2 action="{!URL!}/modules.php?module=index&what=register&refid=$REFID"
3 method="POST" name="register">
5 <TABLE border="0" cellspacing="0" cellpadding="0" width="640"
6 class="guest_table dashed">
8 <TD colspan="2" class="guest_title bottom2" height="70">
9 {!REGISTER_HEADER_CONTENT!}</TD>
12 <TD colspan="2" class="guest_title2 bottom2" height="30">
13 {--REGISTER_PERSONAL_DATA--}:</TD>
16 <TD colspan="2" height="7" class="seperator"> </TD>
19 <TD colspan="2" align="center">
20 <TABLE border="0" cellspacing="0" cellpadding="0" width="100%">
22 <TD width="50%" class="register_left">
23 {--GUEST_SEX--}{!MUST_SEX!}: </TD>
24 <TD width="50%" class="register_right"><SELECT name="sex"
25 size="1" class="guest_select">
26 <OPTION value="M">{--SEX_M--}</OPTION>
27 <OPTION value="F">{--SEX_F--}</OPTION>
28 <OPTION value="C">{--SEX_C--}</OPTION>
32 <TD colspan="2" height="7" class="seperator"> </TD>
35 <TD class="register_left">{--SURNAME--}{!MUST_SURNAME!},
36 {--FAMILY_NAME--}{!MUST_FAMILY_NAME!}: </TD>
37 <TD class="register_right"><INPUT type="text" name="surname"
38 class="guest_normal" size="15" maxlength="255"
39 value="{!__SURNAME!}"> <INPUT type="text"
40 name="family_name" class="guest_normal" size="15" maxlength="255"
41 value="{!__FAMILY!}"></TD>
44 <TD colspan="2" height="7" class="seperator"> </TD>
47 <TD class="register_left">
48 {--STREET_NR--}{!MUST_STREET_NR!}: </TD>
49 <TD class="register_right"><INPUT type="text" name="street_nr"
50 class="guest_normal" size="25" maxlength="255" value="{!__STREET!}">
54 <TD colspan="2" height="7" class="seperator"> </TD>
57 <TD align="right" width="50%" class="register_left">
58 {--COUNTRY--}{!MUST_CNTRY!}, {--ZIP--}{!MUST_ZIP!},
59 {--CITY--}{!MUST_CITY!}: </TD>
60 <TD width="50%" class="register_right">
61 {!__COUNTRY_CONTENT!} <INPUT type="text" name="zip"
62 class="guest_normal" size="5" maxlength="10" value="{!__ZIP!}">
63 <INPUT type="text" name="city" class="guest_normal" size="20"
64 maxlength="255" value="{!__CITY!}"></TD>
67 <TD colspan="2" height="7" class="seperator"> </TD>
70 <TD align="right" width="50%" class="register_left">
71 {--ADDY--}{!MUST_ADDY!}: </TD>
72 <TD width="50%" class="register_right"><INPUT type="text"
73 name="addy" class="guest_normal" size="30" maxlength="255"
74 value="{!__ADDY!}"></TD>
77 <TD colspan="2" height="7" class="seperator"> </TD>
80 <TD align="right" width="50%" class="register_left">
81 {--BIRTHDAY--}{!MUST_BIRTH!}: </TD>
82 <TD width="50%" class="register_right">{!BIRTHDAY_SELECTION!}</TD>
85 <TD colspan="2" height="7" class="seperator"> </TD>
88 <TD colspan="2" align="center"><STRONG class="guest_failed">{!MUST_MARKER!} : {--REGISTER_MUST_SET_NOTE--}</STRONG>
95 <TD colspan="2" height="7" class="seperator bottom2"> </TD>
98 <TD colspan="2" class="guest_title2 bottom2" height="30">
99 {--REGISTER_CATEGORIES--}:</TD>
102 <TD colspan="2" class="guest_title">
103 {--GUEST_SELECT_LEAST_CATS_1--}{!LEAST_CATS_VALUE!}{--GUEST_SELECT_LEAST_CATS_2--}
107 <TD colspan="2" class="bottom2">{!CATEGORY_SELECTION!}</TD>
110 <TD colspan="2" class="guest_title2 bottom2" height="30">
111 {--REGISTER_MISC--}:</TD>
114 <TD colspan="2" height="7" class="seperator"> </TD>
117 <TD align="right" width="60%" class="register_left">
118 {--PASS_1--}, {--PASS_2--}: </TD>
119 <TD width="40%" class="register_right"><INPUT type="password"
120 name="pass1" class="guest_normal" size="10" maxlength="100">
121 <INPUT type="password" name="pass2" class="guest_normal" size="10"
122 maxlength="100"></TD>
125 <TD colspan="2" height="7" class="seperator"> </TD>
128 <TD colspan="2" align="center">{!MAX_RECEIVE_LIST!}</TD>
131 <TD colspan="2" height="7" class="seperator"> </TD>
135 <TD colspan="2" height="7" class="seperator bottom2"> </TD>
138 <TD colspan="2" class="guest_title2 bottom2" height="30">
139 {--TERMS_OF_USAGE--}:<BR>
140 <SPAN class="guest_failed">{--YOU_FINALIZE--}</SPAN></TD>
143 <TD colspan="2" height="7" class="seperator"> </TD>
146 <TD align="right" width="60%" class="register_left">
147 {--AGREE_TO_THIS--}: </TD>
148 <TD width="40%" class="register_right">{--YES--}: <INPUT
149 type="radio" name="agree" class="guest_normal" value='Y'>
150 {--NO--}: <INPUT type="radio" name="agree" class="guest_normal"
151 value='N' checked></TD>
154 <TD colspan="2" height="7" class="seperator bottom2"> </TD>
157 <TD colspan="2" class="guest_footer" height="30"><INPUT
158 type="reset" class="guest_reset" value="{--CLEAR_FORM--}"> *
159 <INPUT type="submit" name="ok" class="guest_submit"
160 value="{--SUBMIT_REGISTER--}"></TD>