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tranquangchau

https://signup.dreamhost.com/shared/billing/

tranquangchau
May 23rd, 2015
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  1.  
  2. <!DOCTYPE html>
  3. <!--[if lte IE 6]> <html class="ie6" lang="en"> <![endif]-->
  4. <!--[if IE 7]><html class="ie7" lang="en"> <![endif]-->
  5. <!--[if IE 8]><html class="ie8" lang="en"> <![endif]-->
  6. <!--[if IE 9]><html class="ie9" lang="en"> <![endif]-->
  7. <!--[if !IE]><!--><html lang="en"><!--<![endif]-->
  8.   <head>
  9.  
  10.       <title>
  11.     Set Up Payment
  12. </title>
  13.       <meta name="viewport" content="width=device-width, initial-scale=1.0">
  14.      
  15.  
  16.   <link href="/compiled/bootstrap.min.css?1432324825.7559857" media="screen" rel="stylesheet" type="text/css" />
  17.   <link href="/compiled/bootstrap-responsive.min.css?1432324825.7559857" media="screen" rel="stylesheet" type="text/css" />
  18.   <link href="/compiled/ouroboros.css?1432324825.7559857" media="screen" rel="stylesheet" type="text/css" />
  19.   <link href="/compiled/style.css?1432324825.7559857" media="screen" rel="stylesheet" type="text/css" />
  20.  
  21.   <link href="/compiled/steps/billing.css?1432324825.7559857" media="screen" rel="stylesheet" type="text/css" />
  22.  
  23.  
  24.       <!-- Compiled CSS -->
  25.  
  26.       <!-- Exception logging -->
  27.       <script src="//cdn.ravenjs.com/1.1.15/jquery,native/raven.min.js"></script>
  28.       <script>
  29.       Raven.config('https://603f428a41cd4f949f97409ae09628a9@app.getsentry.com/29171', {
  30.           whitelistUrls: [
  31.               /dreamhost\.com/,
  32.           ],
  33.           fetchContext: true,
  34.       }).install();
  35.       </script>
  36.   </head>
  37.   <body>
  38.    
  39.  
  40.  
  41. <!-- Start Visual Website Optimizer Asynchronous Code -->
  42. <script type='text/javascript'>
  43. var _vwo_code=(function(){
  44.         var account_id=30011,
  45.         settings_tolerance=2000,
  46.         library_tolerance=2500,
  47.         use_existing_jquery=false,
  48.         // DO NOT EDIT BELOW THIS LINE
  49.         f=false,d=document;return{use_existing_jquery:function(){return use_existing_jquery;},library_tolerance:function(){return library_tolerance;},finish:function(){if(!f){f=true;var a=d.getElementById('_vis_opt_path_hides');if(a)a.parentNode.removeChild(a);}},finished:function(){return f;},load:function(a){var b=d.createElement('script');b.src=a;b.type='text/javascript';b.innerText;b.onerror=function(){_vwo_code.finish();};d.getElementsByTagName('head')[0].appendChild(b);},init:function(){settings_timer=setTimeout('_vwo_code.finish()',settings_tolerance);this.load('//dev.visualwebsiteoptimizer.com/j.php?a='+account_id+'&u='+encodeURIComponent(d.URL)+'&r='+Math.random());var a=d.createElement('style'),b='body{opacity:0 !important;filter:alpha(opacity=0) !important;background:none !important;}',h=d.getElementsByTagName('head')[0];a.setAttribute('id','_vis_opt_path_hides');a.setAttribute('type','text/css');if(a.styleSheet)a.styleSheet.cssText=b;else a.appendChild(d.createTextNode(b));h.appendChild(a);return settings_timer;}};}());_vwo_settings_timer=_vwo_code.init();
  50. </script>
  51. <!-- End Visual Website Optimizer Asynchronous Code -->
  52.  
  53. <!-- Google Tag Manager -->
  54. <noscript><iframe src="//www.googletagmanager.com/ns.html?id=GTM-TLN654"
  55. height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>
  56. <script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push(
  57. {'gtm.start': new Date().getTime(),event:'gtm.js'}
  58. );var f=d.getElementsByTagName(s)[0],
  59. j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src=
  60. '//www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);
  61. })(window,document,'script','dataLayer','GTM-TLN654');</script>
  62. <!-- End Google Tag Manager -->
  63.  
  64. <script type="text/javascript">
  65.  
  66.   (function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){
  67.   (i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),
  68.   m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)
  69.   })(window,document,'script','//www.google-analytics.com/analytics.js','ga');
  70.  
