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Text File  |  1996-12-16  |  3.8 KB  |  158 lines
  1. <!-- Standard inclusions for all personal details screens. -->
  2.  
  3. <Input type=hidden name=Product        value="<!--#echo var=Product        -->">
  4. <Input type=hidden name=Platform        value="<!--#echo var=Platform        -->">
  5. <Input type=hidden name=Method        value="<!--#echo var=Method        -->">
  6. <Input type=hidden name=EMail            value="<!--#echo var=EMail            -->">
  7. <Input type=hidden name=Host            value="<!--#echo var=Host            -->">
  8. <Input type=hidden name=IPAddress    value="<!--#echo var=IPAddress    -->">
  9. <Input type=hidden name=ServerIP        value="<!--#echo var=ServerIP        -->">
  10. <Input type=hidden name=ServerPort    value="<!--#echo var=ServerPort    -->">
  11. <Input type=hidden name=Referal        value="<!--#echo var=Referal        -->">
  12. <Input type=hidden name=Referer        value="<!--#echo var=Referer        -->">
  13. <Input type=hidden name=ListKeep        value="<!--#echo var=ListKeep        -->">
  14. <Input type=hidden name=ListRemove    value="<!--#echo var=ListRemove    -->">
  15.  
  16. <table border=0>
  17. <tr>
  18.     <th bgcolor="#D0D0D0"><font face="helv,arial">
  19.     Company Details</th>
  20.     <th>            </th>
  21.     <th bgcolor="#D0D0D0"><font face="helv,arial">
  22.     Telephone Details</th>
  23. </tr>
  24. <tr>
  25.     <td valign=top>
  26.     <table border=0>
  27.  
  28.     <tr>
  29.         <td>
  30.         <table border=0>
  31.         <tr>
  32.             <td><font size=-1 face="helv,arial">
  33.             <b>First Name:</b></td>
  34.             <td><font size=-1 face="helv,arial">
  35.             <b>Last Name:</b></td>
  36.         </tr>
  37.         <tr>
  38.             <td><Input Type=text Name=FirstName Size=12 MaxLength=255></td>
  39.             <td><Input Type=text Name=LastName Size=22 MaxLength=255></td>
  40.         </tr>
  41.         </table>
  42.         </td>
  43.     </tr>
  44.  
  45.     <tr>
  46.         <td><font size=-1 face="helv,arial">
  47.         <b>Company Name:</b><br>
  48.         <Input Type=text Name=Company Size=36 MaxLength=255></td>
  49.         <td></td>
  50.     </tr>
  51.  
  52.     <tr>
  53.         <td><font size=-1 face="helv,arial">
  54.         <b>Postal Address:</b><br>
  55.         <Input Type=text Name=Addr1 Size=36 MaxLength=255><br>
  56.         <Input Type=text Name=Addr2 Size=36 MaxLength=255>
  57.         </td>
  58.         <td></td>
  59.     </tr>
  60.  
  61.     <tr>
  62.         <td>
  63.         <table border=0>
  64.         <tr>
  65.             <td><font size=-1 face="helv,arial">
  66.             <b>City:</b></td>
  67.             <td><font size=-1 face="helv,arial">
  68.             <b>Zip Code:</b></td>
  69.         </tr>
  70.         <tr>
  71.             <td><Input Type=text Name=City Size=20 MaxLength=255></td>
  72.             <td><Input Type=text Name=Zip Size=10 MaxLength=255></td>
  73.         </tr>
  74.         </table>
  75.         </td>
  76.         <td></td>
  77.     </tr>
  78.  
  79.     <tr>
  80.         <td>
  81.         <table border=0>
  82.         <tr>
  83.             <td><font size=-1 face="helv,arial">
  84.             <b>State or Province:</b></td>
  85.             <td><font size=-1 face="helv,arial">
  86.             <b>Country:</b></td>
  87.         </tr>
  88.         <tr>
  89.             <td><Input Type=text Name=State Size=15 MaxLength=255></td>
  90.             <td><Input Type=text Name=Country Size=15 MaxLength=255></td>
  91.         </tr>
  92.         </table>
  93.         </td>
  94.         <td></td>
  95.     </tr>
  96.  
  97.     </table>
  98.     </td>
  99.  
  100.     <td></td>
  101.  
  102.     <td valign=top>
  103.     <table border=0>
  104.  
  105.     <tr>
  106.         <td>
  107.         <table border=0>
  108.         <tr>
  109.             <td><font size=-1 face="helv,arial">
  110.             <b>Country Code:</b></td>
  111.             <td><font size=-1 face="helv,arial">
  112.             <b>Area Code:</b></td>
  113.         </tr>
  114.         <tr>
  115.             <td><Input Type=text Name=TelCountry Size=14 MaxLength=255></td>
  116.             <td><Input Type=text Name=TelArea Size=14 MaxLength=255></td>
  117.         </tr>
  118.         </table>
  119.         </td>
  120.     </tr>
  121.  
  122.     <tr>
  123.         <td><font size=-1 face="helv,arial">
  124.         <b>Day Telephone:</b><br>
  125.         <Input Type=text Name=DayPhone Size=14 MaxLength=255></td>
  126.         <td></td>
  127.     </tr>
  128.  
  129.     <tr>
  130.         <td><font size=-1 face="helv,arial">
  131.         <b>Night Telephone:</b><br>
  132.         <Input Type=text Name=NightPhone Size=14 MaxLength=255></td>
  133.         <td></td>
  134.     </tr>
  135.  
  136.     <tr>
  137.         <td><font size=-1 face="helv,arial">
  138.         <b>Fax Number:</b><br>
  139.         <Input Type=text Name=Fax Size=14 MaxLength=255></td>
  140.         <td></td>
  141.     </tr>
  142.  
  143.     <tr>
  144.         <td><font size=-1 face="helv,arial">
  145.         <b>GMT Time Zone:</b><br>
  146.         <Input Type=text Name=TimeZone Size=14 MaxLength=255></td>
  147.         <td></td>
  148.     </tr>
  149.  
  150.     </table>
  151.     </td>
  152. </tr>
  153.         
  154. </table>
  155.  
  156. <p>
  157.  
  158.