templates/de/html/guest/guest_sponsor_reg.tpl

   1 <div align="center">
   2         <div class="big">{--GUEST_SPONSOR_TITLE--}</div>
   3         <div class="errors">
   4                 $content[form_errors]
   5         </div>
   6         <div>
   7                 <ul>
   8                 <li>Melden Sie sich als Sponsor von <strong>{?MAIN_TITLE?}</strong> an! Hier bekommen Sie f&uuml;r Ihr Geld die Zielgruppe, die Sie auch auf Ihren Produktseiten haben wollen!</li>
   9                 <li>Alles inklusiv: Ausf&uuml;hrliche Statistiken (auch per Mail im gew&uuml;nschten Zeitabstand) und einfache Verwaltung Ihrer {?POINTS?} mit nur wenigen Klicks!</li>
  10                 <li>Werden Sie Sponsor und melden Sie sich noch heute an!</li>
  11                 </ul>
  12         </div>
  13 </div>
  14
  15 <div align="center">
  16 <form accept-charset="UTF-8" action="{%url=modules.php?module=index&amp;what=sponsor_reg%}" method="post">
  17 <table border="0" cellspacing="0" cellpadding="0" class="table dashed" width="530">
  18 <tr>
  19         <td class="table_header bottom" colspan="2" align="center">
  20                 <strong>{--SPONSOR_ENTER_COMPANY_DATA--}</strong>
  21         </td>
  22 </tr>
  23 <tr>
  24         <td class="bottom" colspan="2" align="center">
  25                 <div class="notice">{--SPONSOR_COMPANY_NOTE--}</div>
  26         </td>
  27 </tr>
  28 <tr>
  29         <td align="right" width="200">
  30                 {--SPONSOR_ENTER_COMPANY_TITLE--}:
  31         </td>
  32         <td width="300">
  33                 <input type="text" class="form_field" name="company" size="20" maxlength="255" value="$content[company]" />
  34         </td>
  35 </tr>
  36 <tr>
  37         <td align="right">
  38                 {--SPONSOR_ENTER_COMPANY_POSITION--}:
  39         </td>
  40         <td>
  41                 <input type="text" class="form_field" name="position" size="20" maxlength="255" value="$content[position]" />
  42         </td>
  43 </tr>
  44 <tr>
  45         <td class="bottom" align="right" valign="top">
  46                 {--SPONSOR_ENTER_TAX_IDENT--}:
  47         </td>
  48         <td class="bottom">
  49                 <input type="text" class="form_field" name="tax_ident" size="20" maxlength="255" value="$content[tax_ident]" />
  50         </td>
  51 </tr>
  52 <tr>
  53         <td class="table_header bottom" colspan="2" align="center">
  54                 <strong>{--SPONSOR_ENTER_PERSONA_DATA--}</strong>
  55         </td>
  56 </tr>
  57 <tr>
  58         <td align="right">
  59                 {--GENDER--}:
  60         </td>
  61         <td>
  62                 <select name="gender" class="form_select" size="1">
  63                         <option value="M"$content[gender_m]>{--GENDER_M--}</option>
  64                         <option value="F"$content[gender_f]>{--GENDER_F--}</option>
  65                         <option value="C"$content[gender_c]>{--GENDER_C--}</option>
  66                 </select>
  67         </td>
  68 </tr>
  69 <tr>
  70         <td align="right">
  71                 {--GUEST_SURNAME--}:
  72         </td>
  73         <td>
  74                 <input type="text" class="form_field" name="surname" size="20" maxlength="255" value="$content[surname]" />
  75         </td>
  76 </tr>
  77 <tr>
  78         <td class="bottom" align="right">
  79                 {--GUEST_FAMILY--}:
  80         </td>
  81         <td class="bottom">
  82                 <input type="text" class="form_field" name="family" size="20" maxlength="255" value="$content[family]" />
  83         </td>
  84 </tr>
  85 <tr>
  86         <td class="table_header bottom" colspan="2" align="center">
  87                 <strong>{--SPONSOR_ENTER_CONTACT_DATA--}</strong>
  88         </td>
  89 </tr>
  90 <tr>
  91         <td align="right" valign="top">
  92                 {--SPONSOR_ENTER_STREET_NR1--}:
  93         </td>
  94         <td>
  95                 <input type="text" class="form_field" name="street_nr1" size="20" maxlength="255" value="$content[street_nr1]" />
  96         </td>
  97 </tr>
  98 <tr>
  99         <td align="right" valign="top">
 100                 {--SPONSOR_ENTER_STREET_NR2--}:
 101         </td>
 102         <td>
 103                 <input type="text" class="form_field" name="street_nr2" size="20" maxlength="255" value="$content[street_nr2]" />
 104         </td>
 105 </tr>
 106 <tr>
 107         <td align="right" valign="top">
 108                 {--SPONSOR_ENTER_CNTRY_ZIP_CITY--}:
 109         </td>
 110         <td>
 111                 <input type="text" class="form_field" name="country" size="2" maxlength="2" value="$content[country]" />-<input type="text" class="form_field" name="zip" size="5" maxlength="6" value="$content[zip]" />
 112                 <input type="text" class="form_field" name="city" size="10" maxlength="255" value="$content[city]" />
 113         </td>
 114 </tr>
 115 <tr>
 116         <td align="right" valign="top">
 117                 {--SPONSOR_ENTER_PHONE--}:
 118         </td>
 119         <td>
