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+<div id="submit-header" data-role="header">
+ <h1>[% loc('Your details') %]</h1>
+</div>
+
+<div data-role="content">
+ <div id="errors"></div>
+ <p class="top">
+ <% if ( nopassword ) { %>
+ [% loc("No problem - we don't like faffing with passwords either.") %]
+ <% } %>
+ [% loc("Please give us some basic details, and you're nearly done.") %]
+ </p>
+ <div class="inputcard">
+ <% if ( typeof model.title_list !== 'undefined' ) { %>
+ <div>
+ <select data-role="none" placeholder="[% loc('Title') %]" id="form_title" name="title" required>
+ <option value="">[% loc('Title') %]</option>
+ <% for ( var i = 0; i < model.title_list.length; i++ ) { var title = model.title_list[i]; print( '<option value="' + title + '">' + title + '</option>' ); } %>
+ </select>
+ </div>
+ <% } %>
+ <div>
+ <input data-role="none" type="text" value="<%= user.name %>" name="name" id="form_name" placeholder="[% loc('Please enter your name') %]" required>
+ </div>
+ <div>
+ <input data-role="none" type="tel" value="<%= user.phone %>" name="name" id="form_phone" placeholder="[% loc('Optionally enter your phone number') %]">
+ </div>
+ <div data-role="fieldcontain">
+ <fieldset data-role="controlgroup">
+ <input type="checkbox" name="may_show_name" id="form_may_show_name" value="1" checked>
+ <label for="form_may_show_name">[% loc('Show my name publicly') %]</label>
+ </fieldset>
+ </div>
+ </div>
+ <div class="bottom-btn">
+ <input data-role="button" data-theme="a" type="button" id="send_confirm" name="send_confirm" value="[% loc('Send confirmation email') %]">
+ </div>
+</div>