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  1. <div class="left">
  2.   <h2>Detalii personale</h2>
  3.  
  4. <div class="content">
  5.      
  6.   <span class="required">*</span> Prenume:<br />
  7.   <input type="text" name="firstname" value="" class="large-field" />
  8.   <br />
  9.   <br />
  10.   <span class="required">*</span> Nume:<br />
  11.   <input type="text" name="lastname" value="" class="large-field" />
  12.   <br />
  13.   <br />
  14.   <span class="required">*</span> E-Mail:<br />
  15.   <input type="email" name="email" value="" class="large-field" />
  16.   <br />
  17.   <br />
  18.   <span class="required">*</span> Telefon:<br />
  19.   <input type="tel" name="telephone" value="" class="large-field" />
  20.   <br />
  21.   <br />
  22.   Fax:<br />
  23.   <input type="tel" name="fax" value="" class="large-field" />
  24.   <br />
  25.   <br />
  26.  
  27. </div>
  28. <h2>Parola ta</h2>
  29. <div class="content">
  30.      
  31.   <span class="required">*</span> Parola:<br />
  32.   <input type="password" name="password" value="" class="large-field" />
  33.   <br />
  34.   <br />
  35.   <span class="required">*</span> Confirmă parola: <br />
  36.   <input type="password" name="confirm" value="" class="large-field" />
  37.   <br />
  38.   <br />
  39.   <br />
  40. </div>
  41.  
  42. </div>
  43. <div class="right">
  44. <h2>Adresa ta</h2>
  45. <div class="content">
  46.      
  47.  
  48.   Date Companie:<br />
  49.   <input type="text" name="company" value="" class="large-field" />
  50.   <br />
  51.   <br />
  52.   <div style="display: none;">
  53.   Tip Afaceri:<br />
  54.       <input type="radio" name="customer_group_id" value="1" id="customer_group_id1" checked="checked" />
  55.   <label for="customer_group_id1">Default</label>
  56.   <br />
  57.       <br />
  58. </div>
  59. <div id="company-id-display"><span id="company-id-required" class="required">*</span> Codul Unic de Înregistrare al Companiei:<br />
  60.   <input type="text" name="company_id" value="" class="large-field" />
  61.   <br />
  62.   <br />
  63. </div>
  64. <div id="tax-id-display"><span id="tax-id-required" class="required">*</span> Cod TVA:<br />
  65.   <input type="text" name="tax_id" value="" class="large-field" />
  66.   <br />
  67.   <br />
  68. </div>
  69. <span class="required">*</span> Adresă 1:<br />
  70. <input type="text" name="address_1" value="" class="large-field" />
  71. <br />
  72. <br />
  73. Adresă 2:<br />
  74. <input type="text" name="address_2" value="" class="large-field" />
  75. <br />
  76. <br />
  77. <span class="required">*</span> Oraș:<br />
  78. <input type="text" name="city" value="" class="large-field" />
  79. <br />
  80. <br />
  81. <span id="payment-postcode-required" class="required">*</span> Cod Poștal:<br />
  82. <input type="text" name="postcode" value="" class="large-field" />
  83. <br />
  84. <br />
  85. <span class="required">*</span> Țară:<br />
  86. <select name="country_id" class="large-field">
  87.   <option value=""> --- Selectaţi --- </option>
  88.       <option value="1">Afghanistan</option>
  89.         <option value="2">Albania</option>
  90.         <option value="3">Algeria</option>
  91.         <option value="4">American Samoa</option>
  92.         <option value="5">Andorra</option>
  93.         <option value="6">Angola</option>
  94.         <option value="7">Anguilla</option>
  95.         <option value="8">Antarctica</option>
  96.         <option value="9">Antigua and Barbuda</option>
  97.         <option value="10">Argentina</option>
  98.         <option value="11">Armenia</option>
  99.         <option value="12">Aruba</option>
  100.         <option value="13">Australia</option>
  101.         <option value="14">Austria</option>
  102.         <option value="15">Azerbaijan</option>
  103.         <option value="16">Bahamas</option>
  104.         <option value="17">Bahrain</option>
  105.         <option value="18">Bangladesh</option>
  106.         <option value="19">Barbados</option>
  107.         <option value="20">Belarus</option>
  108.         <option value="21">Belgium</option>
