account_details.jinja2

{% extends "sitebase.jinja2" %}
{% set page_title = _("Account Details") %}
{% set show_breadcrumbs = True %}
{% block head %}
    <script type="text/javascript" language="javascript" src="/static/js/ruleset.js"></script>
    <!-- Defines COUNTRIES_LIST, based on ebaranov's country/state json with corrections -->
    <!-- See https://gist.github.com/ebaranov/41bf38fdb1a2cb19a781 -->
    <script type="text/javascript" language="javascript" src="/static/js/country_state_list.js"></script>
    <script type="text/javascript" language="javascript" src="/static/js/us_states.js"></script>
    <script type="text/javascript" language="javascript" src="/static/vendor/jquery-validation/messages_{{ _(EN_US_KEY) }}.js"></script>
    <script>
        $(document).ready(function(){
            let form_name = 'acct_form';
            preventImplicitSubmission(form_name);

            // Initialize form validation on the registration form.
            // It has the name attribute "registration"
            $("form[name='" + form_name + "']").validate({
                // Specify validation rules
                rules: {
                    // The key name on the left side is the name attribute
                    // of an input field. Validation rules are defined
                    // on the right side
                    first_name: "required",
                    last_name: "required",
                    street: "required",
                    city: "required",
                    state: "required",
                    post_code: "required",
                    language: "required",
                    {% if CREATE_ACCT %}
                        consent_privacy_terms: "required",
                    {% endif %}
                    // Make sure the form is submitted to the destination defined
                    // in the "action" attribute of the form when valid
                    submitHandler: function (form) {
                        form.submit();
                    }
                },
                messages: {
                    consent_privacy_terms: "{{ _('Please agree to the Privacy Statement and Terms and Conditions') }}",
                },
            });

            // Link Handlers
            // In our test databases, state sometimes has line breaks, so
            // more complex parsing becomes necessary
            var start_code = {{ account.address.state | e | tojson }};
            cc = new JQuerySelectInput("country_code", "#country_code");
            new DelegateOutput(function(code){
                let current_country = COUNTRY_CODE_LOOKUP[code];
                if (code == "GB")
                {
                    // TODO: remove if/when we add en_GB as a locale
                    $("#city_label").text("Town*");
                    $("#state_label").text("County*");
                    $("#post_code_label").text("Postcode*");
                    $("#state").empty();
                } else if (code == "US") {
                    $("#city_label").text("{{ _('City') }}*");
                    $("#state_label").text("{{ _('State') }}*");
                    $("#post_code_label").text("{{ _('Zip Code') }}*");
                    $("#state").empty();
                } else {
                    $("#city_label").text("{{ _('City/Town') }}*");
                    $("#state_label").text("{{ _('County/State') }}*");
                    $("#post_code_label").text("{{ _('Postcode') }}*");
                    $("#state").empty();
                }

                // special case the use of codes for US states
                if (code == "US") {
                    for (var state of US_STATES)
                    {
                        var option = $('<option></option>')
                            .attr("value", state[0])
                            .text(state[1]);
                        if (state[0] == start_code)
                            option.attr('selected','selected');
                        $("#state").append(option);
                    }
                } else {
                    for (var country of COUNTRIES_LIST)
                    {
                        if (country.country != current_country)
                            continue;

                        for (var state of country.states)
                        {
                            var option = $('<option></option>')
                                .attr("value", state)
                                .text(state);

                            // We don't really have state codes for other
                            // countries...
