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  1. <form action="register.php?" method="post" name="registerform" onsubmit="javascript: return check_registerform_fields();">
  2. <input type="hidden" name="usertype" value="C" />
  3. <input type="hidden" name="anonymous" value="" />
  4.  
  5. <table cellspacing="1" class="data-table register-table width-100" summary="Register">
  6. <tbody>
  7.  
  8. <tr>
  9. <td colspan="3" class="register-section-title">
  10. <div>
  11. <label>Personal information</label>
  12. </div>
  13. </td>
  14. </tr>
  15. <tr>
  16. <td class="data-name">Title</td>
  17. <td class="data-required">*</td>
  18. <td>
  19. <select name="title" id="title">
  20. <option value="Mr.">Mr.</option>
  21. <option value="Mrs.">Mrs.</option>
  22. <option value="Ms.">Ms.</option>
  23. </select>
  24. </td>
  25. </tr>
  26. <tr>
  27. <td class="data-name">First name</td>
  28. <td class="data-required">*</td>
  29. <td>
  30. <input type="text" id="firstname" name="firstname" size="32" maxlength="32" value="" />
  31. </td>
  32. </tr>
  33. <tr>
  34. <td class="data-name">Last name</td>
  35. <td class="data-required">*</td>
  36. <td>
  37. <input type="text" id="lastname" name="lastname" size="32" maxlength="32" value="" />
  38. </td>
  39. </tr>
  40. <tr>
  41. <td class="data-name">Company</td>
  42. <td class="data-required"></td>
  43. <td>
  44. <input type="text" id="company" name="company" size="32" maxlength="255" value="" />
  45. </td>
  46. </tr>
  47. <tr>
  48. <td colspan="3" class="register-section-title">
  49. <div>
  50. <label>Billing address</label>
  51. </div>
  52. </td>
  53. </tr>
  54.  
  55.  
  56.  
  57.  
  58.  
  59. <tr>
  60. <td class="data-name">Address</td>
  61. <td class="data-required">*</td>
  62. <td>
  63. <input type="text" id="b_address" name="b_address" size="32" maxlength="64" value="" />
  64. </td>
  65. </tr>
  66.  
  67. <tr>
  68. <td class="data-name">Address (line 2)</td>
  69. <td class="data-required"></td>
  70. <td>
  71. <input type="text" id="b_address_2" name="b_address_2" size="32" maxlength="64" value="" />
  72. </td>
  73. </tr>
  74.  
  75. <tr>
  76. <td class="data-name">City</td>
  77. <td class="data-required">*</td>
  78. <td>
  79. <input type="text" id="b_city" name="b_city" size="32" maxlength="64" value="" />
  80. </td>
  81. </tr>
  82.  
  83.  
  84. <tr>
  85. <td class="data-name">State</td>
  86. <td class="data-required">*</td>
  87. <td>
  88. <select name="b_state" id="b_state" >
  89. <option value="Other">Other</option>
  90. <option value="AB">CA: Alberta</option>
  91. <option value="BC">CA: British Columbia</option>
  92. <option value="MB">CA: Manitoba</option>
  93. <option value="NB">CA: New Brunswick</option>
  94. <option value="NF">CA: Newfoundland/Labrador</option>
  95. <option value="NT">CA: Northwest Territories</option>
  96. <option value="NS">CA: Nova Scotia</option>
  97. <option value="NU">CA: Nunavut</option>
  98. <option value="ON">CA: Ontario</option>
  99. <option value="PE">CA: Prince Edward Island</option>
  100. <option value="QC">CA: Quebec</option>
  101. <option value="SK">CA: Saskatchewan</option>
  102. <option value="YT">CA: Yukon</option>
  103. <option value="ABE">GB: Aberdeen</option>
  104. <option value="ABD">GB: Aberdeenshire</option>
  105. <option value="ANS">GB: Angus</option>
  106. <option value="ANT">GB: Antrim</option>
  107. <option value="ARD">GB: Ards</option>
  108. <option value="AGB">GB: Argyll and Bute</option>
  109. <option value="ARM">GB: Armagh</option>
  110. <option value="BLA">GB: Ballymena</option>
  111. <option value="BLY">GB: Ballymoney</option>
  112. <option value="BNB">GB: Banbridge</option>
  113. <option value="BDG">GB: Barking and Dagenham</option>
  114. <option value="BNE">GB: Barnet</option>
  115. <option value="BNS">GB: Barnsley</option>
  116. <option value="BA">GB: Bath</option>
  117. <option value="BAS">GB: Bath and North East Somerset</option>
  118. <option value="BDF">GB: Bedfordshire</option>
  119. <option value="BFS">GB: Belfast</option>
