1 {!__SPONSOR_FORM_ERRORS!}
3 <div class="big">{--GUEST_SPONSOR_TITLE--}</div>
7 <li>Melden Sie sich als Sponsor von <strong>{!MAIN_TITLE!}</strong> an! Hier bekommen Sie für Ihr Geld die Zielgruppe, die Sie auch auf Ihren Produktseiten haben wollen!</li>
8 <li>Alles inklusiv: Ausführliche Statistiken (auch per Mail im gewünschten Zeitabstand) und einfache Verwaltung Ihrer {!POINTS!} mit nur wenigen Klicks!</li>
9 <li>Werden Sie Sponsor und melden Sie sich noch heute an!</li>
13 <form action="{!URL!}/modules.php?module=index&what=sponsor_reg" method="post">
14 <table border="0" cellspacing="0" cellpadding="0" align="center" class="guest_table dashed" width="530">
16 <td class="guest_title2 bottom2" width="10" height="30"> </td>
17 <td class="guest_title2 bottom2" colspan="3" align="center">
18 <strong>{--SPONSOR_ENTER_COMPANY_DATA--}</strong>
20 <td class="guest_title2 bottom2" width="10"> </td>
23 <td class="bottom2" width="10" height="40"> </td>
24 <td class="bottom2" colspan="3" align="center">
25 <div class="guest_note">{--SPONSOR_COMPANY_NOTE--}</div>
27 <td class="bottom2" width="10"> </td>
29 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
31 <td class="seperator" width="10"> </td>
32 <td align="right" width="200">
33 {--SPONSOR_ENTER_COMPANY_TITLE--}:
35 <td class="seperator" width="10"> </td>
37 <input type="text" name="company" class="guest_normal" size="20" maxlength="255" value="{!__COMPANY!}" />
39 <td class="seperator" width="10"> </td>
41 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
43 <td class="seperator" width="10"> </td>
45 {--SPONSOR_ENTER_COMPANY_POSITION--}:
47 <td class="seperator" width="10"> </td>
49 <input type="text" name="position" class="guest_normal" size="20" maxlength="255" value="{!__POSITION!}" />
51 <td class="seperator" width="10"> </td>
53 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
55 <td class="seperator" width="10"> </td>
56 <td align="right" valign="top">
57 {--SPONSOR_ENTER_TAX_IDENT--}:
59 <td class="seperator" width="10"> </td>
61 <input type="text" name="tax_ident" class="guest_normal" size="20" maxlength="255" value="{!__TAX_IDENT!}" />
63 <td class="seperator" width="10"> </td>
65 <tr><td class="seperator bottom2" colspan="5" height="5"> </td></tr>
67 <td class="guest_title2 bottom2" width="10" height="30"> </td>
68 <td class="guest_title2 bottom2" colspan="3" align="center">
69 <strong>{--SPONSOR_ENTER_PERSONA_DATA--}</strong>
71 <td class="guest_title2 bottom2" width="10"> </td>
73 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
75 <td class="seperator" width="10"> </td>
77 {--GUEST_GENDER--}:
79 <td class="seperator" width="10"> </td>
81 <select name="gender" class="guest_select" size="1">
82 <option value="M"{!__GENDER_M!}>{--GENDER_M--}</option>
83 <option value="F"{!__GENDER_F!}>{--GENDER_F--}</option>
84 <option value="C"{!__GENDER_C!}>{--GENDER_C--}</option>
87 <td class="seperator" width="10"> </td>
89 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
91 <td class="seperator" width="10"> </td>
93 {--GUEST_SURNAME--}:
95 <td class="seperator" width="10"> </td>
97 <input type="text" name="surname" class="guest_normal" size="20" maxlength="255" value="{!__SURNAME!}" />
99 <td class="seperator" width="10"> </td>
101 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
103 <td class="seperator" width="10"> </td>
105 {--GUEST_FAMILY--}:
107 <td class="seperator" width="10"> </td>
109 <input type="text" name="family" class="guest_normal" size="20" maxlength="255" value="{!__FAMILY!}" />
111 <td class="seperator" width="10"> </td>
113 <tr><td class="seperator bottom2" colspan="5" height="5"> </td></tr>
115 <td class="guest_title2 bottom2" width="10" height="30"> </td>
116 <td class="guest_title2 bottom2" colspan="3" align="center">
117 <strong>{--SPONSOR_ENTER_CONTACT_DATA--}</strong>
