{assign var=multiplier value=$gstinfo.percent+1} {include file="defaultlayer/platsignup/includes/htmldoctype_selector.html"} {include file="defaultlayer/platsignup/includes/htmlheader_selector.html"} {include file="defaultlayer/platsignup/includes/pageheader_selector.html"}
{include file="defaultlayer/platsignup/includes/error_selector.html"}

Verify that the information below is correct. If it is, click Process to submit your order.

Customer Information
  1. {$custdata.newcustomer.info.name|escape:'html'|default:' '}
  2. {$custdata.newcustomer.info.username|escape:'html'|default:' '}
  3. {$custdata.newcustomer.info.passwordMasked|escape:'html'|default:' '}
    4. {if $custdata.newcustomer.info.email}
  4. {$custdata.newcustomer.info.email|escape:'html'|default:' '}
    5. {/if}
  5. {$custdata.newcustomer.info.addr1|escape:'html'|default:' '}
    6. {if $custdata.newcustomer.info.addr2}
  6. {$custdata.newcustomer.info.addr2|escape:'html'|default:' '}
    7. {/if}
  7. {$custdata.newcustomer.info.city|escape:'html'}, {$custdata.newcustomer.info.state|escape:'html'}   {$custdata.newcustomer.info.zip|escape:'html'|default:' '}
    8. {if $custdata.newcustomer.info.country}
  8. {$custdata.newcustomer.info.country|escape:'html'}
    9. {/if}
  9. {$custdata.newcustomer.info.phone|escape:'html'|default:' '}
  10. {$custdata.newcustomer.info.phone2|escape:'html'|default:' '}
  11. {$custdata.newcustomer.info.stmtmethod|escape:'html'}
    12. {if $custdata.newcustomer.poplocation.id gt 0}
  12. {$custdata.newcustomer.poplocation.detail.pop_desc|escape:'html'|default:' '} ({$custdata.newcustomer.poplocation.detail.pop_city|escape:'html'}, {$custdata.newcustomer.poplocation.detail.pop_state|escape:'html'} -- {$custdata.newcustomer.poplocation.detail.pop_number|escape:'html'})
    13. {/if}
Payment Information
    {if $custdata.newcustomer.info.paymenttype == 'ccard'}
  1. {$custdata.newcustomer.paymentinfo.cctype|escape:'html'|default:' '}
  2. {$custdata.newcustomer.paymentinfo.ccnumberMasked|escape:'html'|default:' '}
  3. {$custdata.newcustomer.paymentinfo.cvv2|escape:'html'|default:' '}
  4. {$custdata.newcustomer.paymentinfo.ccmonth|escape:'html'} / {$custdata.newcustomer.paymentinfo.ccyear|escape:'html'}
  5. {$custdata.newcustomer.paymentinfo.ccname|escape:'html'|default:' '}
  6. {$custdata.newcustomer.paymentinfo.ccaddr1|escape:'html'|default:' '}
    7. { if $custdata.newcustomer.paymentinfo.ccaddr2}
  7. {$custdata.newcustomer.paymentinfo.ccaddr2|escape:'html'}
    8. { /if}
  8. {$custdata.newcustomer.paymentinfo.cccity|escape:'html'|default:' '}, {$custdata.newcustomer.paymentinfo.ccstate|escape:'html'|default:' '}   {$custdata.newcustomer.paymentinfo.cczip|escape:'html'|default:' '}
    9. { if $custdata.newcustomer.paymentinfo.cccountry}
  9. {$custdata.newcustomer.paymentinfo.cccountry|escape:'html'}
    10. { /if}
  10. {$custdata.chargeamount|escape:'html'|default:' '}
    11. {elseif $custdata.newcustomer.info.paymenttype == 'ach'}
  11. { if $custdata.newcustomer.paymentinfo.bankaccttype == 1} Checking { elseif $custdata.newcustomer.paymentinfo.bankaccttype == 2} Savings { elseif $custdata.newcustomer.paymentinfo.bankaccttype == 3} Business Checking { elseif $custdata.newcustomer.paymentinfo.bankaccttype == 4} Business Savings { else}   { /if}
  12. {$custdata.newcustomer.paymentinfo.routenumber|escape:'html'|default:' '}
  13. {$custdata.newcustomer.paymentinfo.acctnumber|escape:'html'|default:' '}
  14. {$custdata.chargeamount|escape:'html'|default:' '}
    15. {elseif $custdata.newcustomer.info.paymenttype == 'check'}
  15. {$custdata.chargeamount|escape:'html'|default:' '} Send in your payment as soon as possible!
    16. {/if}
Rate Information
    {foreach from=$custdata.newcustomer.rate.detail item=thisRate}
  1. {$thisRate.name|escape:'html'}
    2. { if $thisRate.rg_one_time_fees > 0}
  2. {$thisRate.rg_one_time_fees*$multiplier|string_format:'%.2f'|escape:'html'|default:' '}
    3. { /if}
  3. {$thisRate.rg_fixed_price*$multiplier|string_format:'%.2f'|escape:'html'}/ { if $thisRate.rg_frequency == 1} month { elseif $thisRate.rg_frequency} {$thisRate.rg_frequency} months { /if} { if $gstinfo} (* {$gstinfo.desc|escape:'html'} ) { /if}
    4. {/foreach}
{if $custdata.newcustomer.blockrate.detail}
Block Item Information
    { foreach from=$custdata.newcustomer.blockrate.detail item=thisRate}
    2. {$thisRate.name|escape:'html'|default:' '}
    3. {$thisRate.price*$multiplier|string_format:'%.2f'|escape:'html'} / {$thisRate.timelimit|escape:'html'}   {$thisRate.uom|escape:'html'} { /foreach}
{/if}
{include file="defaultlayer/piwi/includes/pagefooter_selector.html"}