{include file="includes/header.html"}

{form name="thelia.customer.creation"}
<form method="post" action="index_dev.php?action=createCustomer&view=connexion" {form_enctype form=$form} >

    {form_field_hidden form=$form}
    {form_field form=$form.firstname}
        {form_error form=$form.firstname}
            {$message}
        {/form_error}

        <label> <span>{intl l="{$label}"} : </span></label><input type="text" name="{$name}" {$attr} > <br />
    {/form_field}

    {form_field form=$form.lastname}
        {form_error form=$form.lastname}
            {$message}
        {/form_error}

        <label> <span>{intl l="{$label}"} : </span></label><input type="text" name="{$name}" {$attr} > <br />
    {/form_field}

    {form_field form=$form.address1}
        {form_error form=$form.address1}
            {$message}
        {/form_error}

        <label> <span>{intl l="{$label}"} : </span></label><input type="text" name="{$name}" {$attr} > <br />
    {/form_field}

    {form_field form=$form.address2}
        {form_error form=$form.address2}
            {$message}
        {/form_error}

        <label> <span>{intl l="{$label}"} : </span></label><input type="text" name="{$name}" {$attr} > <br />
    {/form_field}

    {form_field form=$form.address3}
        {form_error form=$form.address3}
            {$message}
        {/form_error}

        <label> <span>{intl l="{$label}"} : </span></label><input type="text" name="{$name}" {$attr} > <br />
    {/form_field}

    {form_field form=$form.zipcode}
        {form_error form=$form.zipcode}
            {$message}
        {/form_error}

        <label> <span>{intl l="{$label}"} : </span></label><input type="text" name="{$name}" {$attr} > <br />
    {/form_field}

    {form_field form=$form.country}
        {form_error form=$form.country}
            {$message}
        {/form_error}

        <label> <span>{intl l="{$label}"} : </span></label>
            <select name="{$name}">
                <option value="1">France</option>
                <option value="2">Belgium</option>

            </select>
        <br />
    {/form_field}

    {form_field form=$form.email}
        {form_error form=$form.email}
            {#message}
        {/form_error}
        <label><span>{intl l="{$label}"}</span></label><input type="email" name="{$name}" {$attr} ><br />
    {/form_field}

    {form_field form=$form.email_confirm}
        {form_error form=$form.email_confirm}
            {#message}
        {/form_error}
        <label><span>{intl l="{$label}"}</span></label><input type="email" name="{$name}" {$attr} ><br />
    {/form_field}

    {form_field form=$form.password}
        {form_error form=$form.password}
            {#message}
        {/form_error}
        <label><span>{intl l="{$label}"}</span></label><input type="password" name="{$name}" {$attr} ><br />
    {/form_field}

    {form_field form=$form.password_confirm}
        {form_error form=$form.password_confirm}
            {#message}
        {/form_error}
        <label><span>{intl l="{$label}"}</span></label><input type="password" name="{$name}" {$attr} ><br />
    {/form_field}

<input type="submit" value="valider">
</form>
{/form}

{include file="includes/footer.html"}