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- <!-- HTML was created by Harbinger's TrustedLink INP. For more information,
- call 404-841-4334 or visit http://inp.harbinger.net -->
-
- <HTML>
- <HEAD>
- <TITLE>$Nickname Guest Book Registration</TITLE>
- </HEAD>
- <BODY Text="$tcolor" Link="$lcolor" VLINK="$vlcolor" BACKGROUND="images/$BackGrndFile">
-
- <TABLE width=100%>
- <TR>
- <TD ALIGN=center><IMG SRC="images/gbook.gif" ALT="Guest Book Icon" width="100" height="100" BORDER="0"></TD>
- <TD><H2>$Nickname Guest Book</H2></TD>
- </TR>
- </TABLE>
-
- <BR CLEAR=all>
- <HR>
-
- <!------------------------ END OF HEADER ------------------------------->
-
- <FORM METHOD=POST
- $if($equal($Preview,1))
- $else
- ACTION="/blend/cgiblend?blender=guestbook.blend"
- $endif
- >
-
- <INPUT type="hidden" name="tcolor" value="$tcolor">
- <INPUT type="hidden" name="lcolor" value="$lcolor">
- <INPUT type="hidden" name="vlcolor" value="$vlcolor">
- <INPUT type="hidden" name="bground" value="images/$BackGrndFile">
- <INPUT type="hidden" name="email_address" value="$$email_address">
- <INPUT type="hidden" name="Nickname" value="$Nickname">
- <INPUT type="hidden" name="BASEHREF" value="$$BASEHREF">
-
- $set(options,
- $GenInfo$$Company_no$$Purpose$$ProductAnnouncement$$Addcomm$)
-
-
- $if($equal($options,"00000"))
- <TABLE BORDER CELLPADDING="2">
- <TR>
- <TD>Please enter your E-mail address: </TD>
- <TD> <INPUT type="text" name="email" size="20" maxlength="40"></TD>
- </TR>
- </TABLE>
- <HR>
- <STRONG>Please enter any comments you would like to send to $Nickname$: </STRONG><BR>
-
- <TEXTAREA NAME="regular_comment" wrap="physical" ROWS="6" COLS="50"></TEXTAREA>
-
- $else
- $if($or($equal($GenInfo,"1"),$equal($Email,"1"),$equal($Phone,"1")))
- <center>
-
- <TABLE BORDER=0 CELLPADDING="2">
- <TR VALIGN="Top">
- <TD>
-
- $endif
-
- <!--------------------------- CONTACT INFORMATION ----------------------------->
-
- $if($equal($GenInfo,"1"))
- <INPUT type="hidden" name="GENINFO" value="$GenInfo">First Name</TD>
- <TD> <INPUT type="text" name="fname" size="20" maxlength="50"></TD>
- <TD>Last Name</TD>
- <TD><INPUT type="text" name="lname" size="20" maxlength="50"></TD>
- </TR>
- <TR>
- <TD>Title</TD>
- <TD COLSPAN=3> <INPUT type="text" name="title" size="54" maxlength="100"></TD>
- </TR>
- <TR>
- <TD>Company</TD>
- <TD COLSPAN=3><INPUT type="text" name="company" size="54" maxlength="100"></TD>
- </TR>
- <TR>
- <TD ROWSPAN=2 VALIGN=top>Address</TD>
- <TD COLSPAN=3><INPUT type="text" name="address1" size="54" maxlength="100"></TD>
- </TR>
- <TR>
- <TD COLSPAN=3><INPUT type="text" name="address2" size="54" maxlength="100"></TD>
- </TR>
- <TR>
- <TD>City</TD>
- <TD> <INPUT TYPE="text" NAME="city" SIZE="20" MAXLENGTH="50"></TD>
- <TD ROWSPAN=2 VALIGN=top>State/Province</TD>
- <TD ROWSPAN=2 VALIGN=top><INPUT TYPE="text" NAME="State" SIZE="20" MAXLENGTH="50"></TD>
- </TR>
- <TR>
- <TD>ZIP/<BR>Postal Code</TD>
- <TD><INPUT type="text" name="zip" size="20" MAXLENGTH="50"></TD>
- </TR>
- <TR>
-
-
- <TD>Country</TD>
- <TD>$infile("$CurDir$\po\countryselect.infile","Country","US")</TD>
- <TD>E-mail </TD>
- <TD><INPUT type="text" name="email" size="20" maxlength="50"></TD>
- </TR>
- <TR>
- <TD>Phone</TD>
- <TD><INPUT type="text" name="phone" size="20" maxlength="50"></TD>
- <TD>Fax</TD>
- <TD><INPUT type="text" name="fax" size="20" maxlength="50"></TD>
- </TR>
- <TR>
- <TD COLSPAN=4> <BR> </TD>
- </TR>
- </TABLE>
- $endif
-
- <TABLE CELLPADDING="2" >
- <!-- How did you find out about the Web Site? -->
-
- $if($equal($Company_no,"1"))
- <INPUT TYPE="hidden" NAME="COMPANY_NO" VALUE="$Company_no">
-
- <TR>
- <TD><STRONG>How did you find out about the $Nickname Web Site?</STRONG><P>
- <INPUT TYPE="radio" NAME="from" VALUE="publication">Listed in trade publication.<BR>
- <INPUT type="radio"name="from" value="search">Searched Lycos, WebCrawler, WWW Worm, Yahoo, etc.<BR>
- <INPUT type="radio"name="from" value="list">Noted in brochure or other publication from $Nickname<BR>
- <INPUT type="radio"name="from" value="link">Followed link from other site<BR>
