selected=""{/if}>Field 16</option>
                                                            <option label="Field 17" value="17" {if $Post.ddlSubReceipt eq '17'}selected=""{/if}>Field 17</option>
                                                            <option label="Field 18" value="18" {if $Post.ddlSubReceipt eq '18'}selected=""{/if}>Field 18</option>
                                                            <option label="Field 19" value="19" {if $Post.ddlSubReceipt eq '19'}selected=""{/if}>Field 19</option>
                                                            <option label="Field 20" value="20" {if $Post.ddlSubReceipt eq '20'}selected=""{/if}>Field 20</option>
                                                            <option label="Field 21" value="21" {if $Post.ddlSubReceipt eq '21'}selected=""{/if}>Field 21</option>
                                                            <option label="Field 22" value="22" {if $Post.ddlSubReceipt eq '22'}selected=""{/if}>Field 22</option>
                                                            <option label="Field 23" value="23" {if $Post.ddlSubReceipt eq '23'}selected=""{/if}>Field 23</option>
                                                            <option label="Field 24" value="24" {if $Post.ddlSubReceipt eq '24'}selected=""{/if}>Field 24</option>
                                                            <option label="Field 25" value="25" {if $Post.ddlSubReceipt eq '25'}selected=""{/if}>Field 25</option>
                                                            <option label="Field 26" value="26" {if $Post.ddlSubReceipt eq '26'}selected=""{/if}>Field 26</option>
                                                            <option label="Field 27" value="27" {if $Post.ddlSubReceipt eq '27'}selected=""{/if}>Field 27</option>
                                                            <option label="Field 28" value="28" {if $Post.ddlSubReceipt eq '28'}selected=""{/if}>Field 28</option>
                                                            <option label="Field 29" value="29" {if $Post.ddlSubReceipt eq '29'}selected=""{/if}>Field 29</option>
                                                            <option label="Field 30" value="30" {if $Post.ddlSubReceipt eq '30'}selected=""{/if}>Field 30</option>
                                                            <option label="Field 31" value="31" {if $Post.ddlSubReceipt eq '31'}selected=""{/if}>Field 31</option>
                                                            <option label="Field 32" value="32" {if $Post.ddlSubReceipt eq '32'}selected=""{/if}>Field 32</option>
                                                            <option label="Field 33" value="33" {if $Post.ddlSubReceipt eq '33'}selected=""{/if}>Field 33</option>
                                                            <option label="Field 34" value="34" {if $Post.ddlSubReceipt eq '34'}selected=""{/if}>Field 34</option>
                                                            <option label="Field 35" value="35" {if $Post.ddlSubReceipt eq '35'}selected=""{/if}>Field 35</option>
                                                    </select>
                                            </div>
                                            <div id="sub-receipt-no" style="display:none;float:left;padding-left:5px">
                                                    <span style="font-size:12px;font-weight:normal;padding-top:-2px">fixed</span>
                                                    <input type="text" id="txtSubReceiptNum" name="txtSubReceiptNum" class="txtcss" {if $Post.txtSubReceiptNum neq ''} value="{$Post.txtSubReceiptNum}" {else}value="IMPORT"{/if}>
                                            </div>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td colspan="2">
                                            <span style="font-size:14px;color:#CF6B00;margin-left:10px;text-decoration:underline">FILE FORMAT</span>
                                        </td>
                                </tr>
                                
                                <tr>
                                        <td class="right-side-text"><label>
                                            File Format <label class="star">*</label>
                                        </label>
                                        </td>
                                        <td class="left-side-text">
                                             <div class="FieldLabelNote" style="float:left;padding:3px">fields delimited by :</div>
                                             <div style="float:left">
                                                    <input type="text" id="txtFieldDelimeted" name="txtFieldDelimeted" style="width:15px" maxlength="1" {if $Post.txtFieldDelimeted neq ''} value="{$Post.txtFieldDelimeted}" {else} value=","{/if}>
                                             </div>
                                        </td>
                                </tr>
                          
                                <tr>
                                     <td/>
                                     <td class="buttontd">
                                            <input type="submit" class="btncss" name="submit" value="Submit">&nbsp;&nbsp;
                                            <input type="button" class="btncss" name="btnBack" value="Cancel" onclick="window.location.href='index.php';">
                                     </td>
                                     
                                </tr>
                          
                          </table>
                 {/if}
              </center>
              
           </div>
           </form>
{*---------------------------------------------validation-------------------------------------------------------*}           
           {if $action eq 'setFields'}
                   <script language="JavaScript" type="text/javascript">
                        //You should create the validator only after the definition of the HTML form
                          var frmvalidator  = new Validator("frmImport");

                          frmvalidator.EnableMsgsTogether();
                          //frmvalidator.EnableOnPageErrorDisplaySingleBox();
                          
                          frmvalidator.addValidation("ddlUsername","dontselect=''","Please select Username field.");
                          
                          frmvalidator.addValidation("ddlPassword","dontselect=''","Please select Password field.");
                          
                          frmvalidator.addValidation("txtFixedPassword","req","Please enter Fixed Password value.","document.getElementById('ddlPassword').options[document.getElementById('ddlPassword').selectedIndex].value == 'FIXED'");
                          frmvalidator.addValidation("txtFixedPassword","minlen=6","Enter minimum 6 character in password.","document.getElementById('ddlPassword').options[document.getElementById('ddlPassword').selectedIndex].value == 'FIXED'")
                          
                          frmvalidator.addValidation("ddlProductID","dontselect=''","Please select Product ID field.");
                          
                          //frmvalidator.addValidation("ddlSubType","dontselect=''","Please select Subscription Type field.");
                          
                          frmvalidator.addValidation("ddlSubExpireDate","dontselect=''","Please select Subscription Expire Date.");
                          
                          frmvalidator.addValidation("txtSubExpireDate","req","Please enter Fixed Expire Date value.","document.getElementById('ddlSubExpireDate').options[document.getElementById('ddlSubExpireDate').selectedIndex].value == 'FIXED'");
                          
                          frmvalidator.addValidation("ddlSubReceipt","dontselect=''","Please select Subscription Receipt #.");
                          
                          frmvalidator.addValidation("txtSubReceiptNum","req","Please enter Fixed  Subscription Receipt number.","document.getElementById('ddlSubReceipt').options[document.getElementById('ddlSubReceipt').selectedIndex].value == 'FIXED'");
                          
        //                  frmvalidator.addValidation("txtThemeName","maxlen=45",    "Max length for theme name is 45 character.");
        //                  frmvalidator.addValidation("txtThemeName","alnum_s","Alphabetic chars only");
                          
        //                  frmvalidator.addValidation("txtDescription","req","Please enter theme description.");
        //                  frmvalidator.addValidation("txtDescription","maxlen=200","Max length for theme description is 200 character.");
                          
                         // frmvalidator.addValidation("ddlStatus","dontselect=''","Please select theme status.");
                          
                   </script>
          {elseif $action eq 'uploadfile'}
                <script language="JavaScript" type="text/javascript">  
                            var frmvalidator  = new Validator("frmImport");

                            frmvalidator.EnableMsgsTogether();
                            
                            frmvalidator.addValidation("csvFile","req","Please select file for upload.");
                </script>
                           
          {/if}
          
{*---------------------------------------------validation over---------------------------------------------------*}           

    </div>
</div>
</div>
{$ADMIN_FOOTER}
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