119 <td class="guest_title2 bottom2" width="10"> </td>
121 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
123 <td class="seperator" width="10"> </td>
124 <td align="right" valign="top">
125 {--SPONSOR_ENTER_STREET_NR1--}:
127 <td class="seperator" width="10"> </td>
129 <input type="text" name="street_nr1" class="guest_normal" size="20" maxlength="255" value="{!__STREET1!}" />
131 <td class="seperator" width="10"> </td>
133 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
135 <td class="seperator" width="10"> </td>
136 <td align="right" valign="top">
137 {--SPONSOR_ENTER_STREET_NR2--}:
139 <td class="seperator" width="10"> </td>
141 <input type="text" name="street_nr2" class="guest_normal" size="20" maxlength="255" value="{!__STREET2!}" />
143 <td class="seperator" width="10"> </td>
145 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
147 <td class="seperator" width="10"> </td>
148 <td align="right" valign="top">
149 {--SPONSOR_ENTER_CNTRY_ZIP_CITY--}:
151 <td class="seperator" width="10"> </td>
153 <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!}" />
154 <input type="text" name="city" class="guest_normal" size="10" maxlength="255" value="{!__CITY!}" />
156 <td class="seperator" width="10"> </td>
158 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
160 <td class="seperator" width="10"> </td>
161 <td align="right" valign="top">
162 {--SPONSOR_ENTER_PHONE--}:
164 <td class="seperator" width="10"> </td>
166 <input type="text" name="phone" class="guest_normal" size="20" maxlength="255" value="{!__PHONE!}" />
168 <td class="seperator" width="10"> </td>
170 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
172 <td class="seperator" width="10"> </td>
173 <td align="right" valign="top">
174 {--SPONSOR_ENTER_FAX--}:
176 <td class="seperator" width="10"> </td>
178 <input type="text" name="fax" class="guest_normal" size="20" maxlength="255" value="{!__FAX!}" />
180 <td class="seperator" width="10"> </td>
182 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
184 <td class="seperator" width="10"> </td>
185 <td align="right" valign="top">
186 {--SPONSOR_ENTER_CELL--}:
188 <td class="seperator" width="10"> </td>
190 <input type="text" name="cell" class="guest_normal" size="20" maxlength="255" value="{!__CELL!}" />
192 <td class="seperator" width="10"> </td>
194 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
196 <td class="seperator" width="10"> </td>
197 <td align="right" valign="top">
198 {--SPONSOR_ENTER_EMAIL--}:
200 <td class="seperator" width="10"> </td>
202 <input type="text" name="email" class="guest_normal" size="20" maxlength="255" value="{!__EMAIL!}" />
204 <td class="seperator" width="10"> </td>
206 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
208 <td class="seperator" width="10"> </td>
209 <td align="right" valign="top">
210 {--SPONSOR_ENTER_URL--}:
212 <td class="seperator" width="10"> </td>
214 <input type="text" name="url" class="guest_normal" size="20" maxlength="255" value="{!__URL!}" />
216 <td class="seperator" width="10"> </td>
218 <tr><td class="seperator bottom2" colspan="5" height="5"> </td></tr>
220 <td class="guest_title2 bottom2" width="10" height="30"> </td>
221 <td class="guest_title2 bottom2" colspan="3" align="center">
222 <strong>{--SPONSOR_ENTER_PASSWORDS--}</strong>
224 <td class="guest_title2 bottom2" width="10"> </td>
226 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
228 <td class="seperator" width="10"> </td>
229 <td align="right" valign="top">
230 {--SPONSOR_ENTER_PASSWORDS--}:
232 <td class="seperator" width="10"> </td>
234 <input type="password" name="pass1" class="guest_normal" size="10" maxlength="255" />
235 <input type="password" name="pass2" class="guest_normal" size="10" maxlength="255" />
237 <td class="seperator" width="10"> </td>