  120. <option value="BRK">GB: Berkshire</option>
  121. <option value="BEX">GB: Bexley</option>
  122. <option value="B">GB: Birmingham</option>
  123. <option value="BIR">GB: Birmingham</option>
  124. <option value="BBD">GB: Blackburn with Darwen</option>
  125. <option value="BPL">GB: Blackpool</option>
  126. <option value="BGW">GB: Blaenau Gwent</option>
  127. <option value="BOL">GB: Bolton</option>
  128. <option value="BH">GB: Bournemouth</option>
  129. <option value="BMH">GB: Bournemouth</option>
  130. <option value="BRC">GB: Bracknell Forest</option>
  131. <option value="BRD">GB: Bradford</option>
  132. <option value="BEN">GB: Brent</option>
  133. <option value="BGE">GB: Bridgend</option>
  134. <option value="BNH">GB: Brighton and Hove</option>
  135. <option value="BST">GB: Bristol</option>
  136. <option value="BRY">GB: Bromley</option>
  137. <option value="BKM">GB: Buckinghamshire</option>
  138. <option value="BUR">GB: Bury</option>
  139. <option value="CAY">GB: Caerphilly</option>
  140. <option value="CLD">GB: Calderdale</option>
  141. <option value="CAM">GB: Cambridgeshire</option>
  142. <option value="CMD">GB: Camden</option>
  143. <option value="CRF">GB: Cardiff</option>
  144. <option value="CMN">GB: Carmarthenshire</option>
  145. <option value="CKF">GB: Carrickfergus</option>
  146. <option value="CSR">GB: Castlereagh</option>
  147. <option value="CGN">GB: Ceredigion</option>
  148. <option value="CHS">GB: Cheshire</option>
  149. <option value="CLK">GB: Clackmannanshire</option>
  150. <option value="CLR">GB: Coleraine</option>
  151. <option value="CWY">GB: Conwy</option>
  152. <option value="CKT">GB: Cookstown</option>
  153. <option value="CON">GB: Cornwall</option>
  154. <option value="COV">GB: Coventry</option>
  155. <option value="CGV">GB: Craigavon</option>
  156. <option value="CRY">GB: Croydon</option>
  157. <option value="CMA">GB: Cumbria</option>
  158. <option value="DAL">GB: Darlington</option>
  159. <option value="DEN">GB: Denbighshire</option>
  160. <option value="DER">GB: Derby</option>
  161. <option value="DBY">GB: Derbyshire</option>
  162. <option value="DRY">GB: Derry</option>
  163. <option value="DEV">GB: Devon</option>
  164. <option value="DNC">GB: Doncaster</option>
  165. <option value="DOR">GB: Dorset</option>
  166. <option value="DOW">GB: Down</option>
  167. <option value="DUD">GB: Dudley</option>
  168. <option value="DGY">GB: Dumfries and Galloway</option>
  169. <option value="DND">GB: Dundee</option>
  170. <option value="DGN">GB: Dungannon and South Tyrone</option>
  171. <option value="DUR">GB: Durham</option>
  172. <option value="EAL">GB: Ealing</option>
  173. <option value="EAY">GB: East Ayrshire</option>
  174. <option value="EDU">GB: East Dunbartonshire</option>
  175. <option value="ELN">GB: East Lothian</option>
  176. <option value="ERW">GB: East Renfrewshire</option>
  177. <option value="ERY">GB: East Riding of Yorkshire</option>
  178. <option value="ESX">GB: East Sussex</option>
  179. <option value="EDH">GB: Edinburgh</option>
  180. <option value="EH">GB: Edinburgh</option>
  181. <option value="ELS">GB: Eilean Siar</option>
  182. <option value="ENF">GB: Enfield</option>
  183. <option value="ESS">GB: Essex</option>
  184. <option value="FAL">GB: Falkirk</option>
  185. <option value="FER">GB: Fermanagh</option>
  186. <option value="FIF">GB: Fife</option>
  187. <option value="FLN">GB: Flintshire</option>
  188. <option value="GAT">GB: Gateshead</option>
  189. <option value="G">GB: Glasgow</option>
  190. <option value="GLG">GB: Glasgow</option>
  191. <option value="GLS">GB: Gloucestershire</option>
  192. <option value="GRE">GB: Greenwich</option>
  193. <option value="GSY">GB: Guernsey</option>
  194. <option value="GWN">GB: Gwynedd</option>
  195. <option value="HCK">GB: Hackney</option>
  196. <option value="HAL">GB: Halton</option>
  197. <option value="HMF">GB: Hammersmith and Fulham</option>
  198. <option value="HAM">GB: Hampshire</option>
  199. <option value="HRY">GB: Haringey</option>
  200. <option value="HRW">GB: Harrow</option>
  201. <option value="HPL">GB: Hartlepool</option>
