{config_load file="$language/lang_$language.conf" section="create_account"}
<table width="100%" border="0" cellspacing="0" cellpadding="0">
  <tr>
    <td>
	<table width="100%" border="0" cellspacing="0" cellpadding="0">
        <tr valign="top"> 
          <td class="contentsTopics">{#heading_create_account#}</td>
		</tr>
	  </table>
{$FORM_ACTION}
{if $error!=''}
<table width="100%" border="0" cellspacing="0" cellpadding="0">
  <tr>
    <td>{$error}</td>
  </tr>
</table>
{/if}
<table width="100%" border="0" cellspacing="0" cellpadding="0">
        <tr>
          <td class="main">&nbsp;</td>
        </tr>
  <tr>
    <td><strong>{#title_personal#}</strong></td>
    <td align="right" class="inputRequirement">{#text_must#}</td>
  </tr>
</table>
<table width="100%"  class="formArea" cellspacing="2" cellpadding="0">
{if $gender=='1'}
  <tr> 
          <td width="200" class="main">{#text_gender#}</td>
    <td class="main">
		<table cellspacing="0" cellpadding="0">
			<tr>
			  	<td class="main"> {$INPUT_MALE}</td>
			  	<td class="main"> {$INPUT_FEMALE}</td>				
  			</tr>
		</table>
	</td>
  </tr>
  {/if}
  <tr> 
    <td class="main">{#text_firstname#}</td>
    <td class="inputRequirement" >{$INPUT_FIRSTNAME}</td>
  </tr>
  <tr> 
    <td class="main">{#text_lastname#}</td>
    <td class="inputRequirement">{$INPUT_LASTNAME}</td>
  </tr>
  {if $birthdate=='1'}
  <tr> 
    <td class="main">{#text_birthdate#}</td>
    <td class="inputRequirement">{$INPUT_DOB}</td>
  </tr>
  {/if}
  <tr>
    <td class="main">{#text_email#}</td>
    <td class="inputRequirement">{$INPUT_EMAIL}</td>
  </tr>
</table>
{if $company=='1'}
      <table width="100%" border="0" cellspacing="0" cellpadding="0">
        <tr>
          <td class="main">&nbsp;</td>
        </tr>
        <tr>
          <td class="main"><strong>{#title_company#}</strong></td>
        </tr>
      </table> 
      <table class="formArea" width="100%" border="0" cellspacing="2" cellpadding="0">
  <tr> 
          <td width="200" class="main">{#text_company#}</td>
    <td class="inputRequirement">{$INPUT_COMPANY}</td>
  </tr>
  {if $vat=='1'}
  <tr>
     <td class="main">{#text_ustid#}</td>
     <td class="inputRequirement">{$INPUT_VAT}</td>
  </tr>
  {/if}

</table>
{/if}
      <table width="100%" border="0" cellspacing="0" cellpadding="0">
        <tr>
          <td class="main">&nbsp;</td>
        </tr>
        <tr>
          <td class="main"><strong>{#title_address#}</strong></td>
        </tr>
      </table> 
      <table class="formArea" width="100%" border="0" cellspacing="2" cellpadding="0">
  <tr> 
          <td width="200" class="main">{#text_street#}</td>
    <td class="inputRequirement">{$INPUT_STREET}</td>
  </tr>
  {if $suburb=='1'}
  <tr> 
    <td class="main">{#text_suburb#}</td>
    <td class="inputRequirement">{$INPUT_SUBURB}</td>
  </tr>
  {/if}
  <tr> 
    <td class="main">{#text_code#}</td>
    <td class="inputRequirement">{$INPUT_CODE}</td>
  </tr>
  <tr> 
    <td class="main">{#text_city#}</td>
    <td class="inputRequirement">{$INPUT_CITY}</td>
  </tr>
  {if $state=='1'}
  <tr> 
    <td class="main">{#text_state#}</td>
    <td class="inputRequirement">{$INPUT_STATE}</td>
  </tr>
  {/if}
  <tr>
    <td class="main">{#text_country#}</td>
    <td class="inputRequirement">{$SELECT_COUNTRY}</td>
  </tr>
</table>
      <table width="100%" border="0" cellspacing="0" cellpadding="0">
        <tr>
          <td class="main">&nbsp;</td>
        </tr>
        <tr>
          <td class="main"><strong>{#title_contact#}</strong></td>
        </tr>
      </table> 
      <table class="formArea" width="100%" border="0" cellspacing="2" cellpadding="0">
  <tr> 
          <td width="200" class="main">{#text_tel#}</td>
    <td class="inputRequirement">{$INPUT_TEL}</td>
  </tr>
  <tr>
    <td class="main">{#text_fax#}</td>
    <td class="inputRequirement">{$INPUT_FAX}</td>
  </tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
  <tr>
    <td align="right">{$BUTTON_SUBMIT}</td>
  </tr>
</table>
{$FORM_END}
</td>
  </tr>
</table>