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- <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
- <html>
- <HEAD>
- <title>Web Registration</title>
- <meta name="REGISTRATION" content="YES">
- <meta name="GENERATOR" content="Microsoft Visual Studio.NET 7.0">
- <meta name="vs_targetSchema" content="http://schemas.microsoft.com/intellisense/ie5">
- <style type="text/css"> .header { font-size : 12pt; font-family : Arial, Helvetica; font-weight : bold; color : #003399; }
- .subhead { font-size : 11pt; font-family : Arial, Helvetica; font-weight : bold; color : #cc0033; }
- .text { font-size : 9pt; font-family : Arial, Helvetica; color : #000000; }
- .promotext { font-size : 11pt; font-family : Times, Times New Roman; font-weight : bold; color : #000000; }
- .copy { font-size : 8pt; font-family : Arial, Helvetica; color : #000000; }
- .link { font-size : 8pt; font-family : Arial, Helvetica; color : #ff0000; }
- .copyright { font-size : 8pt; font-family : Arial, Helvetica; color : #000000; }
- </style>
- </HEAD>
- <body class="gray" topmargin="0" leftmargin="0">
- <table width="100%" height="48" border="0" cellspacing="0" cellpadding="0" bgcolor="#08006e" ID="Table1">
- <tr>
- <td width="100%" align="left" height="48"><img alt="" src="broderbund.gif" border="0" style="WIDTH: 256px; HEIGHT: 52px" height="52" width="256"></td>
- </tr>
- </table>
- <table width="778" height="1155" border="0" cellspacing="0" cellpadding="10" bgcolor="white" ID="Table2" style="WIDTH: 778px; HEIGHT: 1155px">
- <!--table width="473" height="439" border="0" cellspacing="0" cellpadding="10" bgcolor="white"-->
- <tr>
- <td width="100%" align="middle" valign="top"><!--td width="473" align="center" valign="top"-->
- <script language="javascript">
-
- function ValidateRegistrationInfo()
- {
- var sError="";
- try
- {
- theForm = document.CustomerAccount;
- sError += ValidateItem( theForm.firstname, "First Name", true, 0, 15);
- sError += ValidateItem( theForm.lastname, "Last Name", true, 0, 25);
- sError += ValidateItem( theForm.email, "Your Email Address", true, 6, 90);
- sError += ValidateItem( theForm.username, "Broderbund.com Username", true, 3, 40);
- sError += ValidateItem( theForm.password, "Broderbund.com Password", true, 0, 15);
- sError += ValidateItem( theForm.confirmpassword, "Confirm Password", true, 0, 15);
- sError += ValidateItem( theForm.passwordhint, "Password Hint", false, 0, 40);
- sError += ValidateItem( theForm.company, "Company", false, 0, 30);
- sError += ValidateItem( theForm.address, "Address (Line 1)", true, 0, 30);
- sError += ValidateItem( theForm.address2, "Address (Line 2)", false, 0, 30);
- sError += ValidateItem( theForm.city, "City/Town", true, 0, 25);
- sError += ValidateItem(theForm.state_abbr, "State/Province", true, 0, 2);
- sError += ValidateItem( theForm.zip_code, "Postal Code", true, 0, 10);
- sError += ValidateItem(theForm.country_abbr, "Country", true, 0, 3);
- sError += ValidatePhone( theForm.dayphone_Code, theForm.dayphone_Prefix, theForm.dayphone_Suffix, theForm.dayphone_Extension, "Day Phone Number", false);
- sError += ValidatePhone( theForm.eveningphone_Code, theForm.eveningphone_Prefix, theForm.eveningphone_Suffix, theForm.eveningphone_Extension, "Evening Phone Number", false);
- sError += ValidateEmail( theForm.email.value );
- sError += ValidatePasswordMatch( theForm.password.value, "Broderbund.com Password", theForm.confirmpassword.value, "Confirm Password");
- }
- catch(e){sError = "";}
-
- if( sError != "" )
- {
- alert('The following errors were encounered while submitting the form.\n\n' + sError);
- return false;
- } else {
- window.external.DoClassicReg(1);
- return true;
- }
- }
-
- </script>
- <form name="CustomerAccount" action="" method="post" onsubmit="ValidateRegistrationInfo();" ID="Form1">
-
- <table width="100%" cellpadding="0" cellspacing="0" border="0" ID="Table3">
- <!-- Welcome Header -->
- <tr>
- <td class="webreginstructions">Getting started is easy: Simply fill out the
- registration form below and click Register Now! You must be 13 years of age or
- older to register.</td>
- </tr>
- <!-- User Information Area -->
- <tr>
- <td width="100%">
- <table width="100%" border="0" cellspacing="3" cellpadding="0" ID="Table4">
