{txt key=TEXT_EDIT_ADDRESS}

{form type=form name=edit_address action='dynamic' link_params='page_action=edit_address' method=post conn=SSL} {form type=hidden name=action value=edit_address} {if $address_book_id}{form type=hidden name=address_book_id value=$address_book_id}{/if} {$message} {hook key=account_tpl_edit_address_center}

{txt key=TEXT_PERSONAL}

{if $show_gender eq 1}

{txt key=TEXT_GENDER}* {form class="form-control" type=select name=customers_gender value=$gender_data default=$customers_gender}

{/if} {if $show_company eq 1}

{txt key=TEXT_COMPANY_NAME}{if _STORE_COMPANY_MIN_LENGTH > 0}*{/if} {form id=customers_company type=text name=customers_company value=$customers_company}

{txt key=TEXT_COMPANY_NAME_2} {form id=customers_company_2 type=text name=customers_company_2 value=$customers_company_2}

{txt key=TEXT_COMPANY_NAME_3} {form id=customers_company_3 type=text name=customers_company_3 value=$customers_company_3}

{/if} {if $show_title eq 1} {$title_dd = false} {if is_array($title_data) && count($title_data)>0}{$title_dd = true}{/if}

{txt key=TEXT_CUSTOMERS_TITLE}{if $title_required}*{/if}

{if $title_dd}

{foreach item=title from=$title_data}
• {$title.text}
{/foreach}

{/if}

{if $title_dd} {/if} {/if}

{txt key=TEXT_FIRSTNAME}* {form id=customers_firstname type=text name=customers_firstname value=$customers_firstname}

{txt key=TEXT_LASTNAME}* {form id=customers_lastname type=text name=customers_lastname value=$customers_lastname}

{if $show_birthdate eq 1}

{txt key=TEXT_BIRTHDATE}* {form id=customers_dob type=text name=customers_dob value=$customers_dob}

{/if}

{txt key=TEXT_ADDRESS}

{hook key=account_tpl_edit_address_address_top}

{txt key=TEXT_STREET}* {form id=customers_street_address type=text name=customers_street_address value=$customers_street_address}

{txt key=TEXT_ADDRESS_ADDITION} {form id=customers_address_addition type=text name=customers_address_addition value=$customers_address_addition}

{if $show_suburb eq 1}

{txt key=TEXT_SUBURB} {form id=customers_suburb type=text name=customers_suburb value=$customers_suburb}

{/if}

{txt key=TEXT_CODE}* {form id=customers_postcode type=text name=customers_postcode value=$customers_postcode}

{txt key=TEXT_CITY}* {form id=customers_city type=text name=customers_city value=$customers_city}

{txt key=TEXT_COUNTRY}*

{form type=select name=customers_country_code value=$country_data default=$selected_country}

{if $show_federal_states eq 1}

{foreach item='country' from=$country_data} {if $country.federal_states}

{txt key=TEXT_FEDERAL_STATES}*
{form params='class="customers_federal_state_code"' type=select name='customers_federal_state_code' value=$country.federal_states default=$customers_federal_state_code}

{/if} {/foreach}

{/if} {if $show_state eq 1}

{txt key=TEXT_STATE} {form type=select name=customers_zone_code value=$customers_zone_code default=$selected_zone}

{/if} {if $show_county eq 1}

{txt key=TEXT_COUNTY} {$INPUT_COUNTY}

{/if} {hook key=account_tpl_edit_address_address_bottom}

{txt key=TEXT_CONTACT}

{txt key=TEXT_PHONE}{if _STORE_TELEPHONE_MIN_LENGTH > 0}*{/if} {form id=customers_phone type=text name=customers_phone value=$customers_phone}

{txt key=TEXT_MOBILE_PHONE}{if _STORE_MOBILE_PHONE_MIN_LENGTH > 0}*{/if} {form id=customers_mobile_phone type=text name=customers_mobile_phone value=$customers_mobile_phone}

{txt key=TEXT_FAX}{if _STORE_FAX_MIN_LENGTH > 0}*{/if} {form id=customers_fax type=text name=customers_fax value=$customers_fax}

{if $adType} {form type=hidden name=address_class value=$adType} {form type=hidden name=adType value=$adType} {else} {/if}

{txt key=TEXT_MUST}

{form type=formend} {literal} {/literal}