<#include "/skin/plugins/asynchronousupload/upload_commons.html" /> <@row> <@columns> <@box> <#if form.displayTitleFo && form.title != "" > <#assign title = form.title /> <#else> <#assign title = '#i18n{appointment.appointmentApp.defaultTitle}' /> <@boxHeader title=title /> <@boxBody>

<#if form.displayTitleFo && form.title != "" > ${form.title} <#else> #i18n{appointment.appointmentApp.defaultTitle}

<#if infos?? || errors??> <@messages infos=infos errors=errors />
<#if form_errors??> <#list form_errors as form_error> <#if form_error.isDisplayableError> <#list form_errors as form_error> <#if form_error.isDisplayableError && form_error.errorMessage==listAllErrors[8] > <@alert class='danger'> ${form_error.errorMessage} <#if formMessages.fieldLastNameHelp?? && formMessages.fieldLastNameHelp != ''> <#assign formGroupHelpKey = '${formMessages.fieldLastNameHelp}' /> <#if form_errors??> <#list form_errors as form_error> <#if form_error.isDisplayableError && form_error.errorMessage==listAllErrors[0]> <#assign formGroupHelpKey = '${form_error.errorMessage}' /> <#assign formGroupClass='has-error' /> <@formGroup class='${formGroupClass!}' labelFor='lastname' labelKey='${formMessages.fieldLastNameTitle!}' helpKey='${formGroupHelpKey!}' mandatory=true> <@input type='text' name='lastname' id='lastname' value='${appointment.lastName!}' maxlength=255 /> <#if formMessages.fieldFirstNameHelp?? && formMessages.fieldFirstNameHelp != ''> <#assign formGroupHelpKey = '${formMessages.fieldFirstNameHelp}' /> <#if form_errors??> <#list form_errors as form_error> <#if form_error.isDisplayableError && form_error.errorMessage==listAllErrors[1]> <#assign formGroupHelpKey = '${form_error.errorMessage}' /> <#assign formGroupClass='has-error' /> <@formGroup class='${formGroupClass!}' labelFor='firstname' labelKey='${formMessages.fieldFirstNameTitle!}' helpKey='${formGroupHelpKey!}' mandatory=true> <@input type='text' name='firstname' id='firstname' value='${appointment.firstName!}' maxlength=255 /> <#if formMessages.fieldEmailHelp?? && formMessages.fieldEmailHelp != ''> <#assign formGroupHelpKey = '${formMessages.fieldEmailHelp}' /> <#if form_errors??> <#list form_errors as form_error> <#if form_error.isDisplayableError && (form_error.errorMessage==listAllErrors[2] || form_error.errorMessage==listAllErrors[3])> <#assign formGroupHelpKey = '${form_error.errorMessage}' /> <#assign formGroupClass='has-error' /> <@formGroup class='${formGroupClass!}' labelFor='email' labelKey='${formMessages.fieldEmailTitle!}' helpKey='${formGroupHelpKey!}' mandatory=true> <@input type='email' name='email' id='email' value='${appointment.email!}' maxlength=255 /> <#if formMessages.fieldConfirmationEmail?? && formMessages.fieldConfirmationEmailHelp != ''> <#assign formGroupHelpKey = '${formMessages.fieldConfirmationEmailHelp!}' /> <#if form_errors??> <#list form_errors as form_error> <#if form_error.isDisplayableError && (form_error.errorMessage == listAllErrors[4] || form_error.errorMessage == listAllErrors[5] )> <#assign formGroupHelpKey = '${form_error.errorMessage}' /> <#assign formGroupClass='has-error' /> <@formGroup class='${formGroupClass!}' labelFor='emailConfirm' labelKey='${formMessages.fieldConfirmationEmail!}' helpKey='${formGroupHelpKey!}' mandatory=true> <@input type='email' name='emailConfirm' id='emailConfirm' value='${appointment.email!}' maxlength=255 /> ${str_entry} ${addon!} <@formGroup>

<@addRequiredJsFiles />