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- <HTML>
- <!-- last update 17.12.97 /aw -->
-
- <HEAD><TITLE>Terrapin FTP Registration Form</TITLE>
- <SCRIPT LANGUAGE="JavaScript">
- <!--
- function submitit() {
-
- var strval;
-
- strval = document.progregftp.surname.value;
-
- if (strval.length == 0) {
-
- alert ("You must enter your surname before the form can be sent");
- return (false);
- }
-
- strval = document.progregftp.firstname.value;
-
- if (strval.length == 0) {
-
- alert ("You must enter your first name before the form can be sent");
- return (false);
- }
-
- strval = document.progregftp.address1.value;
-
- if (strval.length == 0) {
-
- alert ("You must enter your address before the form can be sent");
- return (false);
- }
-
- strval = document.progregftp.post_zipcode.value;
-
- if (strval.length == 0) {
-
- alert ("You must enter your post or zip code before the form can be sent");
- return (false);
- }
-
- strval = document.progregftp.country.value;
-
- if (strval.length == 0) {
-
- alert ("You must enter your country before the form can be sent");
- return (false);
- }
-
- strval = document.progregftp.from.value;
-
- if (strval.length == 0) {
-
- alert ("You must enter your email address before the form can be sent");
- return (false);
- }
-
- strval = document.progregftp.card_number.value;
-
- if (strval.length == 0) {
-
- alert ("You must enter your credit card number before the form can be sent");
- return (false);
- }
-
- return (true);
-
- }
-
- <!-- end script -->
- </SCRIPT>
- </HEAD>
-
- <BODY BACKGROUND="back4.gif" LINK="008400" VLINK="0000FF" ALINK="0000FF" TOPMARGIN=0>
-
- <TABLE WIDTH=576 BORDER=0 CELLPADDING=0 CELLSPACING=0>
- <TR><TD WIDTH=110 ROWSPAN=3 VALIGN=TOP><IMG SRC="butterranet_green.gif" WIDTH=90 HEIGHT=20></TD>
-
- <TD COLSPAN=1><H2 ALIGN=CENTER><FONT COLOR="006300">Terrapin</FONT> FTP Secure<BR>
- Registration Page</H2>
-
- <P>Note: This registration form is being processed on a secure web server protected by the
- Secure Socket Layer protocol.</P>
-
- <B><P>To complete your registration using the <A HREF="#FORM">form below</A> please enter the requested
- information in all boxes.
-
- Upon receipt of your registration details;
-
- <UL>
- <LI>A Registration Receipt will be displayed confirming your registration<BR>
- <LI>Your registration code will be sent to you by email within 48 hours of our receipt of your
- registration details.
- </UL></P>
-
-
- <P>We confirm that the information provided to complete your registration will not be disclosed
- or sold to any third party for the purposes of solicitation without your prior written consent.</P></B>
-
- <P>If you prefer, you can register by phone:
-
- <UL>
- <LI>tel: +44 (0) 1423 872 382
- </UL></P>
-
- If you would rather send a cheque see
- <A HREF="http://www.terra-net.com/register/cheques.html">www.terra-net.com/register/cheques</A>
-
- </TD></TR>
-
- <TR><TD COLSPAN=1><HR><HR></TD></TR>
-
- </TABLE>
-
- <FORM NAME="progregftp" ACTION="https://ssl.nsl.co.uk/cgi-bin/secureform" METHOD="Post" onSubmit="return submitit()">
- <INPUT TYPE="hidden" NAME="to" VALUE="reg@systeme.demon.co.uk">
- <INPUT TYPE="hidden" NAME="key" VALUE="register">
- <INPUT TYPE="hidden" NAME="page" VALUE="https://ssl.nsl.co.uk/systemerk/thankreg.html">
-
- <INPUT TYPE="hidden" NAME="mandatory" VALUE="surname firstname address1 post_zipcode country from card_number">
- <INPUT TYPE="hidden" NAME="errorpage" VALUE="https://ssl.nsl.co.uk/systemerk/error.html">
- <INPUT TYPE="hidden" NAME="product" VALUE="ftp_2_1">
-
- <TABLE BORDER=0 CELLPADDING=0 CELLSPACING=10 WIDTH=576>
-
- <TR><TD WIDTH=110 ALIGN=LEFT VALIGN=TOP ROWSPAN=8><A
- HREF="#TOP"><IMG SRC="terrlogo_icon_green.gif" WIDTH=75 HEIGHT=20
- ALT="Top" BORDER=0></A></TD>
-
-
-
- <TD COLSPAN=2><H3 ALIGN=CENTER><FONT COLOR="006300"><A NAME="FORM">Terrapin</A>
- </FONT> FTP Registration Form</H3>
-
- Input boxes with a * after the title are mandatory. The registration form cannot be sent
- unless these boxes are filled in.</TD></TR>
-
- <TR><TD><B>Product:</B></TD><TD><B>Price:</B></TD></TR>
-
- <TR><TD ALIGN=LEFT>
- Terrapin FTP Browser
- </TD>
-
- <TD ALIGN=LEFT>
- รบ19.95
- </TD>
- </TR>
- <TR>
- <TD COLSPAN=2><FONT SIZE=-1>The price shown is in UK Pounds and is inclusive of all local taxes where
- applicable. Details of conversion to your local currency will be shown on your normal credit card statement.