  71.   function track_outbound_link(category,action,label) {
  72.     ga('send','event',category, action, label);
  73.   }
  74.  
  75.   ga('create', 'UA-6776799-2', 'auto');
  76.   ga('send', 'pageview');
  77. </script>
  78.  
  79.  
  80.  
  81.     <script type='text/javascript'>
  82. window.__wtw_lucky_site_id = 22216;
  83. (function() {
  84.   var wa = document.createElement('script'); wa.type = 'text/javascript'; wa.async = true;
  85.   wa.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://cdn') + '.luckyorange.com/w.js';
  86.   var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(wa, s);
  87. })();
  88. </script>
  89.  
  90.  
  91.  
  92.     <div class="container-fluid nav">
  93.       <div class="row-fluid">
  94.         <div>
  95.          
  96.  
  97.            
  98.     <img src="/images/dh_logo-2014.png" />
  99.  
  100.           <div class="modal hide fade" id="finish-loading" style="text-align: center;">
  101.             <div class="modal-header">
  102.               <h3>
  103.                 <div class="ui-spinner">
  104.                   <span class="side side-left">
  105.                     <span class="fill"></span>
  106.                   </span>
  107.                   <span class="side side-right">
  108.                     <span class="fill"></span>
  109.                   </span>
  110.                 </div>
  111.                 <span class="message">We're creating your account.</span>
  112.               </h3>
  113.             </div>
  114.             <div class="modal-body">
  115.               <p>
  116.                 We've just inserted a coin into the DreamHost account creator
  117.                 on your behalf! Things are whirring and stirring, and there's
  118.                 a little smoke coming out of the back. Cup your hands under the
  119.                 flap and something good should come your way in just a few
  120.                 seconds...
  121.               </p>
  122.             </div>
  123.             <div class="modal-footer">
  124.             </div>
  125.           </div>
  126.  
  127.         </div>
  128.       </div>
  129.     </div>
  130.  
  131.     <div class="container-fluid content">
  132.      
  133.  
  134.  
  135.  
  136.  
  137.  
  138.  
  139.  
  140. <div class="row-fluid">
  141.   <div class="span3 left">
  142.     <ul class="steps">
  143.      
  144.        
  145.    
  146.       <li class="">
  147.           <a href="../email/">
  148.            
  149.           <span class="badge">1</span> Create an Account
  150.        
  151.           </a>
  152.       </li>
  153.  
  154.        
  155.    
  156.       <li class="">
  157.           <a href="../domain/">
  158.            
  159.           <span class="badge">2</span> Configure a Domain
  160.        
  161.           </a>
  162.       </li>
  163.  
  164.        
  165.    
  166.       <li class="">
  167.           <a href="../plan/">
  168.            
  169.           <span class="badge">3</span> Choose a Payment Plan
  170.        
  171.           </a>
  172.       </li>
  173.  
  174.        
  175.    
  176.         <li class="current btn btn-primary">
  177.            
  178.           <span class="badge">4</span> Set Up Payment
  179.        
  180.         </li>
  181.  
  182.     </ul>
  183.  
  184.   <div class="summary">
  185.    
  186.  
  187. <h3>Order Summary</h3>
  188.   <small class='promotion-description'>
  189.       Current Promotion: <b>WPD195</b>
  190.   </small>
  191. <table class="table table-condensed table-striped">
  192.  
  193.  
  194.      
  195.  
  196.       <tr valign="top" class="">
  197.         <td>
  198.           <b>Domain Name</b>
  199.             <small class="description" title="webpro1919.com">
  200.               webpro1919.com
  201.             </small>
  202.         </td>
  203.         <td>
  204.             <small class="price"><b>Free</b></small>
  205.             <small><a href="../domain/">Edit</a></small>
  206.         </td>
  207.       </tr>
  208.      
  209.  
  210.       <tr valign="top" class="">
  211.         <td>
  212.           <b>Hosting Plan</b>
  213.             <small class="description" title="Shared Hosting">
  214.               Shared Hosting
  215.             </small>
  216.         </td>
  217.         <td>
  218.            
  219.             <small class="price">
  220.               <b>$119.40 </b>
  221.               <sub>/  yr</sub>
  222.             </small>
  223.            
  224.             <small class="promotion">
  225.               <b>-$96.00</b>
  226.                   <span>at signup</span>
  227.             </small>
  228.             <small><a href="../plan/">Edit</a></small>
  229.         </td>
  230.       </tr>
  231.  
  232.    
  233.     <tr valign="top">
  234.       <td><b>Due Now</b></td>
  235.       <td><small><b>$23.40</b></small>
  236.     </tr>
  237. </table>
  238.  