  202. <option value="HAV">GB: Havering</option>
  203. <option value="HEF">GB: Herefordshire</option>
  204. <option value="HRT">GB: Hertfordshire</option>
  205. <option value="HLD">GB: Highland</option>
  206. <option value="HIL">GB: Hillingdon</option>
  207. <option value="HNS">GB: Hounslow</option>
  208. <option value="IVC">GB: Inverclyde</option>
  209. <option value="AGY">GB: Isle of Anglesey</option>
  210. <option value="IOM">GB: Isle of Man</option>
  211. <option value="IOW">GB: Isle of Wight</option>
  212. <option value="IOS">GB: Isles of Scilly</option>
  213. <option value="ISL">GB: Islington</option>
  214. <option value="JSY">GB: Jersey</option>
  215. <option value="KEC">GB: Kensington and Chelsea</option>
  216. <option value="KEN">GB: Kent</option>
  217. <option value="KA">GB: Kilmarnock</option>
  218. <option value="KHL">GB: Kingston upon Hull</option>
  219. <option value="KTT">GB: Kingston upon Thames</option>
  220. <option value="KIR">GB: Kirklees</option>
  221. <option value="KWL">GB: Knowsley</option>
  222. <option value="LBH">GB: Lambeth</option>
  223. <option value="LAN">GB: Lancashire</option>
  224. <option value="LRN">GB: Larne</option>
  225. <option value="LDS">GB: Leeds</option>
  226. <option value="LS">GB: Leeds</option>
  227. <option value="LCE">GB: Leicester</option>
  228. <option value="LEC">GB: Leicestershire</option>
  229. <option value="LEW">GB: Lewisham</option>
  230. <option value="LMV">GB: Limavady</option>
  231. <option value="LIN">GB: Lincolnshire</option>
  232. <option value="LSB">GB: Lisburn</option>
  233. <option value="L">GB: Liverpool</option>
  234. <option value="LIV">GB: Liverpool</option>
  235. <option value="E">GB: London</option>
  236. <option value="LND">GB: London</option>
  237. <option value="LUT">GB: Luton</option>
  238. <option value="MFT">GB: Magherafelt</option>
  239. <option value="MAN">GB: Manchester</option>
  240. <option value="MDW">GB: Medway</option>
  241. <option value="MTY">GB: Merthyr Tydfil</option>
  242. <option value="MRT">GB: Merton</option>
  243. <option value="MDB">GB: Middlesbrough</option>
  244. <option value="MLN">GB: Midlothian</option>
  245. <option value="MIK">GB: Milton Keynes</option>
  246. <option value="MON">GB: Monmouthshire</option>
  247. <option value="MRY">GB: Moray</option>
  248. <option value="MYL">GB: Moyle</option>
  249. <option value="NTL">GB: Neath Port Talbot</option>
  250. <option value="NE">GB: Newcastle upon Tyne</option>
  251. <option value="NET">GB: Newcastle upon Tyne</option>
  252. <option value="NWM">GB: Newham</option>
  253. <option value="NWP">GB: Newport</option>
  254. <option value="NYM">GB: Newry and Mourne</option>
  255. <option value="NTA">GB: Newtownabbey</option>
  256. <option value="NFK">GB: Norfolk</option>
  257. <option value="NAY">GB: North Ayrshire</option>
  258. <option value="NDN">GB: North Down</option>
  259. <option value="NEL">GB: North East Lincolnshire</option>
  260. <option value="NLK">GB: North Lanarkshire</option>
  261. <option value="NLN">GB: North Lincolnshire</option>
  262. <option value="NSM">GB: North Somerset</option>
  263. <option value="NTY">GB: North Tyneside</option>
  264. <option value="NYK">GB: North Yorkshire</option>
  265. <option value="NTH">GB: Northamptonshire</option>
  266. <option value="NBL">GB: Northumberland</option>
  267. <option value="NGM">GB: Nottingham</option>
  268. <option value="NTT">GB: Nottinghamshire</option>
  269. <option value="OLD">GB: Oldham</option>
  270. <option value="OMH">GB: Omagh</option>
  271. <option value="ORK">GB: Orkney Islands</option>
  272. <option value="OXF">GB: Oxfordshire</option>
  273. <option value="PEM">GB: Pembrokeshire</option>
  274. <option value="PKN">GB: Perth and Kinross</option>
  275. <option value="PTE">GB: Peterborough</option>
  276. <option value="PLY">GB: Plymouth</option>
  277. <option value="POL">GB: Poole</option>
  278. <option value="POR">GB: Portsmouth</option>
  279. <option value="POW">GB: Powys</option>
  280. <option value="RDG">GB: Reading</option>
  281. <option value="RDB">GB: Redbridge</option>
