1 {!__SPONSOR_FORM_ERRORS!}
2 <div align="center"><div 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 <div class="guest_note">{--SPONSOR_COMPANY_NOTE--}</div>
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_GENDER--}:
76 <td class="seperator" width="10"> </td>
78 <select name="gender" class="guest_select" size="1">
79 <option value="M"{!__GENDER_M!}>{--GENDER_M--}</option>
80 <option value="F"{!__GENDER_F!}>{--GENDER_F--}</option>
81 <option value="C"{!__GENDER_C!}>{--GENDER_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="{--($_CONFIG['one_day']*1)--}">1 {--DAYS--}</option>
290 <option value="{--($_CONFIG['one_day']*3)--}">3 {--DAYS--}</option>
291 <option value="{--($_CONFIG['one_day']*7)--}" selected>1 {--LIFE_WEEKS--}</option>
292 <option value="{--($_CONFIG['one_day']*14)--}">2 {--LIFE_WEEKS--}</option>
293 <option value="{--($_CONFIG['one_day']*28)--}">4 {--LIFE_WEEKS--}</option>
294 <option value="{--($_CONFIG['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>