Location: PHPKode > scripts > WebsiteMemberManager > members-section/html-members/register.html
<script>
var inputs_to_remove=["companyname", "address1", "address2", "country", "postcode", "tel", "mobile", "comments", "heardaboutusfrom"];
</script>
<link rel="stylesheet" type="text/css" href="../JQUERY/plugins/jquery.validate.css" />
<script src="<?php echo $jquery_dir; ?>plugins/jquery.validate.js" type="text/javascript"></script>
<script src="<?php echo $jquery_dir; ?>plugins/jquery.validation.functions.js" type="text/javascript"></script>
<script>
          jQuery(function(){
                for (i=0;i<inputs_to_remove.length;i++) jQuery("#"+inputs_to_remove[i]).css({ "display" : "none" });		
                jQuery("#name").validate({
                    expression: "if (VAL) return true; else return false;",
                    message: "Please enter your name!"
                });
	    		jQuery("#email").validate({
                    expression: "if (VAL.match(/^[^\\W][a-zA-Z0-9\\_\\-\\.]+([a-zA-Z0-9\\_\\-\\.]+)*\\@[a-zA-Z0-9_\\-]+(\\.[a-zA-Z0-9_]+)*\\.[a-zA-Z]{2,4}$/)) return true; else return false;",               
                    message: "You MUST enter a valid email address"
                });		
          });			  
</script>








<div align="center">
<div style="width:60%;"><strong><br />
<?php 
if(isset($paypal_option_id))
{
 $the_selection="You have selected ". paypal_show_selected_option($paypal_option_id);
 $feedback->setShow($the_selection, "Selection",0);
 echo $the_selection;
} 
?><br />
</strong></div>
  
<form ACTION="add-new-member" METHOD="POST" NAME="OF">
<?php 
if(isset($paypal_option_id)) paypal_put_inputs($paypal_option_id); 
?>
<div style="width:90%;">
<fieldset class="ui-widget-content ui-corner-all">
<legend class="ui-widget-header ui-corner-all">Your details </legend>

<div style="position:absolute; left: 569px; top: 129px; width: 473px; font-size:small; height: 134px;" align="left">
  <div align="right"><a href="./">Existing members login here</a></div>
  <br />
  <br />
  Please ensure you check the email address is entered correctly as
  this will be the address your new account details will be forwarded to.&nbsp; We will use
  the details you provide in a responsible and legal manner as stated within <a
          href="../privacy-policy.html" target="_blank">our Privacy Policy</a> </div>


<div style="padding-left:40px;" align="left"><br />
<label for="name">Name</label>
(must be completed)<br />
<input name="name" type="text"  size="20" id="name" />

