bb517ee40da7164de8e7d1b94e888bf8ecafe15a
[mailer.git] / templates / de / html / guest / guest_register.tpl
1 <div align="center">
2 <form accept-charset="UTF-8" action="{%url=modules.php?module=index&amp;what=register%}" method="post" name="register">
3 <table border="0" cellspacing="0" cellpadding="0" width="640" class="table dashed">
4         <tr>
5                 <td colspan="2" class="table_header bottom">
6                         $content[header_content]
7                 </td>
8         </tr>
9         <tr>
10                 <td colspan="2" class="table_header bottom">
11                         {--REGISTER_PERSONAL_DATA--}:
12                 </td>
13         </tr>
14         <tr>
15                 <td class="bottom" colspan="2" align="center">
16                 <table border="0" cellspacing="0" cellpadding="0" width="100%">
17                         <tr>
18                                 <td class="register_left">
19                                         {--GENDER--}$content[must_fillout_gender]:
20                                 </td>
21                                 <td class="register_right"><select name="gender"
22                                         size="1" class="form_select">
23                                         <option value="M">{--GENDER_M--}</option>
24                                         <option value="F">{--GENDER_F--}</option>
25                                         <option value="C">{--GENDER_C--}</option>
26                                 </select></td>
27                         </tr>
28                         <tr>
29                                 <td class="register_left">{--SURNAME--}$content[must_fillout_surname],
30                                         {--FAMILY--}$content[must_fillout_family]:
31                                 </td>
32                                 <td class="register_right">
33                                         <input type="text" class="form_field" name="surname" size="15" maxlength="255" value="$content[surname]" />
34                                         <input type="text" class="form_field" name="family" size="15" maxlength="255" value="$content[family]" />
35                                 </td>
36                         </tr>
37                         <tr>
38                                 <td class="register_left">
39                                         {--STREET_NR--}$content[must_fillout_street_nr]:
40                                 </td>
41                                 <td class="register_right">
42                                         <input type="text" class="form_field" name="street_nr" size="25" maxlength="255" value="$content[street_nr]" />
43                                 </td>
44                         </tr>
45                         <tr>
46                                 <td align="right" class="register_left">
47                                         {--COUNTRY--}$content[must_fillout_cntry], {--ZIP--}$content[must_fillout_zip],
48                                         {--CITY--}$content[must_fillout_city]:
49                                 </td>
50                                 <td class="register_right">
51                                         $content[country]
52                                         <input type="text" class="form_field" name="zip" size="5" maxlength="10" value="$content[zip]" />
53                                         <input type="text" class="form_field" name="city" size="20" maxlength="255" value="$content[city]" />
54                                 </td>
55                         </tr>
56                         <tr>
57                                 <td align="right" class="register_left">
58                                         {--EMAIL--}$content[must_fillout_email]:&nbsp;&nbsp;
59                                 </td>
60                                 <td class="register_right">
61                                         <input type="text" class="form_field" name="email" size="30" maxlength="255" value="$content[email]" />
62                                 </td>
63                         </tr>
64                         <tr>
65                                 <td align="right" class="register_left">
66                                         {--BIRTHDAY--}$content[must_fillout_birthday]:
67                                 </td>
68                                 <td class="register_right">
69                                         $content[birthday_selection]
70                                 </td>
71                         </tr>
72                         <tr>
73                                 <td colspan="2" align="center">
74                                         <div class="notice">$content[must_fillout_marker]&nbsp;:&nbsp;{--GUEST_REGISTER_MUST_SET_NOTE--}</div>
75                                 </td>
76                         </tr>
77                 </table>
78                 </td>
79         </tr>
80         <tr>
81                 <td colspan="2" class="table_header bottom">
82                         {--REGISTER_CATEGORIES--}:
83                 </td>
84         </tr>
85         <tr>
86                 <td colspan="2" class="table_header">
87                         {--GUEST_SELECT_LEAST_CATEGORIES--}
88                 </td>
89         </tr>
90         <tr>
91                 <td colspan="2" class="bottom">
92                         $content[category_selection]
93                 </td>
94         </tr>
95         <tr>
96                 <td colspan="2" class="table_header bottom">
97                         {--REGISTER_MISC--}:
98                 </td>
99         </tr>
100         <tr>
101                 <td colspan="2" align="center">
102                         <div class="notice tiny">{--GUEST_EMPTY_PASSWORD_HINT--}</div>
103                 </td>
104         </tr>
105         <tr>
106                 <td align="right" class="register_left">
107                         {--PASS_1--}, {--PASS_2--}:
108                 </td>
109                 <td class="register_right">
110                         <input type="password" class="form_field" name="pass1" size="10" maxlength="100" />
111                         <input type="password" class="form_field" name="pass2" size="10" maxlength="100" />
112                 </td>
113         </tr>
114         <tr>
115                 <td colspan="2" align="center">
116                         $content[max_receive_list]
117                 </td>
118         </tr>
119         $content[refid_content]
120         <tr>
121                 <td colspan="2" class="table_header bottom top">
122                         {--TERMS_OF_USAGE--}:
123                 </td>
124         </tr>
125         <tr>
126                 <td colspan="2" class="bottom">
127                         <table border="0" cellspacing="0" cellpadding="0" width="640" class="table">
128                         <tr>
129                                 <td width="50%" align="right">
130                                         {--AGREE_TO_THIS--}
131                                 </td>
132                                 <td width="50%">
133                                         <input type="radio" class="form_field" name="agree" value="Y" /> {--YES--}<br />
134                                         <input type="radio" class="form_field" name="agree" value="N" checked="checked" /> {--NO--}
135                                 </td>
136                         </tr>
137                         </table>
138                 </td>
139         </tr>
140         <tr>
141                 <td colspan="2" class="table_footer">
142                         <input type="reset" class="form_reset" value="{--CLEAR_FORM--}" />
143                         <input type="submit" class="form_submit" name="ok" value="{--SUBMIT_REGISTER--}" />
144                 </td>
145         </tr>
146 </table>
147 </form>
148 </div>