<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. 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">Côte 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"> - 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>