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May 30th, 2018
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  1. <div id="single-column">
  2.  
  3. <h1>Review your Profile Information</h1>
  4.  
  5. <p>Select "Submit" to confirm the accuracy of the information on this page. Or, select "Edit this info" to make changes.</p>
  6.  
  7. <fieldset>
  8. <% form_for @user, :url => { :action => "step4" } do |f| %>
  9.  
  10. <div class="boxed-content">
  11.  
  12. <a href="step2?save_changes=true" class="button-link"><img class="button-edit-info" src="/images/button-edit-info.png" /></a>
  13.  
  14. <h2>Personal Information</h2>
  15.  
  16. <table cellspacing="0" id="confirm-registration-table">
  17. <tr>
  18.  
  19. <th>Name</th>
  20. <td><%= @profile.salutation %> <%= @profile.first_name %> <%= @profile.last_name %> <%= @profile.suffix %></td>
  21. </tr>
  22. <tr>
  23. <th>Address</th>
  24. <td><%= @profile.address_1 %><br /><%= @profile.address_2 %><br /><%= @profile.city %>, <%= @profile.us_state %> <%= @profile.zip %></td>
  25. </tr>
  26. <tr>
  27. <th>Country</th>
  28. <td><%= @profile.country %></td>
  29. </tr>
  30. <tr>
  31. <th>Phone</th>
  32. <td><%= @profile.phone %></td>
  33. </tr>
  34. <tr>
  35. <th>Fax</th>
  36. <td><%= @profile.fax.blank? ? 'None Specified' : @profile.fax %></td>
  37. </tr>
  38. <tr>
  39. <th>ACS Number</th>
  40. <td><%= @profile.acs_num.blank? ? 'None Specified' : @profile.acs_num %></td>
  41. </tr>
  42. <tr>
  43. <th>Website</th>
  44. <td><%= @profile.website.blank? ? 'None Specified' : @profile.website %></td>
  45. </tr>
  46. <tr>
  47. <th>Email</th>
  48. <td><%= @user.email %></td>
  49. </tr>
  50. <tr>
  51. <th>Username</th>
  52. <td><%= @user.login %></td>
  53. </tr>
  54. </table>
  55.  
  56. <div class="boxed-content-bottom"></div>
  57.  
  58. </div> <!-- end: .boxed-content -->
  59.  
  60. <div class="boxed-content">
  61.  
  62. <a href="step2?save_changes=true" class="button-link"><img class="button-edit-info" src="/images/button-edit-info.png" /></a>
  63.  
  64. <h2>Expertise</h2>
  65.  
  66. <table cellspacing="0" id="confirm-registration-table">
  67. <tr>
  68. <th>Primary Scientific Expertise</th>
  69. <td><%= @profile.primary_expertise %></td>
  70.  
  71. </tr>
  72. <tr>
  73. <th>Secondary Scientific Expertise</th>
  74. <td><%= @profile.secondary_expertise %></td>
  75. </tr>
  76. <!--
  77. <tr>
  78. <th>Specialty Focus</th>
  79. <td><%= @profile.keywords.blank? ? 'None Specified' : @profile.keywords %></td>
  80.  
  81. </tr>
  82. <tr>
  83. <th>Education</th>
  84. <td><%= @profile.education.blank? ? 'None Specified' : @profile.education %></td>
  85. </tr>
  86. <tr>
  87. <th>Minimum # of Cases Deposed/Testified in the Past 5 Yrs<br /><br /></th>
  88.  
  89. <td><%= @profile.num_cases.blank? ? 'None Specified' : @profile.num_cases %></td>
  90. </tr>
  91. <tr>
  92. <th>Years of Professional Experience</th>
  93. <td><%= @profile.years_experience.blank? ? 'None Specified' : @profile.years_experience %></td>
  94. </tr>
  95. -->
  96. </table>
  97.  
  98. <div class="boxed-content-bottom"></div>
  99.  
  100. </div> <!-- end: .boxed-content -->
  101.  
  102. <div class="boxed-content">
  103.  
  104. <a href="step3?save_changes=true" class="button-link"><img class="button-edit-info" src="/images/button-edit-info.png" /></a>
  105.  
  106. <h2>Payment Information</h2>
  107.  
  108. <table cellspacing="0" id="confirm-registration-table">
  109. <% if session[:credit_card] %>
  110. <tr>
  111. <th>Name on Credit Card</th>
  112. <td><%= session[:credit_card][:first_name] %> <%= session[:credit_card][:last_name] %></td>
  113. </tr>
  114. <tr>
  115. <th>Credit Card Number</th>
  116. <td><%= session[:credit_card][:number] %></td>
  117.  
  118. </tr>
  119. <% else %>
  120. <tr>
  121. <th>Check</th>
  122. <td><p>Please make your check payable to ACS.</p></td>
  123. </tr>
  124. <% end %>
  125. <% if session[:billing_address] %>
  126. <tr>
  127. <th>Billing Address</th>
  128. <td><%= session[:billing_address][:street_1] %><br /><%= session[:billing_address][:street_2] %><br /><%= session[:billing_address][:city] %>, <%= session[:billing_address][:state] %> <%= session[:billing_address][:zip] %></td>
  129. </tr>
  130. <% end%>
  131. <tr>
  132. <th>Registration Fee</th>
  133. <td>$295</td>
  134. </tr>
  135. </table>
  136.  
  137. <div class="boxed-content-bottom"></div>
  138.  
  139. </div> <!-- end: .boxed-content -->
  140.  
  141. <h2>To complete Registration, click the "Continue" Button:</h2>
  142.  
  143. <p>If you are paying via Credit Card, the transaction will be processed.</p>
  144.  
  145. <%= image_submit_tag('button-continue-blue-bg.gif') %>
  146.  
  147. <% end %>
  148. </fieldset>
  149.  
  150. </div> <!-- end: #single-column -->
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