- <tr>
- <td colspan="2" class="webreginstructions"><hr>
- </td>
- </tr>
- <tr>
- <td colspan="2" class="webregheadline" align="right">Your Information</td>
- </tr>
- <tr>
- <td colspan="2" class="webreginstructions">Fields in <b>bold type</b> and marked
- with an asterisk(*) are REQUIRED</td>
- </tr>
- <tr>
- <td colspan="2" class="webreginstructions"> </td>
- </tr>
- <tr>
- <td id="firstname" class="webregrequired" nowrap>*First Name: </td>
- <td class="webreginput"><input type="text" name="firstname" maxlength="15" class="webreginput" ID="Text1"></td>
- </tr>
- <tr>
- <td id="lastname" class="webregrequired" nowrap>*Last Name: </td>
- <td class="webreginput"><input type="text" name="lastname" maxlength="25" class="webreginput" ID="Text2"></td>
- </tr>
- <tr>
- <td id="email" class="webregrequired" nowrap>*Your Email Address: </td>
- <td class="webreginput"><input type="text" name="email" maxlength="90" class="webreginput" ID="Text3"></td>
- </tr>
- <tr>
- <td id="company" class="webregoptional" nowrap>Company: </td>
- <td class="webreginput"><input type="text" name="company" maxlength="30" class="webreginput" ID="Text4"></td>
- </tr>
- <tr>
- <td id="address" class="webregrequired" nowrap>*Address (Line 1): </td>
- <td class="webreginput"><input type="text" name="address" maxlength="30" class="webreginput" ID="Text5"></td>
- </tr>
- <tr>
- <td id="address2" class="webregoptional" nowrap>Address (Line 2): </td>
- <td class="webreginput"><input type="text" name="address2" maxlength="30" class="webreginput" ID="Text6"></td>
- </tr>
- <tr>
- <td class="webreginstructions"> </td>
- <td class="webreginstructions">Please enter your full city name-Do not abbreviate
- it. Example: San Francisco - not SF.</td>
- </tr>
- <tr>
- <td id="city" class="webregrequired" nowrap>*City/Town: </td>
- <td class="webreginput"><input type="text" name="city" maxlength="25" class="webreginput" ID="Text7"></td>
- </tr>
- <tr>
- <td id="state_abbr" class="webregrequired" nowrap>*State/Province: </td>
- <td class="webreginput"><select name="state_abbr" class="webreginput" ID="Select1"><option value="" selected>Please
- choose a state/province</option>
- <option value="AA">AA Military</option>
- <option value="AB">Alberta</option>
- <option value="AE">AE Military</option>
- <option value="AK">Alaska</option>
- <option value="AL">Alabama</option>
- <option value="AP">AP Military</option>
- <option value="AR">Arkansas</option>
- <option value="AS">American Samoa</option>
- <option value="AZ">Arizona</option>
- <option value="BC">British Columbia</option>
- <option value="CA">California</option>
- <option value="CO">Colorado</option>
- <option value="CT">Connecticut</option>
- <option value="DC">District of Columbia</option>
- <option value="DE">Delaware</option>
- <option value="FL">Florida</option>
- <option value="FM">Micronesia</option>
- <option value="GA">Georgia</option>
- <option value="GU">Guam</option>
- <option value="HI">Hawaii</option>
- <option value="IA">Iowa</option>
- <option value="ID">Idaho</option>
- <option value="IL">Illinois</option>
- <option value="IN">Indiana</option>
- <option value="KS">Kansas</option>
- <option value="KY">Kentucky</option>
- <option value="LA">Louisiana</option>
- <option value="MA">Massachusetts</option>
- <option value="MB">Manitoba</option>
- <option value="MD">Maryland</option>
- <option value="ME">Maine</option>
- <option value="MH">Marshal Islands</option>
- <option value="MI">Michigan</option>
- <option value="MN">Minnesota</option>
- <option value="MO">Missouri</option>
- <option value="MP">N. Mariana Islands</option>
- <option value="MS">Mississippi</option>
- <option value="MT">Montana</option>
- <option value="NB">New Brunswick</option>
- <option value="NC">North Carolina</option>
- <option value="ND">North Dakota</option>
- <option value="NE">Nebraska</option>
- <option value="NF">Newfoundland</option>
- <option value="NH">New Hampshire</option>
- <option value="NJ">New Jersey</option>
- <option value="NM">New Mexico</option>
- <option value="NS">Nova Scotia</option>
- <option value="NT">Northwest Territory</option>
- <option value="NV">Nevada</option>
- <option value="NY">New York</option>
- <option value="OH">Ohio</option>
