1 {--__SPONSOR_FORM_ERRORS--}
2 <DIV align="center"><STRONG class="big">{--GUEST_SPONSOR_TITLE--}</STRONG></DIV>
4 {--GUEST_SPONSOR_TEASER_1--}<BR>
6 {--GUEST_SPONSOR_TEASER_2--}<BR>
8 {--GUEST_SPONSOR_TEASER_3--}<BR>
10 <FORM action="{--URL--}/modules.php?module=index&what=sponsor_reg" method="POST">
11 <TABLE border="0" cellspacing="0" cellpadding="0" align="center" class="guest_table dashed" width="530">
13 <TD class="guest_title2 bottom2" width="10" height="30"> </TD>
14 <TD class="guest_title2 bottom2" colspan="3" align="center">
15 <STRONG>{--SPONSOR_ENTER_COMPANY_DATA--}</STRONG>
17 <TD class="guest_title2 bottom2" width="10"> </TD>
20 <TD class="bottom2" width="10" height="40"> </TD>
21 <TD class="bottom2" colspan="3" align="center">
22 <FONT class="guest_note">{--SPONSOR_COMPANY_NOTE--}</FONT>
24 <TD class="bottom2" width="10"> </TD>
26 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
28 <TD class="seperator" width="10"> </TD>
29 <TD align="right" width="200">
30 {--SPONSOR_ENTER_COMPANY_TITLE--}:
32 <TD class="seperator" width="10"> </TD>
34 <INPUT type="text" name="company" class="guest_normal" size="20" maxlength="255" value="{--__COMPANY--}">
36 <TD class="seperator" width="10"> </TD>
38 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
40 <TD class="seperator" width="10"> </TD>
42 {--SPONSOR_ENTER_COMPANY_POSITION--}:
44 <TD class="seperator" width="10"> </TD>
46 <INPUT type="text" name="position" class="guest_normal" size="20" maxlength="255" value="{--__POSITION--}">
48 <TD class="seperator" width="10"> </TD>
50 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
52 <TD class="seperator" width="10"> </TD>
53 <TD align="right" valign="top">
54 {--SPONSOR_ENTER_TAX_IDENT--}:
56 <TD class="seperator" width="10"> </TD>
58 <INPUT type="text" name="tax_ident" class="guest_normal" size="20" maxlength="255" value="{--__TAX_IDENT--}">
60 <TD class="seperator" width="10"> </TD>
62 <TR><TD class="seperator bottom2" colspan="5" height="5"> </TD></TR>
64 <TD class="guest_title2 bottom2" width="10" height="30"> </TD>
65 <TD class="guest_title2 bottom2" colspan="3" align="center">
66 <STRONG>{--SPONSOR_ENTER_PERSONA_DATA--}</STRONG>
68 <TD class="guest_title2 bottom2" width="10"> </TD>
70 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
72 <TD class="seperator" width="10"> </TD>
74 {--GUEST_SEX--}:
76 <TD class="seperator" width="10"> </TD>
78 <SELECT name="salut" class="guest_select" size="1">
79 <OPTION value="M"{--__SALUT_M--}>{--SEX_M--}</OPTION>
80 <OPTION value="F"{--__SALUT_F--}>{--SEX_F--}</OPTION>
81 <OPTION value="C"{--__SALUT_C--}>{--SEX_C--}</OPTION>
84 <TD class="seperator" width="10"> </TD>
86 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
88 <TD class="seperator" width="10"> </TD>
90 {--GUEST_SURNAME--}:
92 <TD class="seperator" width="10"> </TD>
94 <INPUT type="text" name="surname" class="guest_normal" size="20" maxlength="255" value="{--__SURNAME--}">
96 <TD class="seperator" width="10"> </TD>
98 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
100 <TD class="seperator" width="10"> </TD>
102 {--GUEST_FAMILY--}:
104 <TD class="seperator" width="10"> </TD>
106 <INPUT type="text" name="family" class="guest_normal" size="20" maxlength="255" value="{--__FAMILY--}">
108 <TD class="seperator" width="10"> </TD>
110 <TR><TD class="seperator bottom2" colspan="5" height="5"> </TD></TR>
112 <TD class="guest_title2 bottom2" width="10" height="30"> </TD>
113 <TD class="guest_title2 bottom2" colspan="3" align="center">
114 <STRONG>{--SPONSOR_ENTER_CONTACT_DATA--}</STRONG>
116 <TD class="guest_title2 bottom2" width="10"> </TD>
118 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
120 <TD class="seperator" width="10"> </TD>