                            if (state == start_code)
                                option.attr('selected','selected');

                            $("#state").append(option);
                        }
                    }
                }
            },cc);
        });
    </script>
{% endblock %}
{% block breadcrumb %}
    {% if not CREATE_ACCT %}
    <li class="breadcrumb-item" aria-current="page"><a href="/accounts/{{account.account_id}}">{{ _('Dashboard') }}</a></li>
    <li class="breadcrumb-item active" aria-current="page">{{ _('Account Details') }}</li>
    {% endif %}
{% endblock %}
{% block content %}
<div class="card card-account">
    <h2 class="centered">{{ _('Account Details') }}</h2>
    <div class="card-body">
        <form id="acct_form" name="acct_form" method="post" class="row g-3">
            <div class="col-12">
                <label for="email" name="email_label" class="tmi-content">{{ _('Email') }}*</label>
                <input id="email" name="email" class="form-control" type="hidden" value="{{account.email |e}}"/>
                <input id="view_email" name="view_email" class="form-control" type="email" value="{{account.email |e}}" disabled="disabled" readonly/>
                {% if not CREATE_ACCT %}
                    <small class="form-text text-muted">{{ _('Prefer to use a different email account?  You can change it ') }}
                        <a href="{{authrocket_url}}/profile?redirect_uri={{endpoint}}/authrocket_callback">
                            {{ _('here') }}
                        </a>
                    </small>
                {% endif %}
            </div>
            <div class="col-md-6">
                <label for="first_name" name="first_name_label" class="tmi-content">{{ _('First Name') }}*</label>
                <input id="first_name" name="first_name" class="form-control" value="{{account.first_name |e}}" type="text" />
            </div>
            <div class="col-md-6">
                <label for="last_name" name="last_name_label" class="tmi-content">{{ _('Last Name') }}*</label>
                <input id="last_name" name="last_name" class="form-control" value="{{account.last_name |e}}" type="text" />
            </div>
            <div class="col-12">
                <label for="country_code" id="country_code_label" class="tmi-content">{{ _('Country') }}*</label>
                <br>
                <select id="country_code" name="country_code" class="form-control">
                    <option value="US" {% if account.address.country_code == "US" %} selected {% endif %} >{{ _('United States') }}</option>
                    <option value="GB" {% if account.address.country_code == "GB" %} selected {% endif %} >{{ _('United Kingdom') }}</option>
                    <option value="MX" {% if account.address.country_code == "MX" %} selected {% endif %} >{{ _('Mexico') }}</option>
                    <option value="ES" {% if account.address.country_code == "ES" %} selected {% endif %} >{{ _('Spain') }}</option>
                    <option value="AF" {% if account.address.country_code == "AF" %} selected {% endif %} >{{ _('Afghanistan') }}</option>
                    <option value="AL" {% if account.address.country_code == "AL" %} selected {% endif %} >{{ _('Albania') }}</option>
                    <option value="DZ" {% if account.address.country_code == "DZ" %} selected {% endif %} >{{ _('Algeria') }}</option>
                    <option value="AD" {% if account.address.country_code == "AD" %} selected {% endif %} >{{ _('Andorra') }}</option>
                    <option value="AO" {% if account.address.country_code == "AO" %} selected {% endif %} >{{ _('Angola') }}</option>
                    <option value="AQ" {% if account.address.country_code == "AQ" %} selected {% endif %} >{{ _('Antarctica') }}</option>
                    <option value="AG" {% if account.address.country_code == "AG" %} selected {% endif %} >{{ _('Antigua and Barbuda') }}</option>
                    <option value="AR" {% if account.address.country_code == "AR" %} selected {% endif %} >{{ _('Argentina') }}</option>
                    <option value="AM" {% if account.address.country_code == "AM" %} selected {% endif %} >{{ _('Armenia') }}</option>
                    <option value="AU" {% if account.address.country_code == "AU" %} selected {% endif %} >{{ _('Australia') }}</option>
                    <option value="AT" {% if account.address.country_code == "AT" %} selected {% endif %} >{{ _('Austria') }}</option>
                    <option value="AZ" {% if account.address.country_code == "AZ" %} selected {% endif %} >{{ _('Azerbaijan') }}</option>
                    <option value="BS" {% if account.address.country_code == "BS" %} selected {% endif %} >{{ _('Bahamas') }}</option>