<br /><label for="email"> Email address</label> 
(must be completed)<br />
<input type="text" size="29" name="email" id="email" maxlength="128" /><br />
<div id="companyname"><label for="companyname">Company Name</label>
  <br />
  <input type="text" name="companyname" size="20" id="companyname"/></div>
<div id="address1">
<label for="address1">Address</label><br />
<input type="text" size="29" name="address1" id="address1" /><br />
</div>
<div id="address2">
<label for="address2">Address (line 2 if applicable)</label><br />
<input type="text" size="29" name="address2" id="address2" /><br />
</div>
<div id="country">
<label for="country">Country</label><br />
<select name="country" size="1" class="ui-tabs-nav ui-widget-header ui-corner-all">
  <option value="AF">Afghanistan </option>
  <option value="AL">Albania </option>
  <option value="DZ">Algeria </option>
  <option value="AS">American Samoa </option>
  <option value="AD">Andorra </option>
  <option value="AO">Angola </option>
  <option value="AI">Anguilla </option>
  <option value="AQ">Antarctica </option>
  <option value="AG">Antigua and Barbuda </option>
  <option value="AR">Argentina </option>
  <option value="AM">Armenia </option>
  <option value="AW">Aruba </option>
  <option value="AU">Australia </option>
  <option value="AT">Austria </option>
  <option value="AZ">Azerbaijan </option>
  <option value="BS">Bahamas </option>
  <option value="BH">Bahrain </option>
  <option value="BD">Bangladesh </option>
  <option value="BB">Barbados </option>
  <option value="BY">Belarus </option>
  <option value="BE">Belgium </option>
  <option value="BZ">Belize </option>
  <option value="BJ">Benin </option>
  <option value="BM">Bermuda </option>
  <option value="BT">Bhutan </option>
  <option value="BO">Bolivia </option>
  <option value="BA">Bosnia and Herzegovina </option>
  <option value="BW">Botswana </option>
  <option value="BV">Bouvet Island </option>
  <option value="BR">Brazil </option>
  <option value="IO">British Indian Ocean Territory </option>
  <option value="BN">Brunei Darussalam </option>
  <option value="BG">Bulgaria </option>
  <option value="BF">Burkina Faso </option>
  <option value="BI">Burundi </option>
  <option value="KH">Cambodia </option>
  <option value="CM">Cameroon </option>
  <option value="CA">Canada </option>
  <option value="CV">Cape Verde </option>
  <option value="KY">Cayman Islands </option>
  <option value="CF">Central African Republic </option>
  <option value="TD">Chad </option>
  <option value="CL">Chile </option>
  <option value="CN">China </option>
  <option value="CX">Christmas Island </option>
  <option value="CC">Cocos (Keeling) Islands </option>
  <option value="CO">Colombia </option>
  <option value="KM">Comoros </option>
  <option value="CG">Congo </option>
  <option value="CK">Cook Islands </option>
  <option value="CR">Costa Rica </option>
  <option value="HR">Croatia </option>
  <option value="CU">Cuba </option>
  <option value="CY">Cyprus </option>
  <option value="CZ">Czech Republic </option>
  <option value="CI">C&ocirc;te d'Ivoire </option>
  <option value="DK">Denmark </option>
  <option value="DJ">Djibouti </option>
  <option value="DM">Dominica </option>
  <option value="DO">Dominican Republic </option>
  <option value="TP">East Timor </option>
  <option value="EC">Ecuador </option>
  <option value="EG">Egypt </option>
  <option value="SV">El salvador </option>
  <option value="GQ">Equatorial Guinea </option>
  <option value="ER">Eritrea </option>
  <option value="EE">Estonia </option>
  <option value="ET">Ethiopia </option>
  <option value="FK">Falkland Islands </option>
  <option value="FO">Faroe Islands </option>
  <option value="FJ">Fiji </option>
  <option value="FI">Finland </option>
  <option value="FR">France </option>
  <option value="GF">French Guiana </option>
  <option value="PF">French Polynesia </option>
  <option value="TF">French Southern Territories </option>
  <option value="GA">Gabon </option>
  <option value="GM">Gambia </option>
  <option value="GE">Georgia </option>
  <option value="DE">Germany </option>
  <option value="GH">Ghana </option>
  <option value="GI">Gibraltar </option>
  <option value="GR">Greece </option>
  <option value="GL">Greenland </option>
  <option value="GD">Grenada </option>
  <option value="GP">Guadeloupe </option>
  <option value="GU">Guam </option>
  <option value="GT">Guatemala </option>
  <option value="GN">Guinea </option>
  <option value="GW">Guinea-Bissau </option>
  <option value="GY">Guyana </option>
  <option value="HT">Haiti </option>
  <option value="HM">Heard Island and McDonald Islands </option>
  <option value="VA">Holy See (Vatican City State) </option>
  <option value="HN">Honduras </option>
  <option value="HK">Hong Kong </option>
  <option value="HU">Hungary </option>
  <option value="IS">Iceland </option>
  <option value="IN">India </option>
  <option value="ID">Indonesia </option>
  <option value="IR">Iran </option>
  <option value="IQ">Iraq </option>
  <option value="IE">Ireland </option>
  <option value="IL">Israel </option>
  <option value="IT">Italy </option>
  <option value="JM">Jamaica </option>
  <option value="JP">Japan </option>
  <option value="JO">Jordan </option>
  <option value="KZ">Kazakstan </option>
  <option value="KE">Kenya </option>
  <option value="KI">Kiribati </option>
  <option value="KW">Kuwait </option>
  <option value="KG">Kyrgystan </option>
  <option value="LA">Lao </option>
  <option value="LV">Latvia </option>
  <option value="LB">Lebanon </option>
  <option value="LS">Lesotho </option>
  <option value="LR">Liberia </option>
  <option value="LY">Libyan Arab Jamahiriya </option>
  <option value="LI">Liechtenstein </option>
  <option value="LT">Lithuania </option>
  <option value="LU">Luxembourg </option>
  <option value="MO">Macau </option>
  <option value="MK">Macedonia (FYR) </option>
  <option value="MG">Madagascar </option>
  <option value="MW">Malawi </option>
  <option value="MY">Malaysia </option>
  <option value="MV">Maldives </option>
  <option value="ML">Mali </option>