121 <TD align="right" valign="top">
122 {--SPONSOR_ENTER_STREET_NR1--}:
124 <TD class="seperator" width="10"> </TD>
126 <INPUT type="text" name="street_nr1" class="guest_normal" size="20" maxlength="255" value="{--__STREET1--}">
128 <TD class="seperator" width="10"> </TD>
130 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
132 <TD class="seperator" width="10"> </TD>
133 <TD align="right" valign="top">
134 {--SPONSOR_ENTER_STREET_NR2--}:
136 <TD class="seperator" width="10"> </TD>
138 <INPUT type="text" name="street_nr2" class="guest_normal" size="20" maxlength="255" value="{--__STREET2--}">
140 <TD class="seperator" width="10"> </TD>
142 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
144 <TD class="seperator" width="10"> </TD>
145 <TD align="right" valign="top">
146 {--SPONSOR_ENTER_CNTRY_ZIP_CITY--}:
148 <TD class="seperator" width="10"> </TD>
150 <INPUT type="text" name="country" class="guest_normal" size="2" maxlength="2" value="{--__COUNTRY--}">-<INPUT type="text" name="zip" class="guest_normal" size="5" maxlength="6" value="{--__ZIP--}">
151 <INPUT type="text" name="city" class="guest_normal" size="10" maxlength="255" value="{--__CITY--}">
153 <TD class="seperator" width="10"> </TD>
155 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
157 <TD class="seperator" width="10"> </TD>
158 <TD align="right" valign="top">
159 {--SPONSOR_ENTER_PHONE--}:
161 <TD class="seperator" width="10"> </TD>
163 <INPUT type="text" name="phone" class="guest_normal" size="20" maxlength="255" value="{--__PHONE--}">
165 <TD class="seperator" width="10"> </TD>
167 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
169 <TD class="seperator" width="10"> </TD>
170 <TD align="right" valign="top">
171 {--SPONSOR_ENTER_FAX--}:
173 <TD class="seperator" width="10"> </TD>
175 <INPUT type="text" name="fax" class="guest_normal" size="20" maxlength="255" value="{--__FAX--}">
177 <TD class="seperator" width="10"> </TD>
179 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
181 <TD class="seperator" width="10"> </TD>
182 <TD align="right" valign="top">
183 {--SPONSOR_ENTER_CELL--}:
185 <TD class="seperator" width="10"> </TD>
187 <INPUT type="text" name="cell" class="guest_normal" size="20" maxlength="255" value="{--__CELL--}">
189 <TD class="seperator" width="10"> </TD>
191 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
193 <TD class="seperator" width="10"> </TD>
194 <TD align="right" valign="top">
195 {--SPONSOR_ENTER_EMAIL--}:
197 <TD class="seperator" width="10"> </TD>
199 <INPUT type="text" name="email" class="guest_normal" size="20" maxlength="255" value="{--__EMAIL--}">
201 <TD class="seperator" width="10"> </TD>
203 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
205 <TD class="seperator" width="10"> </TD>
206 <TD align="right" valign="top">
207 {--SPONSOR_ENTER_URL--}:
209 <TD class="seperator" width="10"> </TD>
211 <INPUT type="text" name="url" class="guest_normal" size="20" maxlength="255" value="{--__URL--}">
213 <TD class="seperator" width="10"> </TD>
215 <TR><TD class="seperator bottom2" colspan="5" height="5"> </TD></TR>
217 <TD class="guest_title2 bottom2" width="10" height="30"> </TD>
218 <TD class="guest_title2 bottom2" colspan="3" align="center">
219 <STRONG>{--SPONSOR_ENTER_PASSWORDS--}</STRONG>
221 <TD class="guest_title2 bottom2" width="10"> </TD>
223 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
225 <TD class="seperator" width="10"> </TD>
226 <TD align="right" valign="top">
227 {--SPONSOR_ENTER_PASSWORDS--}:
229 <TD class="seperator" width="10"> </TD>
231 <INPUT type="password" name="pass1" class="guest_normal" size="10" maxlength="255">
232 <INPUT type="password" name="pass2" class="guest_normal" size="10" maxlength="255">
234 <TD class="seperator" width="10"> </TD>