  282. <option value="RCC">GB: Redcar and Cleveland</option>
  283. <option value="RFW">GB: Renfrewshire</option>
  284. <option value="RCT">GB: Rhondda Cynon Taf</option>
  285. <option value="RIC">GB: Richmond upon Thames</option>
  286. <option value="RCH">GB: Rochdale</option>
  287. <option value="ROT">GB: Rotherham</option>
  288. <option value="RUT">GB: Rutland</option>
  289. <option value="SLF">GB: Salford</option>
  290. <option value="SAW">GB: Sandwell</option>
  291. <option value="SCB">GB: Scottish Borders</option>
  292. <option value="SFT">GB: Sefton</option>
  293. <option value="SHF">GB: Sheffield</option>
  294. <option value="ZET">GB: Shetland Islands</option>
  295. <option value="SHR">GB: Shropshire</option>
  296. <option value="SLG">GB: Slough</option>
  297. <option value="SOL">GB: Solihull</option>
  298. <option value="SOM">GB: Somerset</option>
  299. <option value="SAY">GB: South Ayrshire</option>
  300. <option value="SGC">GB: South Gloucestershire</option>
  301. <option value="SLK">GB: South Lanarkshire</option>
  302. <option value="STY">GB: South Tyneside</option>
  303. <option value="SY">GB: South Yorkshire</option>
  304. <option value="STH">GB: Southampton</option>
  305. <option value="SOS">GB: Southend-on-Sea</option>
  306. <option value="SWK">GB: Southwark</option>
  307. <option value="SHN">GB: St Helens</option>
  308. <option value="STS">GB: Staffordshire</option>
  309. <option value="STG">GB: Stirling</option>
  310. <option value="SKP">GB: Stockport</option>
  311. <option value="STT">GB: Stockton-on-Tees</option>
  312. <option value="STE">GB: Stoke-on-Trent</option>
  313. <option value="STB">GB: Strabane</option>
  314. <option value="SFK">GB: Suffolk</option>
  315. <option value="SND">GB: Sunderland</option>
  316. <option value="SRY">GB: Surrey</option>
  317. <option value="STN">GB: Sutton</option>
  318. <option value="SWA">GB: Swansea</option>
  319. <option value="SWD">GB: Swindon</option>
  320. <option value="TAM">GB: Tameside</option>
  321. <option value="TFW">GB: Telford and Wrekin</option>
  322. <option value="THR">GB: Thurrock</option>
  323. <option value="TOB">GB: Torbay</option>
  324. <option value="TOF">GB: Torfaen</option>
  325. <option value="TWH">GB: Tower Hamlets</option>
  326. <option value="TRF">GB: Trafford</option>
  327. <option value="VGL">GB: Vale of Glamorgan</option>
  328. <option value="WKF">GB: Wakefield</option>
  329. <option value="WLL">GB: Walsall</option>
  330. <option value="WFT">GB: Waltham Forest</option>
  331. <option value="WND">GB: Wandsworth</option>
  332. <option value="WRT">GB: Warrington</option>
  333. <option value="WAR">GB: Warwickshire</option>
  334. <option value="WBK">GB: West Berkshire</option>
  335. <option value="WDU">GB: West Dunbartonshire</option>
  336. <option value="WLN">GB: West Lothian</option>
  337. <option value="WSX">GB: West Sussex</option>
  338. <option value="WYKS">GB: West Yorkshire</option>
  339. <option value="WSM">GB: Westminster</option>
  340. <option value="WGN">GB: Wigan</option>
  341. <option value="WIL">GB: Wiltshire</option>
  342. <option value="WNM">GB: Windsor and Maidenhead</option>
  343. <option value="WRL">GB: Wirral</option>
  344. <option value="WOK">GB: Wokingham</option>
  345. <option value="WLV">GB: Wolverhampton</option>
  346. <option value="WOR">GB: Worcestershire</option>
  347. <option value="WRX">GB: Wrexham</option>
  348. <option value="YOR">GB: York</option>
  349. <option value="AL">US: Alabama</option>
  350. <option value="AK">US: Alaska</option>
  351. <option value="AZ">US: Arizona</option>
  352. <option value="AR">US: Arkansas</option>
  353. <option value="CA">US: California</option>
  354. <option value="CO">US: Colorado</option>
  355. <option value="CT">US: Connecticut</option>
  356. <option value="DE">US: Delaware</option>
  357. <option value="DC">US: District of Columbia</option>
  358. <option value="FL">US: Florida</option>
  359. <option value="GA">US: Georgia</option>
  360. <option value="GU">US: Guam</option>
  361. <option value="HI">US: Hawaii</option>