  239.   </div>
  240.  
  241.   </div>
  242.  
  243.   <div class="span9 right">
  244.    
  245.  
  246.  
  247.  
  248.  
  249.  
  250.  
  251.  
  252. <div class="row-fluid billing">
  253.   <div class="span8">
  254.     <form method="POST" class="form-horizontal" novalidate="novalidate">
  255.       <input id="csrf_token" name="csrf_token" type="hidden" value="4b68416dff6d4ed056530904c154c18f">
  256.      
  257.  
  258. <fieldset>
  259.  
  260.   <legend><h2>Set Up Payment</h2></legend>
  261.     <div class="control-group">
  262.     <label class="control-label" for="first_name">Full Name</label>
  263.     <div class="controls">
  264.       <input class="input-small" id="first_name" name="first_name" placeholder="First" tabindex="1" type="text" value=""> <input class="input-medium" id="last_name" name="last_name" placeholder="Last" tabindex="2" type="text" value="">
  265.     </div>
  266.   </div>
  267.  
  268.   <div class="control-group">
  269.     <label class="control-label" for="address">Billing Address</label>
  270.     <div class="controls">
  271.       <input id="address" name="address" placeholder="Street Address" tabindex="3" type="text" value="">
  272.     </div>
  273.     <label class="control-label" for="address2"></label>
  274.     <div class="controls">
  275.       <input class="input-medium" id="address2" name="address2" placeholder="Apt/Suite" tabindex="4" type="text" value="">
  276.     </div>
  277.   </div>
  278.  
  279.   <div class="control-group">
  280.     <label class="control-label" for="city">City</label>
  281.     <div class="controls">
  282.       <input class="input-medium" id="city" name="city" tabindex="5" type="text" value="">
  283.     </div>
  284.   </div>
  285.  
  286.   <div class="control-group">
  287.     <label class="control-label" for="state">State/Province</label>
  288.     <div class="controls">
  289.       <input class="input-medium" id="state" name="state" tabindex="6" type="text" value="">
  290.     </div>
  291.   </div>
  292.  
  293.   <div class="control-group">
  294.     <label class="control-label" for="postal">Postal Code</label>
  295.     <div class="controls">
  296.       <input class="input-mini" id="postal" name="postal" tabindex="7" type="text" value="">
  297.     </div>
  298.   </div>
  299.  
  300.   <div class="control-group">
  301.     <label class="control-label" for="country">Country</label>
  302.     <div class="controls">
  303.       <select id="country" name="country" tabindex="8"><option value="US">United States</option><option value="AF">Afghanistan</option><option value="AX">Aland Islands</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, Plurinational State of</option><option value="BQ">Bonaire, Sint Eustatius and Saba</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="CD">Congo, the Democratic Republic of the</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="CI">Cote D'Ivoire</option><option value="HR">Croatia</option><option value="CU">Cuba</option><option value="CW">Curacao</option><option value="CY">Cyprus</option><option value="CZ">Czech Republic</option><option value="DK">Denmark</option><option value="DJ">Djibouti</option><option value="DM">Dominica</option><option value="DO">Dominican Republic</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 (Malvinas)</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="GG">Guernsey</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, Islamic Republic of</option><option value="IQ">Iraq</option><option value="IE">Ireland</option><option value="IM">Isle of Man</option><option value="IL">Israel</option><option value="IT">Italy</option><option value="JM">Jamaica</option><option value="JP">Japan</option><option value="JE">Jersey</option><option value="JO">Jordan</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KI">Kiribati</option><option value="KP">Korea, Democratic People's Republic of</option><option value="KR">Korea, Republic of</option><option value="KW">Kuwait</option><option value="KG">Kyrgyzstan</option><option value="LA">Lao People's Democratic Republic</option><option value="LV">Latvia</option><option value="LB">Lebanon</option><option value="LS">Lesotho</option><option value="LR">Liberia</option><option value="LY">Libya</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MO">Macao</option><option value="MK">Macedonia, the former Yugoslav Republic of</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, Federated States of</option><option value="MD">Moldova, Republic of</option><option value="MC">Monaco</option><option value="MN">Mongolia</option><option value="ME">Montenegro</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="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="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="PS">Palestinian Territory, Occupied</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="BL">Saint Barthelemy</option><option value="SH">Saint Helena, Ascension and Tristan Da Cunha</option><option value="KN">Saint Kitts and Nevis</option><option value="LC">Saint Lucia</option><option value="MF">Saint Martin (French Part)</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="RS">Serbia</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapore</option><option value="SX">Sint Maarten (Dutch Part)</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 and the South Sandwich Islands</option><option value="SS">South Sudan</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</option><option value="SZ">Swaziland</option><option value="SE">Sweden</option><option value="CH">Switzerland</option><option value="SY">Syrian Arab Republic</option><option value="TW">Taiwan, Province of China</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzania, United Republic of</option><option value="TH">Thailand</option><option value="TL">Timor-Leste</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 value="GB">United Kingdom</option><option value="UM">United States Minor Outlying Islands</option><option value="UY">Uruguay</option><option value="UZ">Uzbekistan</option><option value="VU">Vanuatu</option><option value="VE">Venezuela, Bolivarian Republic of</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</option><option value="EH">Western Sahara</option><option value="YE">Yemen</option><option value="ZM">Zambia</option><option value="ZW">Zimbabwe</option></select>
  304.     </div>
  305.   </div>
  306.  