                    <option value="BH" {% if account.address.country_code == "BH" %} selected {% endif %} >{{ _('Bahrain') }}</option>
                    <option value="BD" {% if account.address.country_code == "BD" %} selected {% endif %} >{{ _('Bangladesh') }}</option>
                    <option value="BB" {% if account.address.country_code == "BB" %} selected {% endif %} >{{ _('Barbados') }}</option>
                    <option value="BY" {% if account.address.country_code == "BY" %} selected {% endif %} >{{ _('Belarus') }}</option>
                    <option value="BE" {% if account.address.country_code == "BE" %} selected {% endif %} >{{ _('Belgium') }}</option>
                    <option value="BZ" {% if account.address.country_code == "BZ" %} selected {% endif %} >{{ _('Belize') }}</option>
                    <option value="BJ" {% if account.address.country_code == "BJ" %} selected {% endif %} >{{ _('Benin') }}</option>
                    <option value="BM" {% if account.address.country_code == "BM" %} selected {% endif %} >{{ _('Bermuda') }}</option>
                    <option value="BT" {% if account.address.country_code == "BT" %} selected {% endif %} >{{ _('Bhutan') }}</option>
                    <option value="BO" {% if account.address.country_code == "BO" %} selected {% endif %} >{{ _('Bolivia') }}</option>
                    <option value="BA" {% if account.address.country_code == "BA" %} selected {% endif %} >{{ _('Bosnia and Herzegovina') }}</option>
                    <option value="BW" {% if account.address.country_code == "BW" %} selected {% endif %} >{{ _('Botswana') }}</option>
                    <option value="BR" {% if account.address.country_code == "BR" %} selected {% endif %} >{{ _('Brazil') }}</option>
                    <option value="BN" {% if account.address.country_code == "BN" %} selected {% endif %} >{{ _('Brunei') }}</option>
                    <option value="BG" {% if account.address.country_code == "BG" %} selected {% endif %} >{{ _('Bulgaria') }}</option>
                    <option value="BF" {% if account.address.country_code == "BF" %} selected {% endif %} >{{ _('Burkina Faso') }}</option>
                    <option value="MM" {% if account.address.country_code == "MM" %} selected {% endif %} >{{ _('Burma') }}</option>
                    <option value="BI" {% if account.address.country_code == "BI" %} selected {% endif %} >{{ _('Burundi') }}</option>
                    <option value="KH" {% if account.address.country_code == "KH" %} selected {% endif %} >{{ _('Cambodia') }}</option>
                    <option value="CM" {% if account.address.country_code == "CM" %} selected {% endif %} >{{ _('Cameroon') }}</option>
                    <option value="CA" {% if account.address.country_code == "CA" %} selected {% endif %} >{{ _('Canada') }}</option>
                    <option value="CV" {% if account.address.country_code == "CV" %} selected {% endif %} >{{ _('Cape Verde') }}</option>
                    <option value="CF" {% if account.address.country_code == "CF" %} selected {% endif %} >{{ _('Central African Republic') }}</option>
                    <option value="TD" {% if account.address.country_code == "TD" %} selected {% endif %} >{{ _('Chad') }}</option>
                    <option value="CL" {% if account.address.country_code == "CL" %} selected {% endif %} >{{ _('Chile') }}</option>
                    <option value="CN" {% if account.address.country_code == "CN" %} selected {% endif %} >{{ _('China') }}</option>
                    <option value="CO" {% if account.address.country_code == "CO" %} selected {% endif %} >{{ _('Colombia') }}</option>
                    <option value="KM" {% if account.address.country_code == "KM" %} selected {% endif %} >{{ _('Comoros') }}</option>
                    <option value="CD" {% if account.address.country_code == "CD" %} selected {% endif %} >{{ _('Congo, Democratic Republic') }}</option>
                    <option value="CG" {% if account.address.country_code == "CG" %} selected {% endif %} >{{ _('Congo, Republic of the') }}</option>
                    <option value="CR" {% if account.address.country_code == "CR" %} selected {% endif %} >{{ _('Costa Rica') }}</option>
                    <option value="CI" {% if account.address.country_code == "CI" %} selected {% endif %} >{{ _("Cote d'Ivoire") }}</option>
                    <option value="HR" {% if account.address.country_code == "HR" %} selected {% endif %} >{{ _('Croatia') }}</option>
                    <option value="CU" {% if account.address.country_code == "CU" %} selected {% endif %} >{{ _('Cuba') }}</option>
                    <option value="CY" {% if account.address.country_code == "CY" %} selected {% endif %} >{{ _('Cyprus') }}</option>