 120                 <input type="text" class="form_field" name="phone" size="20" maxlength="255" value="$content[phone]" />
 121         </td>
 122 </tr>
 123 <tr>
 124         <td align="right" valign="top">
 125                 {--SPONSOR_ENTER_FAX--}:
 126         </td>
 127         <td>
 128                 <input type="text" class="form_field" name="fax" size="20" maxlength="255" value="$content[fax]" />
 129         </td>
 130 </tr>
 131 <tr>
 132         <td align="right" valign="top">
 133                 {--SPONSOR_ENTER_CELL--}:
 134         </td>
 135         <td>
 136                 <input type="text" class="form_field" name="cell" size="20" maxlength="255" value="$content[cell]" />
 137         </td>
 138 </tr>
 139 <tr>
 140         <td align="right" valign="top">
 141                 {--SPONSOR_ENTER_EMAIL--}:
 142         </td>
 143         <td>
 144                 <input type="text" class="form_field" name="email" size="20" maxlength="255" value="$content[email]" />
 145         </td>
 146 </tr>
 147 <tr>
 148         <td class="bottom" align="right" valign="top">
 149                 {--SPONSOR_ENTER_URL--}:
 150         </td>
 151         <td class="bottom">
 152                 <input type="text" class="form_field" name="url" size="20" maxlength="255" value="$content[url]" />
 153         </td>
 154 </tr>
 155 <tr>
 156         <td class="table_header bottom" colspan="2" align="center">
 157                 <strong>{--SPONSOR_ENTER_PASSWORDS--}</strong>
 158         </td>
 159 </tr>
 160 <tr>
 161         <td class="bottom" align="right" valign="top">
 162                 {--SPONSOR_ENTER_PASSWORDS--}:
 163         </td>
 164         <td class="bottom">
 165                 <input type="password" class="form_field" name="pass1" size="10" maxlength="255" />
 166                 <input type="password" class="form_field" name="pass2" size="10" maxlength="255" />
 167         </td>
 168 </tr>
 169 <tr>
 170         <td class="table_header bottom" colspan="2" align="center">
 171                 <strong>{--SPONSOR_REFERAL--}</strong>
 172         </td>
 173 </tr>
 174 <tr>
 175         <td class="bottom" align="right" valign="top">
 176                 {--SPONSOR_REFID_WAS--}:
 177         </td>
 178         <td class="bottom">
 179                 <strong>{%pipe,determineReferalId%}</strong>
 180         </td>
 181 </tr>
 182 <tr>
 183         <td class="table_header bottom" colspan="2" align="center">
 184                 <strong>{--SPONSOR_WARNINGS--}</strong>
 185         </td>
 186 </tr>
 187 <tr>
 188         <td align="right">
 189                 {--GUEST_SPONSOR_RECEIVE_WARNINGS--}
 190         </td>
 191         <td>
 192                 <select name="receive_warnings" class="form_select" size="1">
 193                         <option value="Y"$content[receive_warnings_y]>{--YES--}</option>
 194                         <option value="N"$content[receive_warnings_n]>{--NO--}</option>
 195                 </select>
 196         </td>
 197 </tr>
 198 <tr>
 199         <td class="bottom" align="right">
 200                 {--SPONSOR_WARNING_INTERVAL--}:
 201         </td>
 202         <td class="bottom">
 203                 <select name="warning_interval" class="form_select" size="1">
 204                         <option value="0">{--SELECT_NONE--}</option>
 205                         <option value="{%math,Day=1%}">1 {--DAYS--}</option>
 206                         <option value="{%math,Day=3%}">3 {--DAYS--}</option>
 207                         <option value="{%math,Week=1%}" selected="selected">1 {--LIFE_WEEKS--}</option>
 208                         <option value="{%math,Week=2%}">2 {--LIFE_WEEKS--}</option>
 209                         <option value="{%math,Week=4%}">4 {--LIFE_WEEKS--}</option>
 210                         <option value="{%math,Week=8%}">8 {--LIFE_WEEKS--}</option>
 211                 </select>
 212         </td>
 213 </tr>
 214 <tr>
 215         <td class="table_header bottom" colspan="2" align="center">
 216                 <strong>{--SPONSOR_PAYMENTS--}</strong>
 217         </td>
 218 </tr>
 219 <tr>
 220         <td class="bottom" align="center" valign="top" colspan="2">
 221                 {--SPONSOR_SELECT_PAYMENT--}:
 222                 $content[payment_list]
 223         </td>
 224 </tr>
 225 <tr>
 226         <td class="table_header bottom" colspan="2" align="center">
 227                 <strong>{--SPONSOR_TERMS_HEADER--}</strong>
 228         </td>
 229 </tr>
 230 <tr>
 231         <td class="bottom" align="center" valign="top">
 232                 <input type="checkbox" name="terms" class="form_field" value="1" />
 233         </td>
 234         <td class="bottom">
 235                 {--SPONSOR_ACCEPT_TERMS--}
 236         </td>
 237 </tr>
 238 <tr>
 239         <td class="table_footer" colspan="2" align="center">
 240                 <input type="hidden" name="refid" value="$content[refid]" />
 241                 <input type="reset" class="form_reset" value="{--CLEAR_FORM--}" />
 242                 <input type="submit" class="form_submit" name="ok" value="{--REGISTER_SPONSOR--}" />
 243         </td>
 244 </tr>
 245 </table>
 246 </form>
 247 </div>