239 <tr><td class="seperator bottom2" colspan="5" height="5"> </td></tr>
241 <td class="guest_title2 bottom2" width="10" height="30"> </td>
242 <td class="guest_title2 bottom2" colspan="3" align="center">
243 <strong>{--SPONSOR_REFERRAL--}</strong>
245 <td class="guest_title2 bottom2" width="10"> </td>
247 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
249 <td class="seperator" width="10"> </td>
250 <td align="right" valign="top">
251 {--SPONSOR_REFID_WAS--}:
253 <td class="seperator" width="10"> </td>
255 <strong>{!__SPONSOR_REFID!}</strong>
257 <td class="seperator" width="10"> </td>
259 <tr><td class="seperator bottom2" colspan="5" height="5"> </td></tr>
261 <td class="guest_title2 bottom2" width="10" height="30"> </td>
262 <td class="guest_title2 bottom2" colspan="3" align="center">
263 <strong>{--SPONSOR_WARNINGS--}</strong>
265 <td class="guest_title2 bottom2" width="10"> </td>
267 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
269 <td class="seperator" width="10"> </td>
271 {--GUEST_SPONSOR_RECEIVE_WARNINGS--}
273 <td class="seperator" width="10"> </td>
275 <select name="receive_warnings" class="guest_select" size="1">
276 <option value="Y"{!__REC_Y!} />{--YES--}</option>
277 <option value="N"{!__REC_N!} />{--NO--}</option>
280 <td class="seperator" width="10"> </td>
282 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
284 <td class="seperator" width="10"> </td>
286 {--SPONSOR_WARNING_INTERVAL--}:
288 <td class="seperator" width="10"> </td>
290 <select name="warning_interval" class="guest_select" size="1">
291 <option value="0">{--SELECT_NONE--}</option>
292 <option value="{--($_CONFIG['one_day']*1)--}">1 {--DAYS--}</option>
293 <option value="{--($_CONFIG['one_day']*3)--}">3 {--DAYS--}</option>
294 <option value="{--($_CONFIG['one_day']*7)--}" selected>1 {--LIFE_WEEKS--}</option>
295 <option value="{--($_CONFIG['one_day']*14)--}">2 {--LIFE_WEEKS--}</option>
296 <option value="{--($_CONFIG['one_day']*28)--}">4 {--LIFE_WEEKS--}</option>
297 <option value="{--($_CONFIG['one_day']*56)--}">8 {--LIFE_WEEKS--}</option>
300 <td class="seperator" width="10"> </td>
302 <tr><td class="seperator bottom2" colspan="5" height="5"> </td></tr>
304 <td class="guest_title2 bottom2" width="10" height="30"> </td>
305 <td class="guest_title2 bottom2" colspan="3" align="center">
306 <strong>{--SPONSOR_PAYMENTS--}</strong>
308 <td class="guest_title2 bottom2" width="10"> </td>
310 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
312 <td class="seperator" width="10"> </td>
313 <td align="right" valign="top">
314 {--SPONSOR_SELECT_PAYMENT--}:
316 <td class="seperator" width="10"> </td>
320 <td class="seperator" width="10"> </td>
322 <tr><td class="seperator bottom2" colspan="5" height="5"> </td></tr>
324 <td class="guest_title2 bottom2" width="10" height="30"> </td>
325 <td class="guest_title2 bottom2" colspan="3" align="center">
326 <strong>{--SPONSOR_TERMS_HEADER--}</strong>
328 <td class="guest_title2 bottom2" width="10"> </td>
330 <tr><td class="seperator" colspan="5" height="5"> </td></tr>
332 <td class="seperator" width="10"> </td>
333 <td align="center" valign="top">
334 <input type="checkbox" name="terms" class="guest_normal" value="1" />
336 <td class="seperator" width="10"> </td>
338 {--SPONSOR_ACCEPT_TERMS--}
340 <td class="seperator" width="10"> </td>
342 <tr><td class="seperator bottom2" colspan="5" height="5"> </td></tr>
344 <td class="guest_footer seperator" width="10"> </td>
345 <td class="guest_footer" colspan="3" align="center">
346 <input type="hidden" name="refid" value="{!__SPONSOR_REFID!}" />
347 <input type="reset" class="guest_reset" value="{--CLEAR_FORM--}" />
348 <input type="submit" name="ok" class="guest_submit" value="{--REGISTER_SPONSOR--}" />
350 <td class="guest_footer seperator" width="10"> </td>