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Text File  |  1997-08-27  |  4KB  |  87 lines
  1. <HTML>
  2. <HEAD>
  3. <TITLE>Member Profile</TITLE>
  4. </HEAD>
  5. <BODY bgcolor=#ffffff>
  6. <CENTER><FONT SIZE=5><B>Member Profile</B></FONT>
  7. <P>
  8. <I>Please assist us in customizing magazine offerings by completing this form.</I>
  9. <TABLE border=0 cellpadding=50>
  10. <TR VALIGN=top>
  11. <TD>
  12. <FORM METHOD=POST ACTION="home.stm">
  13. <INPUT TYPE=hidden NAME="RCSprofile" VALUE="Y">
  14.  
  15. <TABLE border=0 cellpadding=5>
  16. <TR>
  17. <TD ALIGN=right><B>Full Name</B></TD>
  18. <TD COLSPAN=2><INPUT TYPE="text" NAME="RCSname" VALUE="<RCSname>" SIZE=20 MAXLENGTH=40>
  19. <IMG HSPACE=3 SRC=/images/magazine/padlock.gif>
  20. </TD></TR>
  21. <TR><TD ALIGN=right><B>Address</B></TD>
  22. <TD COLSPAN=2><INPUT TYPE="text" NAME="RCSaddress" VALUE="<RCSaddress>" SIZE=20 MAXLENGTH=64>
  23. <IMG HSPACE=3 SRC=/images/magazine/padlock.gif>
  24. </TD></TR>
  25. <TR><TD ALIGN=right><B>City</B></TD>
  26. <TD COLSPAN=2><INPUT TYPE="text" NAME="RCScity" VALUE="<RCScity>" SIZE=20 MAXLENGTH=64>
  27. <IMG HSPACE=3 SRC=/images/magazine/padlock.gif>
  28. </TD></TR>
  29. <TR><TD ALIGN=right COLSPAN=3>
  30. <B>State</B><INPUT TYPE="text" NAME="RCSstate" VALUE="<RCSstate>" SIZE=4 MAXLENGTH=7>
  31. <B>Zip</B><INPUT TYPE="text" NAME="RCSzip" VALUE="<RCSzip>" SIZE=8 MAXLENGTH=12>
  32. <B>Country</B><INPUT TYPE="text" NAME="RCScountry" VALUE="<RCScountry>" SIZE=5 MAXLENGTH=5>
  33. </TD></TR>
  34. <TR><TD ALIGN=right><B>Gender</B></TD>
  35. <TD COLSPAN=2>
  36. <INPUT TYPE="radio" NAME="RCSsex" VALUE="M" <RCif RCSsex = M>CHECKED<RCendif>> Male
  37. <INPUT TYPE="radio" NAME="RCSsex" VALUE="F" <RCif RCSsex = F>CHECKED<RCendif>> Female
  38. </TD></TR>
  39. <TR><TD></TD><TD ALIGN=center><I>Subscribe</I></TD><TD ALIGN=center><I>Unsubscrib</I>e</TD></TR>
  40. <TR VALIGN=TOP>
  41. <TD ALIGN=right><B>Arts</B></TD>
  42. <TD ALIGN=center><INPUT type=radio NAME="RCSarts" VALUE="on" <RCif RCSarts = on>CHECKED<RCendif>></TD>
  43. <TD ALIGN=center><INPUT type=radio NAME="RCSarts" VALUE="off" <RCif RCSarts = off>CHECKED<RCendif>></TD>
  44. </TR><TR VALIGN=TOP>
  45. <TD ALIGN=right><B>Entertainment</B></TD>
  46. <TD ALIGN=center><INPUT type=radio NAME="RCSentert" VALUE="on" <RCif RCSentert = on>CHECKED<RCendif>></TD>
  47. <TD ALIGN=center><INPUT type=radio NAME="RCSentert" VALUE="off" <RCif RCSentert = off>CHECKED<RCendif>></TD>
  48. </TR><TR VALIGN=TOP>
  49. <TD ALIGN=right><B>Sports</B></TD>
  50. <TD ALIGN=center><INPUT type=radio NAME="RCSsports" VALUE="on" <RCif RCSsports = on>CHECKED<RCendif>></TD>
  51. <TD ALIGN=center><INPUT type=radio NAME="RCSsports" VALUE="off" <RCif RCSsports = off>CHECKED<RCendif>></TD>
  52. </TR><TR VALIGN=TOP>
  53. <TD ALIGN=right><B>News</B></TD>
  54. <TD ALIGN=center><INPUT type=radio NAME="RCSnews" VALUE="on" <RCif RCSnews = on>CHECKED<RCendif>></TD>
  55. <TD ALIGN=center><INPUT type=radio NAME="RCSnews" VALUE="off" <RCif RCSnews = off>CHECKED<RCendif>></TD>
  56. </TR><TR VALIGN=TOP>
  57. <TD ALIGN=right><B>Technology</B></TD>
  58. <TD ALIGN=center><INPUT type=radio NAME="RCStech" VALUE="on" <RCif RCStech = on>CHECKED<RCendif>></TD>
  59. <TD ALIGN=center><INPUT type=radio NAME="RCStech" VALUE="off" <RCif RCStech = off>CHECKED<RCendif>></TD>
  60. </TR>
  61. </TABLE>
  62. <BR>
  63. <P>
  64. <CENTER><INPUT TYPE=image border=0 SRC="/images/magazine/update.gif"></CENTER>
  65. </FORM>
  66.  
  67. </TD><TD>
  68. <RCif RCSprofile = Y>
  69. <A HREF="home.stm">
  70. <IMG HSPACE=1 border=0 SRC="/images/magazine/home.gif"></A>
  71. <RCendif>
  72. <RCif RCSarts = on>
  73. <BR>
  74. <A HREF="parts.stm?RCSback=profile.stm">
  75. <IMG border=0 SRC="/images/magazine/arts.gif"></A>
  76. <RCendif>
  77. <RCif RCSsports = on>
  78. <BR>
  79. <A HREF="psports.stm?RCSback=profile.stm">
  80. <IMG border=0 SRC="/images/magazine/sports.gif"></A>
  81. <RCendif>
  82. </TD>
  83. </TR></TABLE>
  84. </CENTER>
  85. </BODY>
  86. </HTML>
  87.