<?php
/**
 * Magento
 *
 * NOTICE OF LICENSE
 *
 * This source file is subject to the Academic Free License (AFL 3.0)
 * that is bundled with this package in the file LICENSE_AFL.txt.
 * It is also available through the world-wide-web at this URL:
 * http://opensource.org/licenses/afl-3.0.php
 * If you did not receive a copy of the license and are unable to
 * obtain it through the world-wide-web, please send an email
 * to license@magentocommerce.com so we can send you a copy immediately.
 *
 * DISCLAIMER
 *
 * Do not edit or add to this file if you wish to upgrade Magento to newer
 * versions in the future. If you wish to customize Magento for your
 * needs please refer to http://www.magentocommerce.com for more information.
 *
 * @category   design_default
 * @package    Mage
 * @copyright  Copyright (c) 2008 Irubin Consulting Inc. DBA Varien (http://www.varien.com)
 * @license    http://opensource.org/licenses/afl-3.0.php  Academic Free License (AFL 3.0)
 */
?>
<?php
/**
 * Edit customer address template
 *
 * @see Mage_Customer_Block_Address_Edit
 */
?>
<?php if($this->getTitle()): ?>
<div class="page-head">
    <h3><?php echo $this->getTitle() ?></h3>
</div>
<?php endif; ?>
<?php echo $this->getMessagesBlock()->getGroupedHtml() ?>
<form action="<?php echo $this->getSaveUrl() ?>" method="post" id="form-validate">
    <fieldset class="group-select">
    <input type="hidden" name="success_url" value="<?php echo $this->getSuccessUrl() ?>" />
    <input type="hidden" name="error_url" value="<?php echo $this->getErrorUrl() ?>" />
        <h4 class="legend"><?php echo $this->__('Contact Information') ?></h4>
        <ul>
            <li>
                <?php echo $this->getLayout()->createBlock('customer/widget_name')->setObject($this->getAddress()->getFirstname() ? $this->getAddress() : $this->getCustomer())->toHtml() ?>
            </li>
            <li>
                <label for="company"><?php echo $this->__('Company') ?></label><br />
                <input type="text" name="company" id="company" title="<?php echo $this->__('Company') ?>" value="<?php echo $this->htmlEscape($this->getAddress()->getCompany()) ?>" class="input-text" />
            </li>
            <li>
                <div class="input-box">
                    <label for="telephone"><?php echo $this->__('Telephone') ?> <span class="required">*</span></label><br />
                    <input type="text" name="telephone" value="<?php echo $this->htmlEscape($this->getAddress()->getTelephone()) ?>" title="<?php echo $this->__('Telephone') ?>" class="required-entry input-text" id="telephone" />
                </div>
                <div class="input-box">
                    <label for="fax"><?php echo $this->__('Fax') ?></label><br />
                    <input type="text" name="fax" id="fax" title="<?php echo $this->__('Fax') ?>" value="<?php echo $this->htmlEscape($this->getAddress()->getFax()) ?>" class="input-text" />
                </div>
            </li>
        </ul>
    </fieldset>
    <fieldset class="group-select">
         <h4 class="legend"><?php echo $this->__('Address') ?></h4>
        <ul>
            <li>
                <label for="street_1"><?php echo $this->__('Street Address') ?> <span class="required">*</span></label><br />
                <input type="text" name="street[]" value="<?php echo $this->htmlEscape($this->getAddress()->getStreet(1)) ?>" title="<?php echo $this->__('Street Address') ?>" id="street_1" class="required-entry input-text" />
            </li>
<?php for ($_i=2, $_n=$this->helper('customer/address')->getStreetLines(); $_i<=$_n; $_i++): ?>
            <li>
                <input type="text" name="street[]" value="<?php echo $this->htmlEscape($this->getAddress()->getStreet($_i)) ?>" title="<?php echo $this->__('Street Address '.$_i) ?>" id="street_<?php echo $_i?>" class="input-text" />
            </li>
<?php endfor ?>
            <li>
                <div class="input-box">
                    <label for="city"><?php echo $this->__('City') ?> <span class="required">*</span></label><br />
                    <input type="text" name="city" value="<?php echo $this->htmlEscape($this->getAddress()->getCity()) ?>"  title="<?php echo $this->__('City') ?>" class="required-entry input-text" id="city" />
                </div>
                <div class="input-box">
                    <label for="region_id"><?php echo $this->__('State/Province') ?> <span class="required">*</span></label><br />
                    <select id="region_id" name="region_id" title="<?php echo $this->__('State/Province') ?>" class="validate-select" style="display:none">
                       <option value=""><?php echo $this->__('Please select region, state or province') ?></option>
                    </select>
                    <script type="text/javascript">
                        $('region_id').setAttribute('defaultValue',  "<?php echo $this->getAddress()->getRegionId() ?>");
                    </script>
                    <input type="text" id="region" name="region" value="<?php echo $this->htmlEscape($this->getAddress()->getRegion()) ?>"  title="<?php echo $this->__('State/Province') ?>" class="input-text" style="display:none" />
                </div>
            </li>
            <li>
                <div class="input-box">
                    <label for="zip"><?php echo $this->__('Zip/Postal Code') ?> <span class="required">*</span></label><br />
                    <input type="text" name="postcode" value="<?php echo $this->htmlEscape($this->getAddress()->getPostcode()) ?>" title="<?php echo $this->__('Zip/Postal Code') ?>" id="zip" class="validate-zip-international required-entry input-text" />
                </div>
                <div class="input-box">
                    <label for="country"><?php echo $this->__('Country') ?> <span class="required">*</span></label><br />
                    <?php echo $this->getCountryHtmlSelect() ?>
                </div>
            </li>
            <li>
                <?php if($this->isDefaultBilling()): ?>
                    <strong><?php echo $this->__('Default Billing Address') ?></strong>
                <?php elseif($this->canSetAsDefaultBilling()): ?>
                    <input type="checkbox" id="primary_billing" name="default_billing" value="1" />&nbsp;
                    <label for="primary_billing"><?php echo $this->__('Use as my default billing address') ?></label>
                <?php else: ?>
                    <input type="hidden" name="default_billing" value="1" />
                <?php endif; ?>
            </li>
            <li>
                <?php if($this->isDefaultShipping()): ?>
                    <strong><?php echo $this->__('Default Shipping Address') ?></strong>
                <?php elseif($this->canSetAsDefaultShipping()): ?>
                    <input type="checkbox" id="primary_shipping" name="default_shipping" value="1" />&nbsp;
                    <label for="primary_shipping"><?php echo $this->__('Use as my default shipping address') ?></label>
                <?php else: ?>
                    <input type="hidden" name="default_shipping" value="1" />
                <?php endif; ?>
            </li>
        </ul>
    </fieldset>
    <div class="button-set">
        <p class="required"><?php echo $this->__('* Required Fields') ?></p>
        <a href="<?php echo $this->getBackUrl() ?>" class="left">&laquo; <?php echo $this->__('Back') ?></a>
        <button class="form-button" type="submit"><span><?php echo $this->__('Save Address') ?></span></button>
    </div>
</form>
<script type="text/javascript">
    var dataForm = new VarienForm('form-validate', true);
    new RegionUpdater('country', 'region', 'region_id', <?php echo $this->helper('directory')->getRegionJson() ?>);
</script>
