<%@ control language="VB" autoeventwireup="false" inherits="RCC_CC_UserOptionalFields, MachSol.MachPanel.Web" %>
<%@ Register Assembly="AjaxControlToolkit" Namespace="AjaxControlToolkit" TagPrefix="EM" %>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal22" runat="server" EnableViewState="false" Text="<%$ Resources:Content,DGN1110336%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_Initials" runat="server" MaxLength="6"></asp:TextBox>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal23" runat="server" EnableViewState="false" Text="<%$ Resources:Content,GN00001132%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_FirstName" runat="server" MaxLength="28"></asp:TextBox>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal24" runat="server" EnableViewState="false" Text="<%$ Resources:Content,DGN1110529%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_MiddleName" runat="server" MaxLength="64"></asp:TextBox>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal25" runat="server" EnableViewState="false" Text="<%$ Resources:Content,GN00001133%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_LastName" runat="server" MaxLength="28"></asp:TextBox>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal26" runat="server" EnableViewState="false" Text="<%$ Resources:Content,DGN1110530%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox runat="server" ID="TxBx_Address" MaxLength="2048"></asp:TextBox>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal27" runat="server" EnableViewState="false" Text="<%$ Resources:Content,GN0000880%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox runat="server" ID="TxBx_City" MaxLength="128"></asp:TextBox>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal28" runat="server" EnableViewState="false" Text="<%$ Resources:Content,GN00001313%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_State" runat="server" MaxLength="128"></asp:TextBox>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal29" runat="server" EnableViewState="false" Text="<%$ Resources:Content,GN00001522%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_Zip" runat="server" MaxLength="40"></asp:TextBox>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal30" runat="server" EnableViewState="false" Text="<%$ Resources:Content,GN0000882%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <asp:DropDownList ID="DDL_Countries" runat="server">
            </asp:DropDownList>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal31" runat="server" EnableViewState="false" Text="<%$ Resources:Content,GN00001524%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_Mobile" runat="server" MaxLength="64"></asp:TextBox>
                <asp:RegularExpressionValidator ErrorMessage="<%$ Resources:Content,DGN1110070%>"
                    ID="RegularExpressionValidator3" runat="server" ControlToValidate="TxBx_Mobile"
                    Display="None" SetFocusOnError="True" ValidationExpression="^([+]?[\s0-9()-]{5,20})$"
                    ValidationGroup="order"></asp:RegularExpressionValidator>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal32" runat="server" EnableViewState="false" Text="<%$ Resources:Content,GN0000886%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_Fax" runat="server" MaxLength="64"></asp:TextBox>
                <EM:FilteredTextBoxExtender ID="FTE_Fax" runat="server" TargetControlID="TxBx_Fax"
                    FilterType="Numbers,Custom" ValidChars="+-() ">
                </EM:FilteredTextBoxExtender>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal33" runat="server" EnableViewState="false" Text="<%$ Resources:Content,DGN1110537%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_BusinessPhone" runat="server" MaxLength="64"></asp:TextBox>
                <asp:RegularExpressionValidator ErrorMessage="<%$ Resources:Content,DGN1110070%>"
                    ID="RegularExpressionValidator4" runat="server" ControlToValidate="TxBx_BusinessPhone"
                    Display="None" SetFocusOnError="True" ValidationExpression="^([+]?[\s0-9()-]{5,20})$"
                    ValidationGroup="order"></asp:RegularExpressionValidator>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal34" runat="server" EnableViewState="false" Text="<%$ Resources:Content,DGN1110538%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_HomePhone" runat="server" MaxLength="64"></asp:TextBox>
                <asp:RegularExpressionValidator ErrorMessage="<%$ Resources:Content,DGN1110070%>"
                    ID="RegularExpressionValidator5" runat="server" ControlToValidate="TxBx_HomePhone"
                    Display="None" SetFocusOnError="True" ValidationExpression="^([+]?[\s0-9()-]{5,20})$"
                    ValidationGroup="order"></asp:RegularExpressionValidator>
            </div>
        </div>
    </div>
</div>
<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal35" runat="server" EnableViewState="false" Text="<%$ Resources:Content,DGN1110383%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_Pager" runat="server" MaxLength="64"></asp:TextBox>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal36" runat="server" EnableViewState="false" Text="<%$ Resources:Content,GN0001120%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_WebPage" runat="server" MaxLength="2048"></asp:TextBox>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal37" runat="server" EnableViewState="false" Text="<%$ Resources:Content,GN0000597%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_Description" runat="server" MaxLength="1024"></asp:TextBox>
            </div>
        </div>
    </div>
</div>
<hr />
<div class="row">
    <div class="col-xs-12 row-label">
        <asp:Literal ID="Literal38" runat="server" EnableViewState="false" Text="<%$ Resources:Content,DGN1110357%>" />:
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal39" runat="server" EnableViewState="false" Text="<%$ Resources:Content,DGN1110358%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_JobTitle" runat="server" MaxLength="128"></asp:TextBox>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal40" runat="server" EnableViewState="false" Text="<%$ Resources:Content,GN00001134%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_Company" runat="server" MaxLength="64"></asp:TextBox>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal41" runat="server" EnableViewState="false" Text="<%$ Resources:Content,GN0000374%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_Department" runat="server" MaxLength="64"></asp:TextBox>
            </div>
        </div>
    </div>
</div>

<div class="row">
    <div class="col-sm-3 col-xs-12 row-label">
        <asp:Literal ID="Literal42" runat="server" EnableViewState="false" Text="<%$ Resources:Content,DGN1110359%>" />:
    </div>
    <div class="col-sm-4 col-xs-12">
        <div class="form-group">
            <div class="form-line">
                <asp:TextBox ID="TxBx_Office" runat="server" MaxLength="128"></asp:TextBox>
            </div>
        </div>
    </div>
</div>
<script lang="javascript">
    AllowArrowKeysInFilteredTextBoxExtender('<%=FTE_Fax.ClientID%>');
</script>
