2 {%form,formMethodPost,formNameRegister=modules.php?module=index&what=register%}
3 <input type="hidden" name="registration_provider" value="register" />
4 <table border="0" cellspacing="0" cellpadding="0" width="640" class="table dashed">
6 <td colspan="2" class="table_header bottom">
7 {--GUEST_REGISTER_WERNIS_PROVIDER_TITLE--}
12 <td colspan="2" class="table_header bottom">
13 {--REGISTER_PERSONAL_DATA--}:
18 <td class="bottom" colspan="2" align="center">
19 <table border="0" cellspacing="0" cellpadding="0" width="100%">
21 <td class="register_left" align="right">
22 {--GENDER--}$content[must_fillout_gender]:
24 <td class="register_right">
25 {%pipe,generateGenderSelectionBox=$content[gender]%}
30 <td class="register_left" align="right">
31 {--SURNAME--}$content[must_fillout_surname],
32 {--FAMILY--}$content[must_fillout_family]:
34 <td class="register_right">
35 <input type="text" class="form_field" name="surname" size="15" maxlength="255" value="$content[surname]" />
36 <input type="text" class="form_field" name="family" size="15" maxlength="255" value="$content[family]" />
41 <td class="register_left" align="right">
42 {--STREET_NR--}$content[must_fillout_street_nr]:
44 <td class="register_right">
45 <input type="text" class="form_field" name="street_nr" size="25" maxlength="255" value="$content[street_nr]" />
50 <td class="register_left" align="right">
51 {--COUNTRY--}$content[must_fillout_cntry], {--ZIP--}$content[must_fillout_zip],
52 {--CITY--}$content[must_fillout_city]:
54 <td class="register_right">
55 {%pipe,postRequestElement,addCountryCodeSelectionBox=country_code%}
56 <input type="text" class="form_field" name="zip" size="5" maxlength="10" value="$content[zip]" />
57 <input type="text" class="form_field" name="city" size="20" maxlength="255" value="$content[city]" />
62 <td class="register_left" align="right">
63 {--EMAIL--}$content[must_fillout_email]:
65 <td class="register_right">
66 <input type="text" class="form_field" name="email" size="30" maxlength="255" value="$content[email]" />
71 <td class="register_left" align="right">
72 {--BIRTHDAY--}$content[must_fillout_birthday]:
74 <td class="register_right">
75 $content[birthday_selection]
80 <td colspan="2" align="center">
82 $content[must_fillout_marker]:{--GUEST_REGISTER_MUST_SET_NOTICE--}
91 <td colspan="2" class="table_header bottom">
92 {--REGISTER_CATEGORIES--}:
97 <td colspan="2" class="table_header">
98 {--GUEST_SELECT_LEAST_CATEGORIES--}
103 <td colspan="2" class="bottom">
104 {%pipe,registerGenerateCategoryTable=guest%}
109 <td colspan="2" class="table_header bottom">
115 <td colspan="2" align="center">
116 <div class="notice tiny">{--GUEST_EMPTY_PASSWORD_HINT--}</div>
121 <td class="register_left" align="right">
122 {--GUEST_ENTER_PASSWORDS--}
124 <td class="register_right">
125 <input type="password" class="form_field" name="password1" size="10" maxlength="100" />
126 <input type="password" class="form_field" name="password2" size="10" maxlength="100" />
131 <td colspan="2" align="center">
132 {%pipe,addMaxReceiveList=guest%}
136 {%template,DisplayReferralIdContent%}
139 <td colspan="2" class="table_header bottom top">
140 {--TERMS_OF_USAGE--}:
145 <td colspan="2" class="bottom">
146 <table border="0" cellspacing="0" cellpadding="0" width="640" class="table">
148 <td width="50%" align="right">
152 <input type="radio" class="form_field" name="agree" value="Y" /> {--YES--}<br />
153 <input type="radio" class="form_field" name="agree" value="N" checked="checked" /> {--NO--}
161 <td colspan="2" class="table_footer">
162 <input type="reset" class="form_reset" value="{--CLEAR_FORM--}" />
163 <input type="submit" class="form_submit" name="ok" value="{--SUBMIT_REGISTER--}" />