                    <option value="CZ" {% if account.address.country_code == "CZ" %} selected {% endif %} >{{ _('Czech Republic') }}</option>
                    <option value="DK" {% if account.address.country_code == "DK" %} selected {% endif %} >{{ _('Denmark') }}</option>
                    <option value="DJ" {% if account.address.country_code == "DJ" %} selected {% endif %} >{{ _('Djibouti') }}</option>
                    <option value="DM" {% if account.address.country_code == "DM" %} selected {% endif %} >{{ _('Dominica') }}</option>
                    <option value="DO" {% if account.address.country_code == "DO" %} selected {% endif %} >{{ _('Dominican Republic') }}</option>
                    <option value="TL" {% if account.address.country_code == "TL" %} selected {% endif %} >{{ _('East Timor') }}</option>
                    <option value="EC" {% if account.address.country_code == "EC" %} selected {% endif %} >{{ _('Ecuador') }}</option>
                    <option value="EG" {% if account.address.country_code == "EG" %} selected {% endif %} >{{ _('Egypt') }}</option>
                    <option value="SV" {% if account.address.country_code == "SV" %} selected {% endif %} >{{ _('El Salvador') }}</option>
                    <option value="GQ" {% if account.address.country_code == "GQ" %} selected {% endif %} >{{ _('Equatorial Guinea') }}</option>
                    <option value="ER" {% if account.address.country_code == "ER" %} selected {% endif %} >{{ _('Eritrea') }}</option>
                    <option value="EE" {% if account.address.country_code == "EE" %} selected {% endif %} >{{ _('Estonia') }}</option>
                    <option value="ET" {% if account.address.country_code == "ET" %} selected {% endif %} >{{ _('Ethiopia') }}</option>
                    <option value="FJ" {% if account.address.country_code == "FJ" %} selected {% endif %} >{{ _('Fiji') }}</option>
                    <option value="FI" {% if account.address.country_code == "FI" %} selected {% endif %} >{{ _('Finland') }}</option>
                    <option value="FR" {% if account.address.country_code == "FR" %} selected {% endif %} >{{ _('France') }}</option>
                    <option value="GA" {% if account.address.country_code == "GA" %} selected {% endif %} >{{ _('Gabon') }}</option>
                    <option value="GM" {% if account.address.country_code == "GM" %} selected {% endif %} >{{ _('Gambia') }}</option>
                    <option value="GE" {% if account.address.country_code == "GE" %} selected {% endif %} >{{ _('Georgia') }}</option>
                    <option value="DE" {% if account.address.country_code == "DE" %} selected {% endif %} >{{ _('Germany') }}</option>
                    <option value="GH" {% if account.address.country_code == "GH" %} selected {% endif %} >{{ _('Ghana') }}</option>
                    <option value="GR" {% if account.address.country_code == "GR" %} selected {% endif %} >{{ _('Greece') }}</option>
                    <option value="GL" {% if account.address.country_code == "GL" %} selected {% endif %} >{{ _('Greenland') }}</option>
                    <option value="GD" {% if account.address.country_code == "GD" %} selected {% endif %} >{{ _('Grenada') }}</option>
                    <option value="GT" {% if account.address.country_code == "GT" %} selected {% endif %} >{{ _('Guatemala') }}</option>
                    <option value="GN" {% if account.address.country_code == "GN" %} selected {% endif %} >{{ _('Guinea') }}</option>
                    <option value="GW" {% if account.address.country_code == "GW" %} selected {% endif %} >{{ _('Guinea-Bissau') }}</option>
                    <option value="GY" {% if account.address.country_code == "GY" %} selected {% endif %} >{{ _('Guyana') }}</option>
                    <option value="HT" {% if account.address.country_code == "HT" %} selected {% endif %} >{{ _('Haiti') }}</option>
                    <option value="HN" {% if account.address.country_code == "HN" %} selected {% endif %} >{{ _('Honduras') }}</option>
                    <option value="HK" {% if account.address.country_code == "HK" %} selected {% endif %} >{{ _('Hong Kong') }}</option>
                    <option value="HU" {% if account.address.country_code == "HU" %} selected {% endif %} >{{ _('Hungary') }}</option>
                    <option value="IS" {% if account.address.country_code == "IS" %} selected {% endif %} >{{ _('Iceland') }}</option>
                    <option value="IN" {% if account.address.country_code == "IN" %} selected {% endif %} >{{ _('India') }}</option>
                    <option value="ID" {% if account.address.country_code == "ID" %} selected {% endif %} >{{ _('Indonesia') }}</option>