- </FONT></TD>
- </TR>
- <TR><TD ALIGN=LEFT><B>Number of Licenses:*</B></TD>
-
- <TD ALIGN=LEFT>
- <SELECT NAME="no_licenses" SIZE=1>
- <OPTION>1<OPTION>2<OPTION>3<OPTION>4<OPTION>5<OPTION>6<OPTION>7<OPTION>8<OPTION>9
- </SELECT>
- </TD></TR>
-
- <TR><TD COLSPAN=2><FONT SIZE=-1>For 10 or more licenses please contact us for price details</FONT></TD></TR>
-
- <TR><TD COLSPAN=2><HR></TD></TR>
- </TABLE>
-
-
- <TABLE BORDER=0 CELLPADDING=5 CELLSPACING=10 WIDTH=576>
-
- <TR><TD WIDTH=110 ALIGN=LEFT VALIGN=BOTTOM ROWSPAN=24>
- <MAP NAME="ORDERFORM"><A
- HREF="#TOP"><IMG SRC="terrlogo_icon_green.gif" WIDTH=75 HEIGHT=20
- ALT="TOP" BORDER=0></A></TD>
-
- <TD ALIGN=LEFT><B>Surname:*</B></TD>
-
- <TD ALIGN=LEFT><INPUT NAME="surname" TYPE="text" SIZE=20,1 MAXLENGTH=50></TD></TR>
-
- <TR><TD ALIGN=LEFT><B>First Name:*</B></TD>
- <TD ALIGN=LEFT><INPUT NAME="firstname" TYPE="text" SIZE=20,1 MAXLENGTH=50></TD></TR>
-
- <TR><TD ALIGN=LEFT VALIGN=TOP><B>Address:*</B></TD>
- <TD ALIGN=LEFT><INPUT NAME="address1" TYPE="text" SIZE=27,1 MAXLENGTH=50><BR>
- <INPUT NAME="address2" TYPE="text" SIZE=27 MAXLENGTH=50><BR>
- <INPUT NAME="address3" TYPE="text" SIZE=27 MAXLENGTH=50></TD></TR>
-
- <TR><TD ALIGN=LEFT><B>Town/City:</B></TD>
- <TD ALIGN=LEFT><INPUT NAME="town_city" TYPE="text" SIZE=20 MAXLENGTH=50></TD></TR>
-
- <TR><TD ALIGN=LEFT><B>County/State/Province:</B></TD>
- <TD ALIGN=LEFT><INPUT NAME="county_state_prov" TYPE="text" SIZE=20 MAXLENGTH=50></TD></TR>
-
- <TR><TD ALIGN=LEFT><B>Postal/Zip Code:*</B></TD>
- <TD ALIGN=LEFT><INPUT NAME="post_zipcode" TYPE="text" SIZE=15 MAXLENGTH=20></TD></TR>
-
- <TR><TD ALIGN=LEFT><B>Country:*</B></TD>
- <TD ALIGN=LEFT><INPUT NAME="country" TYPE="text" SIZE=20 MAXLENGTH=50></TD></TR>
-
- <TR><TD ALIGN=LEFT><B>Telephone No:</B></TD>
- <TD ALIGN=LEFT><INPUT NAME="tel_no" TYPE="text" SIZE=15 MAXLENGTH=50></TD></TR>
-
- <TR><TD ALIGN=LEFT><B>Email Address:*</B></TD>
- <TD ALIGN=LEFT><INPUT NAME="from" TYPE="text" SIZE=27,1 MAXLENGTH=100></TD></TR>
-
-
- <TR><TD COLSPAN=2><HR></TD></TR>
-
-
-
-
- <TR><TD ALIGN=LEFT><B>Credit Card:*</B></TD>
-
- <TD ALIGN=LEFT>
- <SELECT NAME="CARDTYPE" SIZE=1><OPTION>Visa<OPTION>Mastercard<OPTION>Access<OPTION>Eurocard<OPTION>
- Switch<OPTION>American Express</SELECT>
- </TD></TR>
-
- <TR><TD ALIGN=LEFT><B>Credit Card Number:*</B></TD>
- <TD ALIGN=LEFT><INPUT NAME="card_number" TYPE="text" SIZE=20,1 MAXLENGTH=50></TD></TR>
-
- <TR><TD ALIGN=LEFT><B>Expiry Date:*</B></TD>
-
- <TD ALIGN=LEFT>
- <SELECT NAME="expire_month" SIZE=1>