  109.         <option value="22">Belize</option>
  110.         <option value="23">Benin</option>
  111.         <option value="24">Bermuda</option>
  112.         <option value="25">Bhutan</option>
  113.         <option value="26">Bolivia</option>
  114.         <option value="27">Bosnia and Herzegowina</option>
  115.         <option value="28">Botswana</option>
  116.         <option value="29">Bouvet Island</option>
  117.         <option value="30">Brazil</option>
  118.         <option value="31">British Indian Ocean Territory</option>
  119.         <option value="32">Brunei Darussalam</option>
  120.         <option value="33">Bulgaria</option>
  121.         <option value="34">Burkina Faso</option>
  122.         <option value="35">Burundi</option>
  123.         <option value="36">Cambodia</option>
  124.         <option value="37">Cameroon</option>
  125.         <option value="38">Canada</option>
  126.         <option value="39">Cape Verde</option>
  127.         <option value="40">Cayman Islands</option>
  128.         <option value="41">Central African Republic</option>
  129.         <option value="42">Chad</option>
  130.         <option value="43">Chile</option>
  131.         <option value="44">China</option>
  132.         <option value="45">Christmas Island</option>
  133.         <option value="46">Cocos (Keeling) Islands</option>
  134.         <option value="47">Colombia</option>
  135.         <option value="48">Comoros</option>
  136.         <option value="49">Congo</option>
  137.         <option value="50">Cook Islands</option>
  138.         <option value="51">Costa Rica</option>
  139.         <option value="52">Cote D'Ivoire</option>
  140.         <option value="53">Croatia</option>
  141.         <option value="54">Cuba</option>
  142.         <option value="55">Cyprus</option>
  143.         <option value="56">Czech Republic</option>
  144.         <option value="237">Democratic Republic of Congo</option>
  145.         <option value="57">Denmark</option>
  146.         <option value="58">Djibouti</option>
  147.         <option value="59">Dominica</option>
  148.         <option value="60">Dominican Republic</option>
  149.         <option value="61">East Timor</option>
  150.         <option value="62">Ecuador</option>
  151.         <option value="63">Egypt</option>
  152.         <option value="64">El Salvador</option>
  153.         <option value="65">Equatorial Guinea</option>
  154.         <option value="66">Eritrea</option>
  155.         <option value="67">Estonia</option>
  156.         <option value="68">Ethiopia</option>
  157.         <option value="126">FYROM</option>
  158.         <option value="69">Falkland Islands (Malvinas)</option>
  159.         <option value="70">Faroe Islands</option>
  160.         <option value="71">Fiji</option>
  161.         <option value="72">Finland</option>
  162.         <option value="73">France</option>
  163.         <option value="74">France, Metropolitan</option>
  164.         <option value="75">French Guiana</option>
  165.         <option value="76">French Polynesia</option>
  166.         <option value="77">French Southern Territories</option>
  167.         <option value="78">Gabon</option>
  168.         <option value="79">Gambia</option>
  169.         <option value="80">Georgia</option>
  170.         <option value="81">Germany</option>
  171.         <option value="82">Ghana</option>
  172.         <option value="83">Gibraltar</option>
  173.         <option value="84">Greece</option>
  174.         <option value="85">Greenland</option>
  175.         <option value="86">Grenada</option>
  176.         <option value="87">Guadeloupe</option>
  177.         <option value="88">Guam</option>
  178.         <option value="89">Guatemala</option>
  179.         <option value="90">Guinea</option>
  180.         <option value="91">Guinea-bissau</option>
  181.         <option value="92">Guyana</option>
  182.         <option value="93">Haiti</option>
  183.         <option value="94">Heard and Mc Donald Islands</option>
  184.         <option value="95">Honduras</option>
  185.         <option value="96">Hong Kong</option>