- <option value="OK">Oklahoma</option>
- <option value="ON">Ontario</option>
- <option value="OR">Oregon</option>
- <option value="PA">Pennsylvania</option>
- <option value="PE">Prince Edward Island</option>
- <option value="PQ">Quebec</option>
- <option value="PR">Puerto Rico</option>
- <option value="PW">Palau</option>
- <option value="RI">Rhode Island</option>
- <option value="SC">South Carolina</option>
- <option value="SD">South Dakota</option>
- <option value="SK">Saskatchewan</option>
- <option value="TN">Tennessee</option>
- <option value="TX">Texas</option>
- <option value="UT">Utah</option>
- <option value="VA">Virginia</option>
- <option value="VI">Virgin Islands</option>
- <option value="VT">Vermont</option>
- <option value="WA">Washington</option>
- <option value="WI">Wisconsin</option>
- <option value="WV">West Virginia</option>
- <option value="WY">Wyoming</option>
- <option value="YT">Yukon Territories</option>
- </select></td>
- </tr>
- <tr>
- <td id="zip_code" class="webregrequired" nowrap>*Postal Code: </td>
- <td class="webreginput"><input type="text" name="zip_code" maxlength="10" class="webreginput" ID="Text8"></td>
- </tr>
- <tr>
- <td id="country_abbr" class="webregrequired" nowrap>*Country: </td>
- <td class="webreginput"><select name="country_abbr" class="webreginput" ID="Select2"><option value="" selected>Please
- choose a Country</option>
- <option value="USA">United States of America</option>
- <option value="CAN">Canada</option>
- <option value="GUM">Guam</option>
- <option value="VIR">Virgin Islands (U.S.)</option>
- <option value="PRI">Puerto Rico</option>
- </select></td>
- </tr>
- <tr>
- <td id="dayphone" class="webregoptional" nowrap>Day Phone Number: </td>
- <td class="webreginput" height="20">
- <input type="text" name="dayphone_Code" size="3" maxlength="3" ID="Text9">
- <input type="text" name="dayphone_Prefix" size="3" maxlength="3" ID="Text10">
- <input type="text" name="dayphone_Suffix" size="4" maxlength="4" ID="Text11"> Ext:
- <input type="text" name="dayphone_Extension" size="4" maxlength="4" ID="Text12"></td>
- </tr>
- <tr>
- <td id="eveningphone" class="webregoptional" nowrap>Evening Phone Number: </td>
- <td class="webreginput" height="20">
- <input type="text" name="eveningphone_Code" size="3" maxlength="3" ID="Text13">
- <input type="text" name="eveningphone_Prefix" size="3" maxlength="3" ID="Text14">
- <input type="text" name="eveningphone_Suffix" size="4" maxlength="4" ID="Text15"> Ext:
- <input type="text" name="eveningphone_Extension" size="4" maxlength="4" ID="Text16"></td>
- </tr>
- <tr>
- <td colspan="2" class="webreginstructions"><hr>
- </td>
- </tr>
- <tr>
- <td colspan="2" class="webregheadline" align="right">Broderbund.com Registration</td>
- </tr>
- <tr>
- <td id="username" class="webregrequired" nowrap>*Broderbund.com Username: </td>
- <td class="webreginput"><input type="text" name="username" maxlength="40" class="webreginput" ID="Text17"></td>
- </tr>
- <tr>
- <td id="password" class="webregrequired" nowrap>*Broderbund.com Password: </td>
- <td class="webreginput"><input type="password" name="password" maxlength="15" class="webreginput" ID="Password1"></td>
- </tr>
- <tr>
- <td id="confirmpassword" class="webregrequired" nowrap>*Confirm Password: </td>
- <td class="webreginput"><input type="password" name="confirmpassword" maxlength="15" class="webreginput" ID="Password2"></td>
- </tr>
- <tr>
- <td colspan="2" class="webreginstructions">(Optional) Enter a hint to remind you of
- your account password. For example: "Your dog's name"</td>
- </tr>
- <tr>
- <td id="passwordhint" class="webregoptional" nowrap>Password Hint: </td>
- <td class="webreginput"><input type="text" name="passwordhint" maxlength="40" class="webreginput" ID="Text18"></td>
- </tr>
- </table>
- </td>
- </tr>
- <!-- User Privacy Settings -->
- <tr>
- <td><hr>
- </td>
- </tr>
- <tr>
- <td class="webregheadline" align="right">Contact Preferences</td>
- </tr>
- <tr>
- <td width="95%" align="left" class="webreginstructions">
- <!--IMG alt="Contact Preferences" src="images/iconcontactpref.gif" width="48" height="48" border="0" align="left">
- <b> Contact Preferences</b><br /-->
- We've pre-selected the contact preferences for you to receive this information.