  362. <option value="ID">US: Idaho</option>
  363. <option value="IL">US: Illinois</option>
  364. <option value="IN">US: Indiana</option>
  365. <option value="IA">US: Iowa</option>
  366. <option value="KS">US: Kansas</option>
  367. <option value="KY">US: Kentucky</option>
  368. <option value="LA">US: Louisiana</option>
  369. <option value="ME">US: Maine</option>
  370. <option value="MD">US: Maryland</option>
  371. <option value="MA">US: Massachusetts</option>
  372. <option value="MI">US: Michigan</option>
  373. <option value="MN">US: Minnesota</option>
  374. <option value="MS">US: Mississippi</option>
  375. <option value="MO">US: Missouri</option>
  376. <option value="MT">US: Montana</option>
  377. <option value="NE">US: Nebraska</option>
  378. <option value="NV">US: Nevada</option>
  379. <option value="NH">US: New Hampshire</option>
  380. <option value="NJ">US: New Jersey</option>
  381. <option value="NM">US: New Mexico</option>
  382. <option value="NY" selected="selected">US: New York</option>
  383. <option value="NC">US: North Carolina</option>
  384. <option value="ND">US: North Dakota</option>
  385. <option value="OH">US: Ohio</option>
  386. <option value="OK">US: Oklahoma</option>
  387. <option value="OR">US: Oregon</option>
  388. <option value="PA">US: Pennsylvania</option>
  389. <option value="PR">US: Puerto Rico</option>
  390. <option value="RI">US: Rhode Island</option>
  391. <option value="SC">US: South Carolina</option>
  392. <option value="SD">US: South Dakota</option>
  393. <option value="TN">US: Tennessee</option>
  394. <option value="TX">US: Texas</option>
  395. <option value="UT">US: Utah</option>
  396. <option value="VT">US: Vermont</option>
  397. <option value="VI">US: Virgin Islands</option>
  398. <option value="VA">US: Virginia</option>
  399. <option value="WA">US: Washington</option>
  400. <option value="WV">US: West Virginia</option>
  401. <option value="WI">US: Wisconsin</option>
  402. <option value="WY">US: Wyoming</option>
  403. </select>
  404. </td>
  405. </tr>
  406.  
  407. <tr>
  408. <td class="data-name">Country</td>
  409. <td class="data-required">*</td>
  410. <td>
  411. <select name="b_country" id="b_country" onchange="check_zip_code()">
  412. <option value="AX">Aland Islands</option>
  413. <option value="AQ">Antarctica</option>
  414. <option value="AG">Antigua and Barbuda</option>
  415. <option value="AR">Argentina</option>
  416. <option value="AU">Australia</option>
  417. <option value="AT">Austria</option>
  418. <option value="BS">Bahamas</option>
  419. <option value="BD">Bangladesh</option>
  420. <option value="BB">Barbados</option>
  421. <option value="BE">Belgium</option>
  422. <option value="BZ">Belize</option>
  423. <option value="BM">Bermuda</option>
  424. <option value="BR">Brazil</option>
  425. <option value="IO">British Indian Ocean Territory</option>
  426. <option value="VG">British Virgin Islands</option>
  427. <option value="BG">Bulgaria</option>
  428. <option value="CA">Canada</option>
  429. <option value="KY">Cayman Islands</option>
  430. <option value="CL">Chile</option>
  431. <option value="CX">Christmas Island</option>
  432. <option value="CC">Cocos (Keeling) Islands</option>
  433. <option value="CG">Congo</option>
  434. <option value="CK">Cook Islands</option>
  435. <option value="CR">Costa Rica</option>
  436. <option value="HR">Croatia</option>
  437. <option value="CD">Democratic Republic of the Congo</option>
  438. <option value="DK">Denmark</option>
  439. <option value="DM">Dominica</option>
  440. <option value="DO">Dominican Republic</option>
  441. <option value="EC">Ecuador</option>
  442. <option value="EE">Estonia</option>
  443. <option value="FK">Falkland Islands (Malvinas)</option>
  444. <option value="FJ">Fiji</option>
  445. <option value="FI">Finland</option>
  446. <option value="FR">France</option>
  447. <option value="FX">France, Metropolitan</option>
  448. <option value="GF">French Guiana</option>
  449. <option value="PF">French Polynesia</option>
  450. <option value="TF">French Southern Territories</option>