- <INPUT type="radio" name="from" value="friend">A colleague told me about it <BR>
- <INPUT type="radio" name="from" value="other">Other
- <INPUT type="text" name="otherfrom" size="50">
- $endif
-
- <!--------------------- What is the purpose of your visit? --------------------->
-
- $if($equal($Purpose,"1"))
- $if($equal($Company_no,"0"))
- <TR><TD>
- $endif
- <INPUT type="hidden" name="PURPOSE" value="$Purpose">
- <STRONG><P>What is the purpose of your visit?</STRONG><P>
- <INPUT type="checkbox" name="purpose1" value="Product Info"> Need Product Information<BR>
- <INPUT type="checkbox" name="purpose2" value="Mailing List"> Need to be included on Mailing List<BR>
- <INPUT type="checkbox" name="purpose3" value="Contact Me"> Need Representative
- to contact me
- $endif
-
- $if($equal($ProductAnnouncement,"1"))
- $if($and($equal($Company_no,"0"),$equal($Purpose,"0")))
- <TR><TD>
- $endif
-
- <!----------------- Would you like to be added to our mailing list? -------------------------->
-
- <INPUT type="hidden" name="PRODUCTANNOUNCE" value="$ProductAnnouncement">
- <P><STRONG>Would you like to be added to our mailing list?</STRONG>
- <SELECT NAME="response">
- <OPTION VALUE="Yes" SELECTED>Yes
- <OPTION VALUE="No">No
- </SELECT>
- $endif
-
- <!---------------------- Additional Comments --------------------------->
-
- $if($equal($Addcomm,"1"))
- <INPUT type="hidden" name="addcomm" value="$Addcomm">
- <P><STRONG>Additional comments?</STRONG>
- <P><TEXTAREA NAME="regular_comment" wrap="physical" ROWS="3" COLS="50"></TEXTAREA>
- $endif
- $endif
-
- <!---------------------------- CUSTOM QUESTIONS --------------------------->
-
- $set(numcustom,"0")
- $while($CCustomGuestBook)
- $inc(numcustom)
- <P><STRONG>$CCustomGuestBook.question </STRONG>
- <P><TEXTAREA NAME="customcomment$numcustom" ROWS="3" COLS="50"></TEXTAREA>
- <INPUT type="hidden" name="customname$numcustom" value="$CCustomGuestBook.question">
- $endwhile
-
- <P><INPUT type="hidden" name="numcustom" value="$numcustom">
-
-
- <!-------------------- setup blend BUTTON NAVIGATION ----------------------->
- $outvar(navigation)
- <P><HR><P>
- <center>
- <A HREF=index.htm><IMG SRC=images/home.gif width=85 height=23 border=0></A>
- <A HREF=overview.htm><IMG SRC=images/comp.gif width=85 height=23 border=0></A>
- $if($equal($isProductPageExcluded,0))
- $if($and($equal($Preview,0),$equal($dynamicOrder,1)))
- <a href=/cgi-bin/cgiblend?blender=po.blend&CompanyShortName=$$CompanyShortName$>
- $else
- <a href=catalog.htm>
- $endif
- <IMG SRC=images/cat.gif width=85 height=23 border=0></A>
- $endif
- $if($equal($isInternetPageExcluded,0))
- <A HREF=resource.htm><BR><IMG SRC=images/res.gif width=85 height=23 border=0></A>
- $endif
- $if($equal($isGuestBookPageExcluded,0))
- <A HREF=gbook.htm><IMG SRC=images/guest.gif width=85 height=23 border=0></A>
- $endif
- $if($not($equal($Preview,1)))
- <A HREF=mailto:$$email$>
- $endif
- <IMG SRC=images/cont.gif width=85 height=23 border=0></A>
- </CENTER>
- <BR>
- $endout
- <INPUT type="hidden" name="trailer" value="$navigation">
-
- <CENTER>
- <INPUT type="submit" value="Submit This Form">
- <INPUT type="reset" value="Clear This Form"></CENTER></TD>
- </TR>
- </TABLE>
- </CENTER>
- </FORM>
-
- <!-------------------- BOTTOM BUTTON NAVIGATION ----------------------->
- $navigation
-
- <!-------------------- CLICK HERE TO RETURN TO INP ----------------------->
-
- <CENTER>
-
- $if($not($equal($Preview,1)))
- <A HREF="http://www.harbinger.net/">
- $endif
- <IMG SRC="images/inp.gif" ALT="INP Graphic" border="0" width="200" height="25"></A>
- </CENTER>
- <P>
- $if($equal($Preview,1))
- <h2><a href="inp://return">Click here to return to INP!</a></h2>
- (<STRONG>NOTICE:</STRONG> The "Click here to return to INP" hotlink will not exist in your published version!)<p>
- $endif
-
- <!------------------------ COPYRIGHT INFORMATION ---------------------->
-
- <font size=-2>
- Content Copyright © 1996 $Company_name$.<br>
- Portions Copyright © 1996 Harbinger Corporation.<br>
- All Rights Reserved.<p>
- USE OF THESE WEB PAGES IS LIMITED:
- <A HREF="http://inp.harbinger.net/license/terms.htm">TERMS</a>
- </font>
-
- </BODY></HTML>