gecko-dev/extensions/wallet/editor/sample6.html

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HTML

<html>
<body bgcolor="#FFFFFF">
<table border="1" width="590" cellspacing="0" bgcolor="#99CCCC"
cellpadding="2">
<tr>
<td>
<p align="center"><strong><font size="5">Step 1 -
Initial Registration Form</font></strong></p>
</td>
</tr>
</table>
Simply fill out the information below and click the <b>
continue</b> button.<br>
<strong>Required entries</strong> are shown in <font color=
"#006600"><strong>green</strong></font>.
<form>
<input type="HIDDEN" name="MfcISAPICommand" value=
"RegisterPreview">
<table border="1" width="590" cellspacing="0" cellpadding=
"4">
<tr>
<td width="25%" bgcolor="#EFEFEF"><font size="3" color=
"#006600"><strong>E-mail address</strong></font><br>
<font size="2">e.g, username@aol.com</font></td>
<td width="75%"><input type="text" name="email" size="40"
maxlength="63"> <font size="2" color="#008000">
(required)</font><br>
<font size="2"><b><i>Note:</i></b> AOL and WebTV Users:
Please remove any spaces from your username and add the
domain suffix (@aol.com or @webtv.com to your username).
For example, if your username is joecool, your e-mail
address would be joecool@aol.com</font> </td>
</tr>
<tr>
<td width="25%" bgcolor="#EFEFEF"><font color="#006600">
<strong>Full name</strong><br>
</font> <font size="2">e.g., John H. Doe</font> <font
color="#006600" size="2"></font></td>
<td width="75%"><input type="text" name="name" size="40"
maxlength="63"> <font size="2" color="#008000">
(required)</font><br>
<font size="2">First M. Last</font></td>
</tr>
<tr>
<td width="25%" bgcolor="#EFEFEF">Company</td>
<td width="75%"><input type="text" name="company" size=
"40" maxlength="63"> <font size="2">
(optional)</font></td>
</tr>
<tr>
<td width="25%" bgcolor="#EFEFEF"><font color="#006600">
<strong>Address</strong></font></td>
<td width="75%"><input type="text" name="address" size=
"40" maxlength="63"> <font size="2" color="#008000">
(required)</font></td>
</tr>
<tr>
<td width="25%" bgcolor="#EFEFEF"><font color="#006600">
<strong>City</strong></font></td>
<td width="75%"><input type="text" name="city" size="40"
maxlength="63"> <font size="2" color="#008000">
(required)</font></td>
</tr>
<tr>
<td width="25%" bgcolor="#EFEFEF"><font color="#006600">
<strong>State</strong></font></td>
<td width="75%"><select name="state">
<option selected value="other">
Select State
</option>
<option value="AL">
Alabama
</option>
<option value="AK">
Alaska
</option>
<option value="AZ">
Arizona
</option>
<option value="AR">
Arkansas
</option>
<option value="CA">
California
</option>
<option value="CO">
Colorado
</option>
<option value="CT">
Connecticut
</option>
<option value="DE">
Delaware
</option>
<option value="DC">
District of Columbia
</option>
<option value="FL">
Florida
</option>
<option value="GA">
Georgia
</option>
<option value="HI">
Hawaii
</option>
<option value="ID">
Idaho
</option>
<option value="IL">
Illinois
</option>
<option value="IN">
Indiana
</option>
<option value="IA">
Iowa
</option>
<option value="KS">
Kansas
</option>
<option value="KY">
Kentucky
</option>
<option value="LA">
Louisiana
</option>
<option value="ME">
Maine
</option>
<option value="MD">
Maryland
</option>
<option value="MA">
Massachusetts
</option>
<option value="MI">
Michigan
</option>
<option value="MN">
Minnesota
</option>
<option value="MS">
Mississippi
</option>
<option value="MO">
Missouri
</option>
<option value="MT">
Montana
</option>
<option value="NE">
Nebraska