  451. <option value="DE">Germany</option>
  452. <option value="GR">Greece</option>
  453. <option value="GL">Greenland</option>
  454. <option value="GD">Grenada</option>
  455. <option value="GP">Guadeloupe</option>
  456. <option value="GU">Guam</option>
  457. <option value="GT">Guatemala</option>
  458. <option value="GG">Guernsey</option>
  459. <option value="GN">Guinea</option>
  460. <option value="GW">Guinea-Bissau</option>
  461. <option value="GY">Guyana</option>
  462. <option value="HU">Hungary</option>
  463. <option value="IS">Iceland</option>
  464. <option value="ID">Indonesia</option>
  465. <option value="IE">Ireland</option>
  466. <option value="IM">Isle of Man</option>
  467. <option value="IL">Israel</option>
  468. <option value="IT">Italy</option>
  469. <option value="JM">Jamaica</option>
  470. <option value="JP">Japan</option>
  471. <option value="JE">Jersey</option>
  472. <option value="LU">Luxembourg</option>
  473. <option value="MK">Macedonia</option>
  474. <option value="MG">Madagascar</option>
  475. <option value="ML">Mali</option>
  476. <option value="MT">Malta</option>
  477. <option value="MH">Marshall Islands</option>
  478. <option value="MQ">Martinique</option>
  479. <option value="MR">Mauritania</option>
  480. <option value="MU">Mauritius</option>
  481. <option value="MX">Mexico</option>
  482. <option value="FM">Micronesia</option>
  483. <option value="MC">Monaco</option>
  484. <option value="ME">Montenegro</option>
  485. <option value="MA">Morocco</option>
  486. <option value="NL">Netherlands</option>
  487. <option value="AN">Netherlands Antilles</option>
  488. <option value="NC">New Caledonia</option>
  489. <option value="NZ">New Zealand</option>
  490. <option value="NG">Nigeria</option>
  491. <option value="NU">Niue</option>
  492. <option value="NF">Norfolk Island</option>
  493. <option value="MP">Northern Mariana Islands</option>
  494. <option value="NO">Norway</option>
  495. <option value="PS">Palestinian Territory</option>
  496. <option value="PG">Papua New Guinea</option>
  497. <option value="PY">Paraguay</option>
  498. <option value="PE">Peru</option>
  499. <option value="PH">Philippines</option>
  500. <option value="PL">Poland</option>
  501. <option value="PT">Portugal</option>
  502. <option value="PR">Puerto Rico</option>
  503. <option value="RO">Romania</option>
  504. <option value="RW">Rwanda</option>
  505. <option value="WS">Samoa</option>
  506. <option value="SM">San Marino</option>
  507. <option value="RS">Serbia</option>
  508. <option value="SG">Singapore</option>
  509. <option value="SI">Slovenia</option>
  510. <option value="SB">Solomon Islands</option>
  511. <option value="ZA">South Africa</option>
  512. <option value="GS">South Georgia and the South Sandwich Islands</option>
  513. <option value="ES">Spain</option>
  514. <option value="BL">St. Barthelemy</option>
  515. <option value="SH">St. Helena</option>
  516. <option value="KN">St. Kitts and Nevis</option>
  517. <option value="LC">St. Lucia</option>
  518. <option value="MF">St. Martin</option>
  519. <option value="PM">St. Pierre and Miquelon</option>
  520. <option value="VC">St. Vincent and the Grenadines</option>
  521. <option value="SR">Suriname</option>
  522. <option value="SE">Sweden</option>
  523. <option value="CH">Switzerland</option>
  524. <option value="TK">Tokelau</option>
  525. <option value="TO">Tonga</option>
  526. <option value="TT">Trinidad and Tobago</option>
  527. <option value="TC">Turks and Caicos Islands</option>
  528. <option value="TV">Tuvalu</option>
  529. <option value="GB">United Kingdom (Great Britain)</option>
  530. <option value="US" selected="selected">United States</option>
  531. <option value="UM">United States Minor Outlying Islands</option>
  532. <option value="VI">United States Virgin Islands</option>
  533. <option value="UY">Uruguay</option>
  534. <option value="VA">Vatican City State</option>
  535. <option value="VE">Venezuela</option>
  536. <option value="WF">Wallis And Futuna Islands</option>
  537. </select>
  538. </td>
  539. </tr>
  540.  
