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- <div id="single-column">
- <h1>Review your Profile Information</h1>
- <p>Select "Submit" to confirm the accuracy of the information on this page. Or, select "Edit this info" to make changes.</p>
- <fieldset>
- <% form_for @user, :url => { :action => "step4" } do |f| %>
- <div class="boxed-content">
- <a href="step2?save_changes=true" class="button-link"><img class="button-edit-info" src="/images/button-edit-info.png" /></a>
- <h2>Personal Information</h2>
- <table cellspacing="0" id="confirm-registration-table">
- <tr>
- <th>Name</th>
- <td><%= @profile.salutation %> <%= @profile.first_name %> <%= @profile.last_name %> <%= @profile.suffix %></td>
- </tr>
- <tr>
- <th>Address</th>
- <td><%= @profile.address_1 %><br /><%= @profile.address_2 %><br /><%= @profile.city %>, <%= @profile.us_state %> <%= @profile.zip %></td>
- </tr>
- <tr>
- <th>Country</th>
- <td><%= @profile.country %></td>
- </tr>
- <tr>
- <th>Phone</th>
- <td><%= @profile.phone %></td>
- </tr>
- <tr>
- <th>Fax</th>
- <td><%= @profile.fax.blank? ? 'None Specified' : @profile.fax %></td>
- </tr>
- <tr>
- <th>ACS Number</th>
- <td><%= @profile.acs_num.blank? ? 'None Specified' : @profile.acs_num %></td>
- </tr>
- <tr>
- <th>Website</th>
- <td><%= @profile.website.blank? ? 'None Specified' : @profile.website %></td>
- </tr>
- <tr>
- <th>Email</th>
- <td><%= @user.email %></td>
- </tr>
- <tr>
- <th>Username</th>
- <td><%= @user.login %></td>
- </tr>
- </table>
- <div class="boxed-content-bottom"></div>
- </div> <!-- end: .boxed-content -->
- <div class="boxed-content">
- <a href="step2?save_changes=true" class="button-link"><img class="button-edit-info" src="/images/button-edit-info.png" /></a>
- <h2>Expertise</h2>
- <table cellspacing="0" id="confirm-registration-table">
- <tr>
- <th>Primary Scientific Expertise</th>
- <td><%= @profile.primary_expertise %></td>
- </tr>
- <tr>
- <th>Secondary Scientific Expertise</th>
- <td><%= @profile.secondary_expertise %></td>
- </tr>
- <!--
- <tr>
- <th>Specialty Focus</th>
- <td><%= @profile.keywords.blank? ? 'None Specified' : @profile.keywords %></td>
- </tr>
- <tr>
- <th>Education</th>
- <td><%= @profile.education.blank? ? 'None Specified' : @profile.education %></td>
- </tr>
- <tr>
- <th>Minimum # of Cases Deposed/Testified in the Past 5 Yrs<br /><br /></th>
- <td><%= @profile.num_cases.blank? ? 'None Specified' : @profile.num_cases %></td>
- </tr>
- <tr>
- <th>Years of Professional Experience</th>
- <td><%= @profile.years_experience.blank? ? 'None Specified' : @profile.years_experience %></td>
- </tr>
- -->
- </table>
- <div class="boxed-content-bottom"></div>
- </div> <!-- end: .boxed-content -->
- <div class="boxed-content">
- <a href="step3?save_changes=true" class="button-link"><img class="button-edit-info" src="/images/button-edit-info.png" /></a>
- <h2>Payment Information</h2>
- <table cellspacing="0" id="confirm-registration-table">
- <% if session[:credit_card] %>
- <tr>
- <th>Name on Credit Card</th>
- <td><%= session[:credit_card][:first_name] %> <%= session[:credit_card][:last_name] %></td>
- </tr>
- <tr>
- <th>Credit Card Number</th>
- <td><%= session[:credit_card][:number] %></td>
- </tr>
- <% else %>
- <tr>
- <th>Check</th>
- <td><p>Please make your check payable to ACS.</p></td>
- </tr>
- <% end %>
- <% if session[:billing_address] %>
- <tr>
- <th>Billing Address</th>
- <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>
- </tr>
- <% end%>
- <tr>
- <th>Registration Fee</th>
- <td>$295</td>
- </tr>
- </table>
- <div class="boxed-content-bottom"></div>
- </div> <!-- end: .boxed-content -->
- <h2>To complete Registration, click the "Continue" Button:</h2>
- <p>If you are paying via Credit Card, the transaction will be processed.</p>
- <%= image_submit_tag('button-continue-blue-bg.gif') %>
- <% end %>
- </fieldset>
- </div> <!-- end: #single-column -->
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