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@ -11,8 +11,8 @@ |
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<h1><small>Step {% step_order step="other_orders" %}:</small>Other Orders</h1> |
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<div class="question-well"> |
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<h3>Are you asking for a legal name change?</h3> |
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<div class="question-well {% if name_change_you_error or name_change_you_fullname_error %}error{% endif %}"> |
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<h3>Are you asking for a legal name change?{% if name_change_you_error %}{% include 'partials/required.html' %}{% endif %}</h3> |
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<div class="btn-radio-group" data-toggle="buttons"> |
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<label class="btn btn-radio"> |
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@ -42,14 +42,14 @@ |
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</div> |
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<div id="name_change_you_fullname" hidden> |
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<h3>Please enter the full <strong>new</strong> name</h3> |
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<h3>Please enter the full <strong>new</strong> name{% if name_change_you_fullname_error %}{% include 'partials/required.html' %}{% endif %}</h3> |
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{% input_field type="text" name="name_change_you_fullname" class="form-block input-wide response-textbox" %} |
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</div> |
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</div> |
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<div class="question-well"> |
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<h3>Is your spouse asking for a legal name change?</h3> |
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<div class="question-well {% if name_change_spouse_error or name_change_spouse_fullname_error %}error{% endif %}"> |
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<h3>Is your spouse asking for a legal name change?{% if name_change_spouse_error %}{% include 'partials/required.html' %}{% endif %}</h3> |
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<div class="btn-radio-group" data-toggle="buttons"> |
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<label class="btn btn-radio"> |
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@ -78,14 +78,14 @@ |
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</div> |
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<div id="name_change_spouse_fullname" hidden> |
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<h3>Please enter the full <strong>new</strong> name</h3> |
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<h3>Please enter the full <strong>new</strong> name{% if name_change_spouse_fullname_error %}{% include 'partials/required.html' %}{% endif %}</h3> |
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{% input_field type="text" name="name_change_spouse_fullname" class="form-block input-wide response-textbox" %} |
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</div> |
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</div> |
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<div class="question-well"> |
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<h3>Please enter the details for other orders that you are asking for.</h3> |
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<h3>Please enter the details for other orders that you are asking for.{% include 'partials/optional.html' %}</h3> |
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{% input_field type="textarea" name="other_orders_detail" rows="8" cols="65" class="response-textarea" %} |
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<div id="questions_modal" class="modal in" tabindex="-1" role="dialog" style="display: block"> |
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