                    <option value="IR" {% if account.address.country_code == "IR" %} selected {% endif %} >{{ _('Iran') }}</option>
                    <option value="IQ" {% if account.address.country_code == "IQ" %} selected {% endif %} >{{ _('Iraq') }}</option>
                    <option value="IE" {% if account.address.country_code == "IE" %} selected {% endif %} >{{ _('Ireland') }}</option>
                    <option value="IL" {% if account.address.country_code == "IL" %} selected {% endif %} >{{ _('Israel') }}</option>
                    <option value="IT" {% if account.address.country_code == "IT" %} selected {% endif %} >{{ _('Italy') }}</option>
                    <option value="JM" {% if account.address.country_code == "JM" %} selected {% endif %} >{{ _('Jamaica') }}</option>
                    <option value="JP" {% if account.address.country_code == "JP" %} selected {% endif %} >{{ _('Japan') }}</option>
                    <option value="JO" {% if account.address.country_code == "JO" %} selected {% endif %} >{{ _('Jordan') }}</option>
                    <option value="KZ" {% if account.address.country_code == "KZ" %} selected {% endif %} >{{ _('Kazakhstan') }}</option>
                    <option value="KE" {% if account.address.country_code == "KE" %} selected {% endif %} >{{ _('Kenya') }}</option>
                    <option value="KI" {% if account.address.country_code == "KI" %} selected {% endif %} >{{ _('Kiribati') }}</option>
                    <option value="KP" {% if account.address.country_code == "KP" %} selected {% endif %} >{{ _('Korea North') }}</option>
                    <option value="KR" {% if account.address.country_code == "KR" %} selected {% endif %} >{{ _('Korea South') }}</option>
                    <option value="KW" {% if account.address.country_code == "KW" %} selected {% endif %} >{{ _('Kuwait') }}</option>
                    <option value="KG" {% if account.address.country_code == "KG" %} selected {% endif %} >{{ _('Kyrgyzstan') }}</option>
                    <option value="LA" {% if account.address.country_code == "LA" %} selected {% endif %} >{{ _('Laos') }}</option>
                    <option value="LV" {% if account.address.country_code == "LV" %} selected {% endif %} >{{ _('Latvia') }}</option>
                    <option value="LB" {% if account.address.country_code == "LB" %} selected {% endif %} >{{ _('Lebanon') }}</option>
                    <option value="LS" {% if account.address.country_code == "LS" %} selected {% endif %} >{{ _('Lesotho') }}</option>
                    <option value="LR" {% if account.address.country_code == "LR" %} selected {% endif %} >{{ _('Liberia') }}</option>
                    <option value="LY" {% if account.address.country_code == "LY" %} selected {% endif %} >{{ _('Libya') }}</option>
                    <option value="LI" {% if account.address.country_code == "LI" %} selected {% endif %} >{{ _('Liechtenstein') }}</option>
                    <option value="LT" {% if account.address.country_code == "LT" %} selected {% endif %} >{{ _('Lithuania') }}</option>
                    <option value="LU" {% if account.address.country_code == "LU" %} selected {% endif %} >{{ _('Luxembourg') }}</option>
                    <option value="MK" {% if account.address.country_code == "MK" %} selected {% endif %} >{{ _('Macedonia') }}</option>
                    <option value="MG" {% if account.address.country_code == "MG" %} selected {% endif %} >{{ _('Madagascar') }}</option>
                    <option value="MW" {% if account.address.country_code == "MW" %} selected {% endif %} >{{ _('Malawi') }}</option>
                    <option value="MY" {% if account.address.country_code == "MY" %} selected {% endif %} >{{ _('Malaysia') }}</option>
                    <option value="MV" {% if account.address.country_code == "MV" %} selected {% endif %} >{{ _('Maldives') }}</option>
                    <option value="ML" {% if account.address.country_code == "ML" %} selected {% endif %} >{{ _('Mali') }}</option>
                    <option value="MT" {% if account.address.country_code == "MT" %} selected {% endif %} >{{ _('Malta') }}</option>
                    <option value="MH" {% if account.address.country_code == "MH" %} selected {% endif %} >{{ _('Marshall Islands') }}</option>
                    <option value="MR" {% if account.address.country_code == "MR" %} selected {% endif %} >{{ _('Mauritania') }}</option>
                    <option value="MU" {% if account.address.country_code == "MU" %} selected {% endif %} >{{ _('Mauritius') }}</option>
                    <option value="FM" {% if account.address.country_code == "FM" %} selected {% endif %} >{{ _('Micronesia') }}</option>
                    <option value="MD" {% if account.address.country_code == "MD" %} selected {% endif %} >{{ _('Moldova') }}</option>
