{config_load file="$language/lang.conf" section="create_account"}

{#heading_create_account#}

{$FORM_ACTION} {if $error!=''}
{$error}
{/if}
 
{#title_personal#} {#text_must#}
{if $gender=='1'} {/if} {if $birthdate=='1'} {/if}
{$INPUT_MALE} {$INPUT_FEMALE}
{$INPUT_FIRSTNAME}
{$INPUT_LASTNAME}
{$INPUT_DOB}
{$INPUT_EMAIL}
{if $company=='1'}
 
{#title_company#}
{if $vat=='1'} {/if}
{#text_company#} {$INPUT_COMPANY}
{#text_ustid#} {$INPUT_VAT}
{/if} {if $street_address=='1'}
 
{#title_address#}
{/if} {if $street_address=='1'} {/if} {if $suburb=='1'} {/if} {if $postcode=='1'} {/if} {if $city=='1'} {/if} {if $state=='1'} {/if} {if $country=='1'} {/if}
{$INPUT_STREET}
{#text_suburb#} {$INPUT_SUBURB}
{$INPUT_CODE}
{$INPUT_CITY}
{$INPUT_STATE}
{$SELECT_COUNTRY}{$SELECT_COUNTRY_NOSCRIPT}
{if $telephone=='1'}
 
{#title_contact#}
{/if} {if $telephone=='1'} {/if} {if $fax=='1'} {/if} {if $customers_extra_fileds=='1'} {$INPUT_CUSTOMERS_EXTRA_FIELDS} {/if}
{$INPUT_TEL}
{#text_fax#} {$INPUT_FAX}
{$BUTTON_SUBMIT}
{$FORM_END}