  186.         <option value="97">Hungary</option>
  187.         <option value="98">Iceland</option>
  188.         <option value="99">India</option>
  189.         <option value="100">Indonesia</option>
  190.         <option value="101">Iran (Islamic Republic of)</option>
  191.         <option value="102">Iraq</option>
  192.         <option value="103">Ireland</option>
  193.         <option value="104">Israel</option>
  194.         <option value="105">Italy</option>
  195.         <option value="106">Jamaica</option>
  196.         <option value="107">Japan</option>
  197.         <option value="108">Jordan</option>
  198.         <option value="109">Kazakhstan</option>
  199.         <option value="110">Kenya</option>
  200.         <option value="111">Kiribati</option>
  201.         <option value="113">Korea, Republic of</option>
  202.         <option value="114">Kuwait</option>
  203.         <option value="115">Kyrgyzstan</option>
  204.         <option value="116">Lao People's Democratic Republic</option>
  205.         <option value="117">Latvia</option>
  206.         <option value="118">Lebanon</option>
  207.         <option value="119">Lesotho</option>
  208.         <option value="120">Liberia</option>
  209.         <option value="121">Libyan Arab Jamahiriya</option>
  210.         <option value="122">Liechtenstein</option>
  211.         <option value="123">Lithuania</option>
  212.         <option value="124">Luxembourg</option>
  213.         <option value="125">Macau</option>
  214.         <option value="127">Madagascar</option>
  215.         <option value="128">Malawi</option>
  216.         <option value="129">Malaysia</option>
  217.         <option value="130">Maldives</option>
  218.         <option value="131">Mali</option>
  219.         <option value="132">Malta</option>
  220.         <option value="133">Marshall Islands</option>
  221.         <option value="134">Martinique</option>
  222.         <option value="135">Mauritania</option>
  223.         <option value="136">Mauritius</option>
  224.         <option value="137">Mayotte</option>
  225.         <option value="138">Mexico</option>
  226.         <option value="139">Micronesia, Federated States of</option>
  227.         <option value="140">Moldova, Republic of</option>
  228.         <option value="141">Monaco</option>
  229.         <option value="142">Mongolia</option>
  230.         <option value="143">Montserrat</option>
  231.         <option value="144">Morocco</option>
  232.         <option value="145">Mozambique</option>
  233.         <option value="146">Myanmar</option>
  234.         <option value="147">Namibia</option>
  235.         <option value="148">Nauru</option>
  236.         <option value="149">Nepal</option>
  237.         <option value="150">Netherlands</option>
  238.         <option value="151">Netherlands Antilles</option>
  239.         <option value="152">New Caledonia</option>
  240.         <option value="153">New Zealand</option>
  241.         <option value="154">Nicaragua</option>
  242.         <option value="155">Niger</option>
  243.         <option value="156">Nigeria</option>
  244.         <option value="157">Niue</option>
  245.         <option value="158">Norfolk Island</option>
  246.         <option value="112">North Korea</option>
  247.         <option value="159">Northern Mariana Islands</option>
  248.         <option value="160">Norway</option>
  249.         <option value="161">Oman</option>
  250.         <option value="162">Pakistan</option>
  251.         <option value="163">Palau</option>
  252.         <option value="164">Panama</option>
  253.         <option value="165">Papua New Guinea</option>
  254.         <option value="166">Paraguay</option>
  255.         <option value="167">Peru</option>
  256.         <option value="168">Philippines</option>
  257.         <option value="169">Pitcairn</option>
  258.         <option value="170">Poland</option>
  259.         <option value="171">Portugal</option>
  260.         <option value="172">Puerto Rico</option>
  261.         <option value="173">Qatar</option>
  262.         <option value="174">Reunion</option>
