{config_load file="$language/lang_$language.conf" section="create_account"}
{#heading_create_account#}
{$FORM_ACTION} {if $error!=''}
{$error}
{/if}
 
{#title_personal#} {#text_must#}
{if $gender=='1'} {/if} {if $birthdate=='1'} {/if}
{#text_gender#}
{$INPUT_MALE} {$INPUT_FEMALE}
{#text_firstname#} {$INPUT_FIRSTNAME}
{#text_lastname#} {$INPUT_LASTNAME}
{#text_birthdate#} {$INPUT_DOB}
{#text_email#} {$INPUT_EMAIL}
{if $company=='1'}
 
{#title_company#}
{if $vat=='1'} {/if}
{#text_company#} {$INPUT_COMPANY}
{#text_ustid#} {$INPUT_VAT}
{/if}
 
{#title_address#}
{if $suburb=='1'} {/if} {if $state=='1'} {/if}
{#text_street#} {$INPUT_STREET}
{#text_suburb#} {$INPUT_SUBURB}
{#text_code#} {$INPUT_CODE}
{#text_city#} {$INPUT_CITY}
{#text_state#} {$INPUT_STATE}
{#text_country#} {$SELECT_COUNTRY}
 
{#title_contact#}
{#text_tel#} {$INPUT_TEL}
{#text_fax#} {$INPUT_FAX}
 
{#title_password#}
{#text_password#} {$INPUT_PASSWORD}
{#text_confirmation#} {$INPUT_CONFIRMATION}
{$BUTTON_SUBMIT}
{$FORM_END}