- <OPTION>Jan (1)<OPTION>Feb (2)<OPTION>March (3)<OPTION>April (4)<OPTION>May (5)<OPTION>June (6)
- <OPTION>July (7)<OPTION>Aug (8)<OPTION>Sep (9)<OPTION>Oct (10)<OPTION>Nov (11)<OPTION>Dec (12)
- </SELECT>
-
- <SELECT NAME="expire_year" SIZE=1>
- <OPTION>1997<OPTION>1998<OPTION>1999<OPTION>2000<OPTION>2001<OPTION>2002<OPTION>2003<OPTION>2004<OPTION>2005
- </SELECT>
-
- <TR><TD ALIGN=LEFT><B>Issue No:</B><FONT SIZE=-1> (Switch only)</FONT></TD>
-
- <TD ALIGN=LEFT><INPUT NAME="issue_no" TYPE="text" SIZE=10 MAXLENGTH=4></TD></TR>
-
-
- </TD></TR>
- <TR><TD COLSPAN=2><HR></TD></TR>
- <TR><TD COLSPAN=2>Please let us know where you found your copy of Terrapin. This helps us to keep track of
- version numbers. By completing this section we will be able to let you know if there is a more recent
- version available - Thank you.<BR>
-
- <CENTER><TEXTAREA NAME="where_found" ROWS=2 COLS=40 WRAP=physical></TEXTAREA></CENTER></TD>
-
- <TR><TD COLSPAN=2><HR></TD></TR>
- <TR><TD COLSPAN=2>Clicking the Send Form button below represents an offer to purchase
- the software from Terrapin Internet Ltd. In so doing, you are also agreeing that you have read
- the User License Agreement supplied with the product and that you are in agreement with the terms
- and conditions.</TD></TR>
-
- <TR><TD COLSPAN=2><HR></TD></TR>
-
- <TR><TD COLSPAN=2><H3 ALIGN=CENTER>Before clicking the Send Form button make sure you are
- connected to the Internet</H3></TD></TR>
-
- <TR><TD ALIGN=CENTER><INPUT NAME="GO_REG" TYPE="submit" VALUE="Send Form"></TD>
- <TD ALIGN=CENTER><INPUT NAME="CLEAR_RESTART" TYPE="reset" VALUE="Clear Form"></TD>
- </TR>
-
- <TR><TD COLSPAN=2>Processing your Registration may take up to 2 minutes depending on Internet traffic.
- Confirmation that your registration has been received will be displayed shortly.<BR><BR>
-
- If you have any problems sending this form use the form on our web site <A HREF="http://www.terra-net.com">
- www.terra-net.com</A></TD></TR>
-
- <TR><TD COLSPAN=2><HR></TD></TR>
-
- <TR><TD COLSPAN=2>To contact us;
-
- <UL>
- <LI>Email:<BR><A HREF="mailto:sales@terra-net.com">sales@terra-net.com</A>
- <LI>Snail Mail:<BR><ADDRESS>Terrapin Internet Ltd<BR>33 Hookstone Road<BR>Harrogate<BR>North Yorkshire<BR>
- HG2 8BT<BR>England</ADDRESS>
- <LI>Telephone:<BR>+44 (0) 1423 872 382
- </UL><HR><BR><CENTER><FONT SIZE=-2>Copyright © 1997 Terrapin Internet Ltd. All rights reserved.</FONT></CENTER>
- </TD></TR>
- </TABLE>
- </FORM>
- </BODY></HTML>
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