236 <TR><TD class="seperator bottom2" colspan="5" height="5"> </TD></TR>
238 <TD class="guest_title2 bottom2" width="10" height="30"> </TD>
239 <TD class="guest_title2 bottom2" colspan="3" align="center">
240 <STRONG>{--SPONSOR_REFERRAL--}</STRONG>
242 <TD class="guest_title2 bottom2" width="10"> </TD>
244 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
246 <TD class="seperator" width="10"> </TD>
247 <TD align="right" valign="top">
248 {--SPONSOR_REFID_WAS--}:
250 <TD class="seperator" width="10"> </TD>
252 <STRONG>{--__SPONSOR_REFID--}</STRONG>
254 <TD class="seperator" width="10"> </TD>
256 <TR><TD class="seperator bottom2" colspan="5" height="5"> </TD></TR>
258 <TD class="guest_title2 bottom2" width="10" height="30"> </TD>
259 <TD class="guest_title2 bottom2" colspan="3" align="center">
260 <STRONG>{--SPONSOR_WARNINGS--}</STRONG>
262 <TD class="guest_title2 bottom2" width="10"> </TD>
264 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
266 <TD class="seperator" width="10"> </TD>
268 {--GUEST_SPONSOR_RECEIVE_WARNINGS--}
270 <TD class="seperator" width="10"> </TD>
272 <SELECT name="receive_warnings" class="guest_select" size="1">
273 <OPTION value="Y"{--__REC_Y--}>{--YES--}</OPTION>
274 <OPTION value="N"{--__REC_N--}>{--NO--}</OPTION>
277 <TD class="seperator" width="10"> </TD>
279 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
281 <TD class="seperator" width="10"> </TD>
283 {--SPONSOR_WARNING_INTERVAL--}:
285 <TD class="seperator" width="10"> </TD>
287 <SELECT name="warning_interval" class="guest_select" size="1">
288 <OPTION value="0">{--SELECT_NONE--}</OPTION>
289 <OPTION value="{--(ONE_DAY*1)--}">1 {--DAYS--}</OPTION>
290 <OPTION value="{--(ONE_DAY*3)--}">3 {--DAYS--}</OPTION>
291 <OPTION value="{--(ONE_DAY*7)--}" selected>1 {--LIFE_WEEKS--}</OPTION>
292 <OPTION value="{--(ONE_DAY*14)--}">2 {--LIFE_WEEKS--}</OPTION>
293 <OPTION value="{--(ONE_DAY*28)--}">4 {--LIFE_WEEKS--}</OPTION>
294 <OPTION value="{--(ONE_DAY*56)--}">8 {--LIFE_WEEKS--}</OPTION>
297 <TD class="seperator" width="10"> </TD>
299 <TR><TD class="seperator bottom2" colspan="5" height="5"> </TD></TR>
301 <TD class="guest_title2 bottom2" width="10" height="30"> </TD>
302 <TD class="guest_title2 bottom2" colspan="3" align="center">
303 <STRONG>{--SPONSOR_PAYMENTS--}</STRONG>
305 <TD class="guest_title2 bottom2" width="10"> </TD>
307 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
309 <TD class="seperator" width="10"> </TD>
310 <TD align="right" valign="top">
311 {--SPONSOR_SELECT_PAYMENT--}:
313 <TD class="seperator" width="10"> </TD>
317 <TD class="seperator" width="10"> </TD>
319 <TR><TD class="seperator bottom2" colspan="5" height="5"> </TD></TR>
321 <TD class="guest_title2 bottom2" width="10" height="30"> </TD>
322 <TD class="guest_title2 bottom2" colspan="3" align="center">
323 <STRONG>{--SPONSOR_TERMS_HEADER--}</STRONG>
325 <TD class="guest_title2 bottom2" width="10"> </TD>
327 <TR><TD class="seperator" colspan="5" height="5"> </TD></TR>
329 <TD class="seperator" width="10"> </TD>
330 <TD align="center" valign="top">
331 <INPUT type="checkbox" name="terms" class="guest_normal" value="1">
333 <TD class="seperator" width="10"> </TD>
335 {--SPONSOR_ACCEPT_TERMS--}
337 <TD class="seperator" width="10"> </TD>
339 <TR><TD class="seperator bottom2" colspan="5" height="5"> </TD></TR>
341 <TD class="guest_footer seperator" width="10"> </TD>
342 <TD class="guest_footer" colspan="3" align="center">
343 <INPUT type="hidden" name="refid" value="{--__SPONSOR_REFID--}">
344 <INPUT type="reset" class="guest_reset" value="{--CLEAR_FORM--}"> *
345 <INPUT type="submit" name="ok" class="guest_submit" value="{--REGISTER_SPONSOR--}">
347 <TD class="guest_footer seperator" width="10"> </TD>