  307.   <div class="control-group">
  308.     <label class="control-label" for="phone">Phone</label>
  309.     <div class="controls">
  310.       <input class="input-medium" id="phone" name="phone" tabindex="9" type="tel" value="">
  311.     </div>
  312.   </div>
  313.  
  314.   <div class="control-group">
  315.     <label class="control-label" for="twitter">
  316.       Twitter
  317.       <span class="optional-label">Optional</span>
  318.     </label>
  319.  
  320.     <div class="controls">
  321.       <input class="input-medium" id="twitter" name="twitter" tabindex="10" type="text" value="">
  322.     </div>
  323.   </div>
  324.  
  325.       <div class="control-group">
  326.         <div class="controls">
  327.           <label class="checkbox">
  328.             <input checked id="use_as_whois" name="use_as_whois" tabindex="11" type="checkbox" value="y">
  329.             <h4>
  330.               Use this as domain contact information
  331.             </h4>
  332.             <p>
  333.               In general you should only uncheck this if you are registering this
  334.               domain on behalf of another person or business entity.
  335.             </p>
  336.           </label>
  337.         </div>
  338.       </div>
  339.  
  340. </fieldset>
  341.  
  342.   <fieldset id="special-offers">
  343.     <legend>Special Offers</legend>
  344.  
  345.       <div id="gift_certificate_container" class="control-group">
  346.         <label class="control-label" for="gift_certificate">Gift Card ID<span class="optional-label">Optional</span></label>
  347.         <div class="controls">
  348.           <div class="input-append">
  349.             <input autocomplete="off" class="input-large" id="gift_certificate" name="gift_certificate" tabindex="12" type="text" value=""><span class="add-on"></span>
  350.             <p id="gift_certificate_message" class="gift help-block"></p>
  351.           </div>
  352.         </div>
  353.       </div>
  354.  
  355.    
  356.  
  357.   </fieldset>
  358.  
  359.   <fieldset>
  360.     <legend>Payment Method</legend>
  361.  
  362.     <div class="control-group">
  363.       <label class="control-label" for="cc_number">Card Number</label>
  364.       <div class="controls">
  365.         <input autocomplete="off" class="span2" id="cc_number" maxlength="16" name="cc_number" tabindex="14" type="text" value="">
  366.         <ul id="cc_types">
  367.           <li id="cc_type_visa"></li>
  368.           <li id="cc_type_mastercard"></li>
  369.           <li id="cc_type_amex"></li>
  370.           <li id="cc_type_discover"></li>
  371.         </ul>
  372.         <p class="help-block ssl">
  373.           We use SSL encryption technology to secure transactions.
  374.         </p>
  375.       </div>
  376.     </div>
  377.  
  378.     <div class="control-group">
  379.       <label class="control-label" for="cc_month">Expiration Date</label>
  380.       <div class="controls">
  381.         <select autocomplete="off" class="span1" id="cc_month" name="cc_month" tabindex="15"><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option selected value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>
  382.         <select autocomplete="off" class="span1" id="cc_year" name="cc_year" tabindex="16"><option value="2015">2015</option><option value="2016">2016</option><option value="2017">2017</option><option value="2018">2018</option><option value="2019">2019</option><option value="2020">2020</option><option value="2021">2021</option><option value="2022">2022</option><option value="2023">2023</option><option value="2024">2024</option><option value="2025">2025</option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option></select>
  383.       </div>
  384.     </div>
  385.  
  386.     <div class="control-group">
  387.       <label class="control-label" for="cc_ccv">Card Security Code</label>
  388.       <div class="controls">
  389.         <input autocomplete="off" class="input-mini" id="cc_ccv" maxlength="4" name="cc_ccv" tabindex="17" type="text" value="">
  390.         <span id="ccv_explanation">
  391.           <img src="/images/icons/card_ccv.png" />
  392.         </span>
  393.       </div>
  394.     </div>
  395.  
