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tuve_tv_web / templates / register.html
@reddawg reddawg on 29 Apr 2008 2 KB Sync
    <div id="content_area">
    <div id="subnav">
<A HREF="javascript:startTUve()"><IMG SRC="/images/global/launch_button.gif" BORDER="0"></A>
</div>
    <div id="content">
      <h1>How TUvé Works</h1>
<H3>TUvé Registration</H3>
<FORM METHOD="POST" ACTION="{SELF}">
<TABLE BORDER="0">
<TR><TD COLSPAN="2">{MESSAGE}</TD></TR>
<TR><TD COLSPAN="2"><FONT COLOR="#FF0000">*</FONT> - Required Field</TD></TR>
<TR><TD><FONT COLOR="#FF0000">*</FONT>First Name: </TD><TD><INPUT TYPE="TEXT" NAME="data[firstname]" VALUE="{FIRSTNAME}"></TD></TR>
<TR><TD><FONT COLOR="#FF0000">*</FONT>Last Name: </TD><TD><INPUT TYPE="TEXT" NAME="data[lastname]" VALUE="{LASTNAME}"></TD></TR>
<TR><TD><FONT COLOR="#FF0000">*</FONT>Postal Code: </TD><TD><INPUT TYPE="TEXT" NAME="data[postal_code]" VALUE="{POSTAL_CODE}"></TD></TR>
<TR><TD><FONT COLOR="#FF0000">*</FONT>Country:</TD><TD><SELECT name="data[country]">{COUNTRY}</SELECT></TD></TR>
<TR><TD><FONT COLOR="#FF0000">*</FONT>Birthday:</TD><TD><SELECT name="data[bmonth]">{BMONTH}</SELECT><SELECT name="data[bday]">{BDAY}</SELECT><SELECT name="data[byear]">{BYEAR}</SELECT></TD></TR>
<TR><TD><FONT COLOR="#FF0000">*</FONT>Username: </TD><TD><INPUT TYPE="TEXT" NAME="data[username]" VALUE="{USERNAME}"></TD></TR>
<TR><TD><FONT COLOR="#FF0000">*</FONT>Gender:</TD><TD><SELECT NAME="data[gender]">{GENDER}</SELECT></TD></TR>
<TR><TD><FONT COLOR="#FF0000">*</FONT>Password: </TD><TD><INPUT TYPE="PASSWORD" NAME="data[password1]" VALUE="{PASSWORD1}"></TD></TR>
<TR><TD><FONT COLOR="#FF0000">*</FONT>Confirm Password: </TD><TD><INPUT TYPE="PASSWORD" NAME="data[password2]" VALUE="{PASSWORD2}"></TD></TR>
<TR><TD><FONT COLOR="#FF0000">*</FONT>E-mail:</TD><TD><INPUT TYPE="TEXT" NAME="data[email1]" VALUE="{EMAIL1}"></TD></TR>
<TR><TD><FONT COLOR="#FF0000">*</FONT>Confirm E-mail:</TD><TD><INPUT TYPE="TEXT" NAME="data[email2]" VALUE="{EMAIL2}"></TD></TR>
<TR><TD>Referral Code:</TD><TD><INPUT TYPE="TEXT" NAME="data[source]" VALUE="{SOURCE}"></TD></TR>
<TR><TD>&nbsp;</TD><TD><INPUT TYPE="CHECKBOX" NAME="data[tos]" {TOS}> I agree to the <a href="/terms/" TARGET="_new">terms of use</a> and <a href="/privacy/" TARGET="_new">privacy policy.</A>
<TR><TD COLSPAN="2"><INPUT TYPE="SUBMIT" NAME="data[register]" VALUE="Register"></TD></TR>
</TABLE>
    </div>
    <br clear="all" />
    </div>