                    <option value="MN" {% if account.address.country_code == "MN" %} selected {% endif %} >{{ _('Mongolia') }}</option>
                    <option value="ME" {% if account.address.country_code == "ME" %} selected {% endif %} >{{ _('Montenegro') }}</option>
                    <option value="MA" {% if account.address.country_code == "MA" %} selected {% endif %} >{{ _('Morocco') }}</option>
                    <option value="MC" {% if account.address.country_code == "MC" %} selected {% endif %} >{{ _('Monaco') }}</option>
                    <option value="MZ" {% if account.address.country_code == "MZ" %} selected {% endif %} >{{ _('Mozambique') }}</option>
                    <option value="NA" {% if account.address.country_code == "NA" %} selected {% endif %} >{{ _('Namibia') }}</option>
                    <option value="NR" {% if account.address.country_code == "NR" %} selected {% endif %} >{{ _('Nauru') }}</option>
                    <option value="NP" {% if account.address.country_code == "NP" %} selected {% endif %} >{{ _('Nepal') }}</option>
                    <option value="NL" {% if account.address.country_code == "NL" %} selected {% endif %} >{{ _('Netherlands') }}</option>
                    <option value="NZ" {% if account.address.country_code == "NZ" %} selected {% endif %} >{{ _('New Zealand') }}</option>
                    <option value="NI" {% if account.address.country_code == "NI" %} selected {% endif %} >{{ _('Nicaragua') }}</option>
                    <option value="NE" {% if account.address.country_code == "NE" %} selected {% endif %} >{{ _('Niger') }}</option>
                    <option value="NG" {% if account.address.country_code == "NG" %} selected {% endif %} >{{ _('Nigeria') }}</option>
                    <option value="NO" {% if account.address.country_code == "NO" %} selected {% endif %} >{{ _('Norway') }}</option>
                    <option value="OM" {% if account.address.country_code == "OM" %} selected {% endif %} >{{ _('Oman') }}</option>
                    <option value="PK" {% if account.address.country_code == "PK" %} selected {% endif %} >{{ _('Pakistan') }}</option>
                    <option value="PA" {% if account.address.country_code == "PA" %} selected {% endif %} >{{ _('Panama') }}</option>
                    <option value="PG" {% if account.address.country_code == "PG" %} selected {% endif %} >{{ _('Papua New Guinea') }}</option>
                    <option value="PY" {% if account.address.country_code == "PY" %} selected {% endif %} >{{ _('Paraguay') }}</option>
                    <option value="PE" {% if account.address.country_code == "PE" %} selected {% endif %} >{{ _('Peru') }}</option>
                    <option value="PH" {% if account.address.country_code == "PH" %} selected {% endif %} >{{ _('Philippines') }}</option>
                    <option value="PL" {% if account.address.country_code == "PL" %} selected {% endif %} >{{ _('Poland') }}</option>
                    <option value="PT" {% if account.address.country_code == "PT" %} selected {% endif %} >{{ _('Portugal') }}</option>
                    <option value="QA" {% if account.address.country_code == "QA" %} selected {% endif %} >{{ _('Qatar') }}</option>
                    <option value="RO" {% if account.address.country_code == "RO" %} selected {% endif %} >{{ _('Romania') }}</option>
                    <option value="RU" {% if account.address.country_code == "RU" %} selected {% endif %} >{{ _('Russia') }}</option>
                    <option value="RW" {% if account.address.country_code == "RW" %} selected {% endif %} >{{ _('Rwanda') }}</option>
                    <option value="WS" {% if account.address.country_code == "WS" %} selected {% endif %} >{{ _('Samoa') }}</option>
                    <option value="SM" {% if account.address.country_code == "SM" %} selected {% endif %} >{{ _('San Marino') }}</option>
                    <option value="ST" {% if account.address.country_code == "ST" %} selected {% endif %} >{{ _('Sao Tome') }}</option>
                    <option value="SA" {% if account.address.country_code == "SA" %} selected {% endif %} >{{ _('Saudi Arabia') }}</option>
                    <option value="SN" {% if account.address.country_code == "SN" %} selected {% endif %} >{{ _('Senegal') }}</option>
                    <option value="RS" {% if account.address.country_code == "RS" %} selected {% endif %} >{{ _('Serbia') }}</option>
                    <option value="SC" {% if account.address.country_code == "SC" %} selected {% endif %} >{{ _('Seychelles') }}</option>
                    <option value="SL" {% if account.address.country_code == "SL" %} selected {% endif %} >{{ _('Sierra Leone') }}</option>