  541. <tr style="display: none;">
  542. <td>
  543. <span style="display:none;">
  544. <input id="b_country_state_value" type="text" value='NY' />
  545. <input id="b_country_county_value" type="text" value='' />
  546. </span>
  547. <script type="text/javascript">
  548. <!--
  549. init_js_states(document.getElementById('b_country'), 'b_state', 'b_county', 'b_country');
  550. -->
  551. </script>
  552. </td>
  553. </tr>
  554.  
  555. <tr>
  556. <td class="data-name">Zip code</td>
  557. <td class="data-required">*</td>
  558. <td>
  559. <input type="text" id="b_zipcode" name="b_zipcode" size="32" maxlength="32" value="" onchange="javascript: check_zip_code();" />
  560. </td>
  561. </tr>
  562.  
  563.  
  564.  
  565. <tr>
  566. <td class="register-section-title register-exp-section register-sec-minimized" colspan="3">
  567. <script type="text/javascript">
  568. <!--
  569. function ship2diffOpen(flag) {
  570. $('#ship_box').css('display', flag ? '' : 'none');
  571. if (flag)
  572. $('#ship2diff').parents('.register-exp-section').removeClass('register-sec-minimized');
  573. else
  574. $('#ship2diff').parents('.register-exp-section').addClass('register-sec-minimized');
  575. $('#content-container').css("height", "auto");
  576. $('#page-container2').css("height", "auto");
  577. }
  578. -->
  579. </script>
  580. <div>
  581. <label class="pointer" for="ship2diff">Ship to a different address</label>
  582. <input type="checkbox" id="ship2diff" name="ship2diff" value="Y" onclick="javascript: ship2diffOpen(this.checked);" />
  583. </div>
  584. </td>
  585. </tr>
  586. </tbody>
  587. <tbody id="ship_box">
  588. <tr>
  589. <td class="data-name">Address</td>
  590. <td class="data-required"></td>
  591. <td>
  592. <input type="text" id="s_address" name="s_address" size="32" maxlength="64" value="" />
  593. </td>
  594. </tr>
  595. <tr>
  596. <td class="data-name">Address (line 2)</td>
  597. <td class="data-required"></td>
  598. <td>
  599. <input type="text" id="s_address_2" name="s_address_2" size="32" maxlength="64" value="" />
  600. </td>
  601. </tr>
  602. <tr>
  603. <td class="data-name">City</td>
  604. <td class="data-required"></td>
  605. <td>
  606. <input type="text" id="s_city" name="s_city" size="32" maxlength="64" value="" />
  607. </td>
  608. </tr>
  609. <tr>
  610. <td class="data-name">State</td>
  611. <td class="data-required"></td>
  612. <td>
  613. <select name="s_state" id="s_state" >
  614. <option value="Other">Other</option>
  615. <option value="AB">CA: Alberta</option>
  616. <option value="BC">CA: British Columbia</option>
  617. <option value="MB">CA: Manitoba</option>
  618. <option value="NB">CA: New Brunswick</option>
  619. <option value="NF">CA: Newfoundland/Labrador</option>
  620. <option value="NT">CA: Northwest Territories</option>
  621. <option value="NS">CA: Nova Scotia</option>
  622. <option value="NU">CA: Nunavut</option>
  623. <option value="ON">CA: Ontario</option>
  624. <option value="PE">CA: Prince Edward Island</option>
  625. <option value="QC">CA: Quebec</option>
  626. <option value="SK">CA: Saskatchewan</option>
  627. <option value="YT">CA: Yukon</option>
  628. <option value="ABE">GB: Aberdeen</option>
  629. <option value="ABD">GB: Aberdeenshire</option>
  630. <option value="ANS">GB: Angus</option>
  631. <option value="ANT">GB: Antrim</option>
  632. <option value="ARD">GB: Ards</option>
  633. <option value="AGB">GB: Argyll and Bute</option>
  634. <option value="ARM">GB: Armagh</option>
  635. <option value="BLA">GB: Ballymena</option>
  636. <option value="BLY">GB: Ballymoney</option>
  637. <option value="BNB">GB: Banbridge</option>
  638. <option value="BDG">GB: Barking and Dagenham</option>
  639. <option value="BNE">GB: Barnet</option>
  640. <option value="BNS">GB: Barnsley</option>
  641. <option value="BA">GB: Bath</option>
  642. <option value="BAS">GB: Bath and North East Somerset</option>