  263.         <option value="175" selected="selected">Romania</option>
  264.         <option value="176">Russian Federation</option>
  265.         <option value="177">Rwanda</option>
  266.         <option value="178">Saint Kitts and Nevis</option>
  267.         <option value="179">Saint Lucia</option>
  268.         <option value="180">Saint Vincent and the Grenadines</option>
  269.         <option value="181">Samoa</option>
  270.         <option value="182">San Marino</option>
  271.         <option value="183">Sao Tome and Principe</option>
  272.         <option value="184">Saudi Arabia</option>
  273.         <option value="185">Senegal</option>
  274.         <option value="186">Seychelles</option>
  275.         <option value="187">Sierra Leone</option>
  276.         <option value="188">Singapore</option>
  277.         <option value="189">Slovak Republic</option>
  278.         <option value="190">Slovenia</option>
  279.         <option value="191">Solomon Islands</option>
  280.         <option value="192">Somalia</option>
  281.         <option value="193">South Africa</option>
  282.         <option value="194">South Georgia &amp; South Sandwich Islands</option>
  283.         <option value="195">Spain</option>
  284.         <option value="196">Sri Lanka</option>
  285.         <option value="197">St. Helena</option>
  286.         <option value="198">St. Pierre and Miquelon</option>
  287.         <option value="199">Sudan</option>
  288.         <option value="200">Suriname</option>
  289.         <option value="201">Svalbard and Jan Mayen Islands</option>
  290.         <option value="202">Swaziland</option>
  291.         <option value="203">Sweden</option>
  292.         <option value="204">Switzerland</option>
  293.         <option value="205">Syrian Arab Republic</option>
  294.         <option value="206">Taiwan</option>
  295.         <option value="207">Tajikistan</option>
  296.         <option value="208">Tanzania, United Republic of</option>
  297.         <option value="209">Thailand</option>
  298.         <option value="210">Togo</option>
  299.         <option value="211">Tokelau</option>
  300.         <option value="212">Tonga</option>
  301.         <option value="213">Trinidad and Tobago</option>
  302.         <option value="214">Tunisia</option>
  303.         <option value="215">Turkey</option>
  304.         <option value="216">Turkmenistan</option>
  305.         <option value="217">Turks and Caicos Islands</option>
  306.         <option value="218">Tuvalu</option>
  307.         <option value="219">Uganda</option>
  308.         <option value="220">Ukraine</option>
  309.         <option value="221">United Arab Emirates</option>
  310.         <option value="222">United Kingdom</option>
  311.         <option value="223">United States</option>
  312.         <option value="224">United States Minor Outlying Islands</option>
  313.         <option value="225">Uruguay</option>
  314.         <option value="226">Uzbekistan</option>
  315.         <option value="227">Vanuatu</option>
  316.         <option value="228">Vatican City State (Holy See)</option>
  317.         <option value="229">Venezuela</option>
  318.         <option value="230">Viet Nam</option>
  319.         <option value="231">Virgin Islands (British)</option>
  320.         <option value="232">Virgin Islands (U.S.)</option>
  321.         <option value="233">Wallis and Futuna Islands</option>
  322.         <option value="234">Western Sahara</option>
  323.         <option value="235">Yemen</option>
  324.         <option value="236">Yugoslavia</option>
  325.         <option value="238">Zambia</option>
  326.         <option value="239">Zimbabwe</option>
  327.     </select>
  328. <br />
  329. <br />
  330. <span class="required">*</span> Județ:<br />
  331. <select name="zone_id" class="large-field">
  332. </select>
  333. <br />
  334. <br />
  335. <br />
  336. </div>
  337.  
  338. </div>
  339. <div style="clear: both; padding-top: 15px;">
  340.      
  341.  
  342.        
  343.         <input type="checkbox" name="newsletter" value="1" id="newsletter" checked="checked" />
  344.        
  345.      