                    <option value="SG" {% if account.address.country_code == "SG" %} selected {% endif %} >{{ _('Singapore') }}</option>
                    <option value="SK" {% if account.address.country_code == "SK" %} selected {% endif %} >{{ _('Slovakia') }}</option>
                    <option value="SI" {% if account.address.country_code == "SI" %} selected {% endif %} >{{ _('Slovenia') }}</option>
                    <option value="SB" {% if account.address.country_code == "SB" %} selected {% endif %} >{{ _('Solomon Islands') }}</option>
                    <option value="SO" {% if account.address.country_code == "SO" %} selected {% endif %} >{{ _('Somalia') }}</option>
                    <option value="ZA" {% if account.address.country_code == "ZA" %} selected {% endif %} >{{ _('South Africa') }}</option>
                    <option value="LK" {% if account.address.country_code == "LK" %} selected {% endif %} >{{ _('Sri Lanka') }}</option>
                    <option value="SD" {% if account.address.country_code == "SD" %} selected {% endif %} >{{ _('Sudan') }}</option>
                    <option value="SR" {% if account.address.country_code == "SR" %} selected {% endif %} >{{ _('Suriname') }}</option>
                    <option value="SZ" {% if account.address.country_code == "SZ" %} selected {% endif %} >{{ _('Swaziland') }}</option>
                    <option value="SE" {% if account.address.country_code == "SE" %} selected {% endif %} >{{ _('Sweden') }}</option>
                    <option value="CH" {% if account.address.country_code == "CH" %} selected {% endif %} >{{ _('Switzerland') }}</option>
                    <option value="SY" {% if account.address.country_code == "SY" %} selected {% endif %} >{{ _('Syria') }}</option>
                    <option value="TW" {% if account.address.country_code == "TW" %} selected {% endif %} >{{ _('Taiwan') }}</option>
                    <option value="TJ" {% if account.address.country_code == "TJ" %} selected {% endif %} >{{ _('Tajikistan') }}</option>
                    <option value="TZ" {% if account.address.country_code == "TZ" %} selected {% endif %} >{{ _('Tanzania') }}</option>
                    <option value="TH" {% if account.address.country_code == "TH" %} selected {% endif %} >{{ _('Thailand') }}</option>
                    <option value="TG" {% if account.address.country_code == "TG" %} selected {% endif %} >{{ _('Togo') }}</option>
                    <option value="TO" {% if account.address.country_code == "TO" %} selected {% endif %} >{{ _('Tonga') }}</option>
                    <option value="TT" {% if account.address.country_code == "TT" %} selected {% endif %} >{{ _('Trinidad and Tobago') }}</option>
                    <option value="TN" {% if account.address.country_code == "TN" %} selected {% endif %} >{{ _('Tunisia') }}</option>
                    <option value="TR" {% if account.address.country_code == "TR" %} selected {% endif %} >{{ _('Turkey') }}</option>
                    <option value="TM" {% if account.address.country_code == "TM" %} selected {% endif %} >{{ _('Turkmenistan') }}</option>
                    <option value="UG" {% if account.address.country_code == "UG" %} selected {% endif %} >{{ _('Uganda') }}</option>
                    <option value="UA" {% if account.address.country_code == "UA" %} selected {% endif %} >{{ _('Ukraine') }}</option>
                    <option value="AE" {% if account.address.country_code == "AE" %} selected {% endif %} >{{ _('United Arab Emirates') }}</option>
                    <option value="UY" {% if account.address.country_code == "UY" %} selected {% endif %} >{{ _('Uruguay') }}</option>
                    <option value="UZ" {% if account.address.country_code == "UZ" %} selected {% endif %} >{{ _('Uzbekistan') }}</option>
                    <option value="VU" {% if account.address.country_code == "VU" %} selected {% endif %} >{{ _('Vanuatu') }}</option>
                    <option value="VE" {% if account.address.country_code == "VE" %} selected {% endif %} >{{ _('Venezuela') }}</option>
                    <option value="VN" {% if account.address.country_code == "VN" %} selected {% endif %} >{{ _('Viet nam') }}</option>
                    <option value="YE" {% if account.address.country_code == "YE" %} selected {% endif %} >{{ _('Yemen') }}</option>
                    <option value="ZM" {% if account.address.country_code == "ZM" %} selected {% endif %} >{{ _('Zambia') }}</option>
                    <option value="ZW" {% if account.address.country_code == "ZW" %} selected {% endif %} >{{ _('Zimbabwe') }}</option>
                </select>
            </div>
            <div class="col-12">
                <label for="street" id="street_label" class="tmi-content">{{ _('Address Line 1') }}*</label>
