echo ' '; // echo '
Customer Management - Modify

'; ?>
Title
First Name *
Last Name *
Organization Name
Nature of Business * '; if($business=="1") $tat_sele1="selected"; else if($business=="2") $tat_sele2="selected"; else if($business=="3") $tat_sele3="selected"; else if($business=="4") $tat_sele4="selected"; else if($business=="5") $tat_sele5="selected"; else if($business=="6") $tat_sele6="selected"; else if($business=="7") $tat_sele7="selected"; echo '
Contact Address
Address *
Town / City*
County
Post Code*
Country*
Phone No*
Mobile Phone
Fax No.
Email Address*
Status '; if($status == "1") { $active="checked"; $inactive = ""; } else { $active=""; $inactive="checked"; } echo ' Active Deactive
Login Name (Email Address)*
Password
Confirm Password
Where did you first hear of GEC Anderson?
(*) Indicates Mandatory field.

Back Reset
'; ?>