  346.   <label for="newsletter">Vreau să mă abonez la newsletter-ul  ReturnOffer .</label>
  347.   <br />
  348.     <br />
  349.   <br />
  350. </div>
  351. <div class="buttons">
  352.   <div class="right">Am citit și sunt de acord cu <a class="colorbox" href="http://returnoffer.net/index.php?route=information/information/info&amp;information_id=3" alt="Politica de confidențialitate"><b>Politica de confidențialitate</b></a>    <input type="checkbox" name="agree" value="1" />
  353.     <input type="button" value="Continuare" id="button-register" class="button" />
  354.   </div>
  355. </div>
  356. <script type="text/javascript"><!--
  357. $('#payment-address input[name=\'customer_group_id\']:checked').live('change', function() {
  358.  var customer_group = [];
  359.  
  360.  customer_group[1] = [];
  361.  customer_group[1]['company_id_display'] = '1';
  362.  customer_group[1]['company_id_required'] = '0';
  363.  customer_group[1]['tax_id_display'] = '0';
  364.  customer_group[1]['tax_id_required'] = '1';
  365.  
  366.  
  367.  if (customer_group[this.value]) {
  368.    if (customer_group[this.value]['company_id_display'] == '1') {
  369.      $('#company-id-display').show();
  370.    } else {
  371.      $('#company-id-display').hide();
  372.    }
  373.    
  374.    if (customer_group[this.value]['company_id_required'] == '1') {
  375.      $('#company-id-required').show();
  376.    } else {
  377.      $('#company-id-required').hide();
  378.    }
  379.    
  380.    if (customer_group[this.value]['tax_id_display'] == '1') {
  381.      $('#tax-id-display').show();
  382.    } else {
  383.      $('#tax-id-display').hide();
  384.    }
  385.    
  386.    if (customer_group[this.value]['tax_id_required'] == '1') {
  387.      $('#tax-id-required').show();
  388.    } else {
  389.      $('#tax-id-required').hide();
  390.    }  
  391.  }
  392. });
  393.  
  394. $('#payment-address input[name=\'customer_group_id\']:checked').trigger('change');
  395. //--></script>
  396. <script type="text/javascript"><!--
  397. $('#payment-address select[name=\'country_id\']').bind('change', function() {
  398.  $.ajax({
  399.    url: 'index.php?route=checkout/checkout/country&country_id=' + this.value,
  400.    dataType: 'json',
  401.    beforeSend: function() {
  402.      $('#payment-address select[name=\'country_id\']').after('<span class="wait">&nbsp;<img src="catalog/view/theme/default/image/loading.gif" alt="" /></span>');
  403.    },
  404.    complete: function() {
  405.      $('.wait').remove();
  406.    },      
  407.    success: function(json) {
  408.      if (json['postcode_required'] == '1') {
  409.        $('#payment-postcode-required').show();
  410.      } else {
  411.        $('#payment-postcode-required').hide();
  412.      }
  413.      
  414.      html = '<option value=""> --- Selectaţi --- </option>';
  415.      
  416.      if (json['zone'] != '') {
  417.  
  418.        for (i = 0; i < json['zone'].length; i++) {
  419.              html += '<option value="' + json['zone'][i]['zone_id'] + '"'; if (json['zone'][i]['zone_id'] == '') { html += ' selected="selected"';
  420.            } html += '>' + json['zone'][i]['name'] + '</option>';
  421.        }
  422.      } else {
  423.        html += '<option value="0" selected="selected"> --- Nimic --- </option>';
  424.      }
  425.      
  426.      $('#payment-address select[name=\'zone_id\']').html(html);
  427.    },
  428.    error: function(xhr, ajaxOptions, thrownError) {
  429.      alert(thrownError + "\r\n" + xhr.statusText + "\r\n" + xhr.responseText);
  430.    }
  431.  });
  432. });
  433.  
  434. $('#payment-address select[name=\'country_id\']').trigger('change');
  435. //--></script>
  436. <script type="text/javascript"><!--
  437. $('.colorbox').colorbox({
  438.  width: 640,
  439.  height: 480
  440. });
  441. //--></script>
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