                <input id="street" name="street" class="form-control" value="{{account.address.street |e}}" type="text" />
            </div>
            <div class="col-12">
                <label for="street" id="street2_label" class="tmi-content">{{ _('Address Line 2') }}</label>
                <input id="street2" name="street2" class="form-control" value="{{account.address.street2 |e}}" type="text" />
            </div>
            <div class="col-md-6">
                <label for="city" id="city_label" class="tmi-content"></label>
                <input id="city" name="city" class="form-control" value="{{account.address.city |e}}" type="text" />
            </div>
            <div class="col-md-4">
                <label for="state" id="state_label" class="tmi-content"></label>
                <select id="state" name="state" class="form-control">
                    {% for code, full_name in US_STATES %}
                    <option value="{{code}}" {% if account.address.state == code %}selected {% endif %}>{{full_name}}</option>
                    {% endfor %}
                </select>
            </div>
            <div class="col-md-2">
                <label for="post_code" id="post_code_label" class="tmi-content"></label>
                <input id="post_code" name="post_code" class="form-control" value="{{account.address.post_code |e}}" type="text" />
            </div>
            <div class="col-12">
                <label for="language" name="language_label" class="tmi-content">{{ _('Preferred language for future communications') }}*</label>
                <br>
                <select id="language" name="language" class="form-control">
                {% for lang_key in languages %}
                    {% if languages[lang_key].value != "ja_JP" %}
                        {% set lang_val = languages[lang_key].value %}
                        {% set lang_display = languages[lang_key].display_text %}
                        <option value={{ lang_val }} {% if account.language == lang_val %} selected {% endif %} >{{ lang_display }}</option>
                    {% endif %}
                {% endfor %}
                </select>
            </div>
            {% if CREATE_ACCT %}
            <div class="col-12">
                <label for="consent_privacy_terms" name="consent_privacy_terms_label" class="tmi-content">
                    <input id="consent_privacy_terms" name="consent_privacy_terms" type="checkbox" value="True">
                    {{ _('I agree to the <a href="https://microsetta.ucsd.edu/privacy-statement/" target="_blank">Privacy Statement</a> and accept the <a href="https://microsetta.ucsd.edu/terms-and-conditions/" target="_blank">Terms and Conditions</a>') }}
                </label><br />
                <label for="consent_privacy_terms" class="error" style="display: none;">{{ _('Please agree to the Privacy Statement and Terms and Conditions') }}</label>
            </div>
            {% endif %}
            <div class="col-12">
                {% if CREATE_ACCT %}
                    <button type="submit" class="btn btn-blue-gradient" style="width: 100%;" id="submit_button">{{ _('Next') }}</button>
                {% else %}
                    <button type="submit" class="btn btn-blue-gradient" style="width: 100%;" id="submit_button">{{ _('Save') }}</button>
                {% endif %}
            </div>
        </form>
        {% if admin_mode %}
        <br/>
        <form action="/admin/account_delete" method="post">
            <div class="card mb-3">
                <div class="card-header">
                    *** {{ _('Danger zone') }} ***
                </div>
                <div class="card-body">
                    <p>
                        {{ _('Delete or scrub the account.') }} 
                    </p>
                    <p>
                        {{ _('If the account has any samples associated, the account and sources will be scrubbed, meaning all free text and identifiable information is removed.') }}
                    </p>
                    <p>
                        {{ _('Otherwise, the account and any sources will be deleted') }}
                    </p>
                    <p>
                        {{ _('IMPORTANT: you must manually delete the email from Authrocket and other external services like MyEmma to complete the process') }}
                    </p>
                    <h3>
                        {{ _('ACCOUNT DELETION CANNOT BE UNDONE') }}
                    </h3>
                    <input type="hidden" id="account_id" name="account_id" value="{{ account.account_id }}"/>
                    <button type=submit" class="btn btn-danger">{{ _('Delete Account') }}</button>
                </div>
            </div>
        </form>
        {% endif %}
    </div>
</div>
{% endblock %}