  396.   </fieldset>
  397.  
  398. <br>
  399. <fieldset>
  400.   <legend>Terms of Service</legend>
  401.  
  402.   <div class="control-group">
  403.     <iframe id="legal-scroll-box" src="//dreamhost.com/legal/terms-of-service/unstyled.html" width="100%" height="300"></iframe>
  404.     <label class="checkbox">
  405.       <input id="policy_agree" name="policy_agree" tabindex="17" type="checkbox" value="y">
  406.       I agree to DreamHost's <a
  407.        href="http://dreamhost.com/terms-of-service/" target="window">Terms of
  408.         Service</a>, <a
  409.        href="http://dreamhost.com/anti-spam-policy/"
  410.        target="window">Anti-Spam</a>, and <a
  411.        href="http://dreamhost.com/domain-registration-terms/"
  412.        target="window">Domain Registration</a> policies.
  413.     </label>
  414.   </div>
  415. </fieldset>
  416.  
  417.       <div class="form-actions">
  418.        
  419.   <button type="submit" class="btn btn-primary">Complete Signup</button>
  420.     <a class="btn" href="../plan/">Go Back</a>
  421.  
  422.       </div>
  423.     </form>
  424.   </div>
  425. </div>
  426.  
  427.   </div>
  428. </div>
  429.  
  430.     </div>
  431.  
  432.     <!-- Compiled JS -->
  433.    
  434.  
  435.   <script src="//ajax.googleapis.com/ajax/libs/jquery/1.7.2/jquery.min.js"></script>
  436.   <!-- Local jQuery Fallback (if Google CDN is unreachable) -->
  437.   <script type="text/javascript">window.jQuery || document.write('<script type="text/javascript" src="/js/jquery.min.js"><\/script>')</script>
  438.   <script src="/js/bootstrap.min.js?1432324825.7559857" type="text/javascript"></script>
  439.   <!-- HTML5 shim, for IE6-8 support of HTML5 elements -->
  440.   <!--[if lt IE 9]>
  441.    <script src="https://html5shim.googlecode.com/svn/trunk/html5.js"></script>
  442.  <![endif]-->
  443.   <script type="text/javascript">
  444.      
  445.       var token_name = 'ndn.signup_auth_token=';
  446.  
  447.       // Append a CSRF token header to every local AJAX request
  448.       $(document).ajaxSend(function(event, xhr, settings) {
  449.           if(!(/^http(s)?:.*/.test(settings.url))){
  450.               // Only send the token to relative URLs i.e. locally.
  451.               var token_value = $.map(document.cookie.split(';'), function(el){
  452.                   if($.trim(el).indexOf(token_name) == 0)
  453.                     return decodeURIComponent(
  454.                       $.trim(el).substring(token_name.length)
  455.                     );
  456.               });
  457.               xhr.setRequestHeader("X-Csrf-Token", token_value);
  458.           }
  459.       });
  460.  
  461.       // If an error message is present, automatically scroll to the first
  462.       // occurrence.
  463.       var offset = $($('.error-message').get(0)).offset()
  464.       if(offset)
  465.         $('html, body').animate({
  466.           scrollTop: offset.top - 50
  467.         });
  468.  
  469.       // Disable form submissions on submit (to avoid double submits).
  470.       $(function(){
  471.           $('form').submit(function(){
  472.               $(this).find('.btn.btn-primary').attr('disabled', 'disabled');
  473.               // Automatically strip whitespace from inputs
  474.               $(this).find('input').each(function(){
  475.                   $(this).val($.trim($(this).val()));
  476.               });
  477.           });
  478.       });
  479.   </script>
  480.  
  481.   <!--[if lte IE 7]>
  482.  <script type="text/javascript">
  483.    var $buoop = {
  484.      vs: {i:7},
  485.      newwindow: false
  486.    };
  487.    $buoop.ol = window.onload;
  488.    $(function(){
  489.      try {if ($buoop.ol) $buoop.ol();}catch (e) {};
  490.      var e = document.createElement("script");
  491.      e.setAttribute("type", "text/javascript");
  492.      e.setAttribute("src", "https://browser-update.org/update.js");
  493.      document.body.appendChild(e);
  494.    });
  495.  </script>
  496.  <![endif]-->
  497.  
  498.  
  499.   <script src="/js/steps/billing.js?1432324825.7559857" type="text/javascript"></script>
  500.  
  501.    
  502.   </body>
  503. </html>
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