</option>
<option value="NV">
Nevada
</option>
<option value="NH">
New Hampshire
</option>
<option value="NJ">
New Jersey
</option>
<option value="NM">
New Mexico
</option>
<option value="NY">
New York
</option>
<option value="NC">
North Carolina
</option>
<option value="ND">
North Dakota
</option>
<option value="OH">
Ohio
</option>
<option value="OK">
Oklahoma
</option>
<option value="OR">
Oregon
</option>
<option value="PA">
Pennsylvania
</option>
<option value="RI">
Rhode Island
</option>
<option value="SC">
South Carolina
</option>
<option value="SD">
South Dakota
</option>
<option value="TN">
Tennessee
</option>
<option value="TX">
Texas
</option>
<option value="UT">
Utah
</option>
<option value="VT">
Vermont
</option>
<option value="VA">
Virginia
</option>
<option value="WA">
Washington
</option>
<option value="WV">
West Virginia
</option>
<option value="WI">
Wisconsin
</option>
<option value="WY">
Wyoming
</option>
<option value="PR">
Puerto Rico
</option>
<option value="VI">
Virgin Island
</option>
<option value="MP">
Northern Mariana Islands
</option>
<option value="GU">
Guam
</option>
<option value="AS">
American Samoa
</option>
<option value="PW">
Palau
</option>
</select> <font size="2" color="#008000">
(required)</font></td>
</tr>
<tr>
<td width="25%" bgcolor="#EFEFEF"><font color="#006600">
<strong>Zip Code</strong></font></td>
<td width="75%"><input type="text" name="Home.PostalCode" size="12"
maxlength="12"> <font size="2" color="#008000">
(required)</font></td>
</tr>
<tr>
<td width="25%" bgcolor="#EFEFEF"><font color="#006600">
<strong>Primary phone #<br>
</strong></font> <font size="2">e.g., (408) 555 -
1234</font><font color=
"#006600"><strong></strong></font></td>
<td width="75%">( <input type="text" name="Home.Phone.LocCode"
size="4" maxlength="3"> ) <input type="text" name=
"Home.Phone.Number.Prefix" size="4" maxlength="3"> - <input type="text"
name="Home.Phone.Number.Suffix" size="5" maxlength="4"> <font size="2"
color="#008000">(required)</font>
&nbsp;&nbsp;&nbsp;&nbsp;<input type="text" name=
"Home.Phone.Extension" size="5" maxlength="10"> <font size="2">
(extension)</font> </td>
</tr>
<tr>
<td width="25%" bgcolor="#EFEFEF">Secondary phone #</td>
<td width="75%">( <input type="text" name="Home.AltPhone.LocCode"
size="4" maxlength="3"> ) <input type="text" name=
"Home.AltPhone.Number.Prefix" size="4" maxlength="3"> - <input type=
"text" name="Home.AltPhone.Number.Suffix" size="5" maxlength="4"> <font
size="2">(optional)</font> &nbsp;&nbsp;&nbsp;&nbsp;<input
type="text" name="Home.AltPhone.Extension" size="5" maxlength="10">
<font size="2">(extension)</font> </td>
</tr>
<tr>
<td width="25%" bgcolor="#EFEFEF">Fax #</td>
<td width="75%">( <input type="text" name="Home.Fax.LocCode"
size="4" maxlength="3"> ) <input type="text" name=
"Home.Fax.Number.Prefix" size="4" maxlength="3"> - <input type="text"
name="Home.Fax.Number.Suffix" size="5" maxlength="4"> <font size="2">
(optional)</font></td>
</tr>
</table>
<p><input type="HIDDEN" name="country" value=
"United States"><input type="HIDDEN" name="countryid" value=
"1"></p>
<table border="0" cellpadding="3" cellspacing="1" width=
"590">
<tr>
<td>
<strong>Note to Aol Users:</strong> make sure your mail
filters are off<br>
<blockquote>
<b>Click</b> &nbsp;<input type="submit" value=
"continue">&nbsp; <b>to register!</b>
</blockquote>
<blockquote>
Click &nbsp; <input type="reset" value="clear form">
&nbsp; to start over
</blockquote>
</td>
</tr>
</table>
</form>
<hr>
</body>
</html>