- If you do not wish to receive it, please de-select the appropriate check box
- below.
- <br clear="all">
- <p>
- <!--hr--></p>
- </td>
- </tr>
- <tr>
- <td class="webreginput">
- <span class="regbold">Broderbund and its family of web sites</span><br>
- <!--hr-->
- Broderbund and its family of Web sites have information on products, services,
- and offers with significant savings for you. Please tell us how you would like
- to receive it: telephone, email, or regular mail.
- <ul>
- <input type="checkbox" name="email_contact" value="1" checked ID="Checkbox1"> Yes,
- please send me information and special offers via email.<br>
- <input type="checkbox" name="mail_contact" value="1" checked ID="Checkbox2"> Yes,
- please send me information and special offers via mail.<br>
- <input type="checkbox" name="phone_contact" value="1" checked ID="Checkbox3"> Yes,
- please call me about new products, services, and special offers.<br>
- </ul>
- <p><span class="regbold">Other Companies</span><br>
- <!--hr-->
- Occasionally, with your consent, we release names and postal addresses, phone
- numbers, and/or email address to companies that offer products or services we
- feel would interest you. May we release your information?
- <ul>
- <input type="checkbox" name="email_rental" value="1" ID="Checkbox4"> Yes,
- you may release my email address.<br>
- <input type="checkbox" name="mail_rental" value="1" checked ID="Checkbox5"> Yes,
- you may release my name and postal address.<br>
- <input type="checkbox" name="phone_rental" value="1" checked ID="Checkbox6"> Yes,
- you may release my phone number.<br>
- </ul>
- </td>
- </tr>
- </table>
- </form>
- <script language="javascript">document.CustomerAccount.firstname.focus();</script>
- </td>
- </tr>
- </table>
- <form name="UI_DEBUG" method="post" action="" onsubmit="return false;" ID="Form2">
- <table cellpadding="0" cellspacing="0" border="1" bgcolor="gray" width="473" ID="Table5">
- <tr>
- <td width="20%" align="middle">
- <p><input type="button" name="BUTTON0" value="Print" onclick="javascript:alert('Test:Print');" ID="Button1"></p>
- </td>
- <td width="20%" align="middle">
- <p><input type="button" name="BUTTON1" value="<Back" onclick="javascript:window.history.go(-1);" disabled ID="Button2"></p>
- </td>
- <td width="20%" align="middle">
- <p align="right"><input type="button" name="BUTTON2" value="Register Now!" onclick="javascript:ValidateRegistrationInfo();" ID="Button3"></p>
- </td>
- <td width="20%" align="middle">
- </td>
- </tr>
- </table>
- <input type="hidden" name="BUTTON_DEFAULT" value="2" ID="Hidden2"> <input type="hidden" name="WINDOW:CLOSEACTION" value="JAVASCRIPT" ID="Hidden3">
- <input type="hidden" name="WINDOW:CLOSEDATA" value="javascript:window.external.CloseWindow_Success();" ID="Hidden4">
- </form>
- <form name="UI" method="post" action="" onsubmit="return false;" ID="Form3">
- <input type="hidden" name="BUTTON0:NAME" value="Print" ID="Hidden5"> <input type="hidden" name="BUTTON0:ACTION" value="PRINT" ID="Hidden6">
- <input type="hidden" name="BUTTON0:ENABLED" value="True" ID="Hidden7"> <input type="hidden" name="BUTTON1:NAME" value="<Back" ID="Hidden8">
- <input type="hidden" name="BUTTON1:ACTION" value="BACK" ID="Hidden9"> <input type="hidden" name="BUTTON1:ENABLED" value="False" ID="Hidden10">
- <input type="hidden" name="BUTTON2:NAME" value="Register Now!" ID="Hidden11"> <input type="hidden" name="BUTTON2:ACTION" value="JAVASCRIPT" ID="Hidden12">
- <input type="hidden" name="BUTTON2:DATA" value="javascript:ValidateRegistrationInfo();" ID="Hidden13">
- <input type="hidden" name="BUTTON2:ENABLED" value="True" ID="Hidden14"> <input type="hidden" name="BUTTON2:JUSTIFY" value="RIGHT" ID="Hidden15">
- <input type="hidden" name="BUTTON2:DEFAULT" value="TRUE" ID="Hidden16"> <input type="hidden" name="WINDOW:CLOSEACTION" value="JAVASCRIPT" ID="Hidden17">
- <input type="hidden" name="WINDOW:CLOSEDATA" value="javascript:window.external.CloseWindow_Success();" ID="Hidden18">
- </form>
- </body>
- </html>
-