  <option value="MT">Malta </option>
  <option value="MH">Marshall Islands </option>
  <option value="MQ">Martinique </option>
  <option value="MR">Mauritania </option>
  <option value="MU">Mauritius </option>
  <option value="YT">Mayotte </option>
  <option value="MX">Mexico </option>
  <option value="FM">Micronesia </option>
  <option value="MD">Moldova </option>
  <option value="MC">Monaco </option>
  <option value="MN">Mongolia </option>
  <option value="MS">Montserrat </option>
  <option value="MA">Morocco </option>
  <option value="MZ">Mozambique </option>
  <option value="MM">Myanmar </option>
  <option value="NA">Namibia </option>
  <option value="NR">Nauru </option>
  <option value="NP">Nepal </option>
  <option value="NL">Netherlands </option>
  <option value="AN">Netherlands Antilles </option>
  <option value="NT">Neutral Zone </option>
  <option value="NC">New Caledonia </option>
  <option value="NZ">New Zealand </option>
  <option value="NI">Nicaragua </option>
  <option value="NE">Niger </option>
  <option value="NG">Nigeria </option>
  <option value="NU">Niue </option>
  <option value="NF">Norfolk Island </option>
  <option value="KP">North Korea </option>
  <option value="MP">Northern Mariana Islands </option>
  <option value="NO">Norway </option>
  <option value="OM">Oman </option>
  <option value="PK">Pakistan </option>
  <option value="PW">Palau </option>
  <option value="PA">Panama </option>
  <option value="PG">Papua New Guinea </option>
  <option value="PY">Paraguay </option>
  <option value="PE">Peru </option>
  <option value="PH">Philippines </option>
  <option value="PN">Pitcairn </option>
  <option value="PL">Poland </option>
  <option value="PT">Portugal </option>
  <option value="PR">Puerto Rico </option>
  <option value="QA">Qatar </option>
  <option value="RE">Reunion </option>
  <option value="RO">Romania </option>
  <option value="RU">Russian Federation </option>
  <option value="RW">Rwanda </option>
  <option value="SH">Saint Helena </option>
  <option value="KN">Saint Kitts and Nevis </option>
  <option value="LC">Saint Lucia </option>
  <option value="PM">Saint Pierre and Miquelon </option>
  <option value="VC">Saint Vincent and the Grenadines </option>
  <option value="WS">Samoa </option>
  <option value="SM">San Marino </option>
  <option value="ST">Sao Tome and Principe </option>
  <option value="SA">Saudi Arabia </option>
  <option value="SN">Senegal </option>
  <option value="SC">Seychelles </option>
  <option value="SL">Sierra Leone </option>
  <option value="SG">Singapore </option>
  <option value="SK">Slovakia </option>
  <option value="SI">Slovenia </option>
  <option value="SB">Solomon Islands </option>
  <option value="SO">Somalia </option>
  <option value="ZA">South Africa </option>
  <option value="GS">South Georgia </option>
  <option value="KR">South Korea </option>
  <option value="ES">Spain </option>
  <option value="LK">Sri Lanka </option>
  <option value="SD">Sudan </option>
  <option value="SR">Suriname </option>
  <option value="SJ">Svalbard and Jan Mayen Islands </option>
  <option value="SZ">Swaziland </option>
  <option value="SE">Sweden </option>
  <option value="CH">Switzerland </option>
  <option value="SY">Syria </option>
  <option value="TW">Taiwan </option>
  <option value="TJ">Tajikistan </option>
  <option value="TZ">Tanzania </option>
  <option value="TH">Thailand </option>
  <option value="TG">Togo </option>
  <option value="TK">Tokelau </option>
  <option value="TO">Tonga </option>
  <option value="TT">Trinidad and Tobago </option>
  <option value="TN">Tunisia </option>
  <option value="TR">Turkey </option>
  <option value="TM">Turkmenistan </option>
  <option value="TC">Turks and Caicos Islands </option>
  <option value="TV">Tuvalu </option>
  <option value="UG">Uganda </option>
  <option value="UA">Ukraine </option>
  <option value="AE">United Arab Emirates </option>
  <option selected="selected" value="GB">United Kingdom</option>
  <option value="UM">United States Minor Outlying Islands </option>
  <option value="US">United States of America </option>
  <option value="UY">Uruguay </option>
  <option value="UZ">Uzbekistan </option>
  <option value="VU">Vanuatu </option>
  <option value="VE">Venezuela </option>
  <option value="VN">Viet Nam </option>
  <option value="VG">Virgin Islands (British) </option>
  <option value="VI">Virgin Islands (U.S.) </option>
  <option value="WF">Wallis and Futuna Islands </option>
  <option value="EH">Western Sahara </option>
  <option value="YE">Yemen </option>
  <option value="YU">Yugoslavia </option>
  <option value="ZR">Zaire </option>
  <option value="ZM">Zambia </option>
  <option value="ZW">Zimbabwe </option>
</select>
</div>
<div id="postcode">
<label for="postcode">Postcode/zip code</label><br />
<input type="text" size="29" name="postcode" id="postcode" />
</div>
<div id="tel">
<label for="tel">Telephone</label><br />
<input type="text" size="29" name="tel" id="tel" /><br />
</div>
<div id="mobile">
<label for="mobile">Mobile</label>
<br /><input type="text" size="29" name="mobile" id="mobile" /><br />
</div>
<div id="comments">
<label for="comments">Additional comments</label><br />
<textarea rows="2" cols="62" name="comments" wrap="virtual" id="comments">
</textarea>
<br />
<div id="heardaboutusfrom">
<label for="heardaboutusfrom">Please tell us where you heard about us?</label>
  <select size="1" name="heardaboutusfrom" class="ui-tabs-nav ui-widget-header ui-corner-all">
    <option selected="selected" value="0">&nbsp; &nbsp; &nbsp; &nbsp; - Please Select -</option>
    <option value="Yahoo">Yahoo</option>
    <option value="Google">Google</option>
    <option value="Other - please specify above">Other - please specify above</option>
  </select>
</div>
</div>
<div align="center">
<div class="button"><br />
	        <button>Register >>></button>
<a href="#" onclick="location.href='./'">Cancel</a></div>
</div>
</div>
</fieldset>
</div>
</form>
  <script type="text/javascript">
$(document).ready(function(){
  $("#name").focus();
});
// --></script>
Return current item: WebsiteMemberManager