  643. <option value="BDF">GB: Bedfordshire</option>
  644. <option value="BFS">GB: Belfast</option>
  645. <option value="BRK">GB: Berkshire</option>
  646. <option value="BEX">GB: Bexley</option>
  647. <option value="B">GB: Birmingham</option>
  648. <option value="BIR">GB: Birmingham</option>
  649. <option value="BBD">GB: Blackburn with Darwen</option>
  650. <option value="BPL">GB: Blackpool</option>
  651. <option value="BGW">GB: Blaenau Gwent</option>
  652. <option value="BOL">GB: Bolton</option>
  653. <option value="BH">GB: Bournemouth</option>
  654. <option value="BMH">GB: Bournemouth</option>
  655. <option value="BRC">GB: Bracknell Forest</option>
  656. <option value="BRD">GB: Bradford</option>
  657. <option value="BEN">GB: Brent</option>
  658. <option value="BGE">GB: Bridgend</option>
  659. <option value="BNH">GB: Brighton and Hove</option>
  660. <option value="BST">GB: Bristol</option>
  661. <option value="BRY">GB: Bromley</option>
  662. <option value="BKM">GB: Buckinghamshire</option>
  663. <option value="BUR">GB: Bury</option>
  664. <option value="CAY">GB: Caerphilly</option>
  665. <option value="CLD">GB: Calderdale</option>
  666. <option value="CAM">GB: Cambridgeshire</option>
  667. <option value="CMD">GB: Camden</option>
  668. <option value="CRF">GB: Cardiff</option>
  669. <option value="CMN">GB: Carmarthenshire</option>
  670. <option value="CKF">GB: Carrickfergus</option>
  671. <option value="CSR">GB: Castlereagh</option>
  672. <option value="CGN">GB: Ceredigion</option>
  673. <option value="CHS">GB: Cheshire</option>
  674. <option value="CLK">GB: Clackmannanshire</option>
  675. <option value="CLR">GB: Coleraine</option>
  676. <option value="CWY">GB: Conwy</option>
  677. <option value="CKT">GB: Cookstown</option>
  678. <option value="CON">GB: Cornwall</option>
  679. <option value="COV">GB: Coventry</option>
  680. <option value="CGV">GB: Craigavon</option>
  681. <option value="CRY">GB: Croydon</option>
  682. <option value="CMA">GB: Cumbria</option>
  683. <option value="DAL">GB: Darlington</option>
  684. <option value="DEN">GB: Denbighshire</option>
  685. <option value="DER">GB: Derby</option>
  686. <option value="DBY">GB: Derbyshire</option>
  687. <option value="DRY">GB: Derry</option>
  688. <option value="DEV">GB: Devon</option>
  689. <option value="DNC">GB: Doncaster</option>
  690. <option value="DOR">GB: Dorset</option>
  691. <option value="DOW">GB: Down</option>
  692. <option value="DUD">GB: Dudley</option>
  693. <option value="DGY">GB: Dumfries and Galloway</option>
  694. <option value="DND">GB: Dundee</option>
  695. <option value="DGN">GB: Dungannon and South Tyrone</option>
  696. <option value="DUR">GB: Durham</option>
  697. <option value="EAL">GB: Ealing</option>
  698. <option value="EAY">GB: East Ayrshire</option>
  699. <option value="EDU">GB: East Dunbartonshire</option>
  700. <option value="ELN">GB: East Lothian</option>
  701. <option value="ERW">GB: East Renfrewshire</option>
  702. <option value="ERY">GB: East Riding of Yorkshire</option>
  703. <option value="ESX">GB: East Sussex</option>
  704. <option value="EDH">GB: Edinburgh</option>
  705. <option value="EH">GB: Edinburgh</option>
  706. <option value="ELS">GB: Eilean Siar</option>
  707. <option value="ENF">GB: Enfield</option>
  708. <option value="ESS">GB: Essex</option>
  709. <option value="FAL">GB: Falkirk</option>
  710. <option value="FER">GB: Fermanagh</option>
  711. <option value="FIF">GB: Fife</option>
  712. <option value="FLN">GB: Flintshire</option>
  713. <option value="GAT">GB: Gateshead</option>
  714. <option value="G">GB: Glasgow</option>
  715. <option value="GLG">GB: Glasgow</option>
  716. <option value="GLS">GB: Gloucestershire</option>
  717. <option value="GRE">GB: Greenwich</option>
  718. <option value="GSY">GB: Guernsey</option>
  719. <option value="GWN">GB: Gwynedd</option>
  720. <option value="HCK">GB: Hackney</option>
  721. <option value="HAL">GB: Halton</option>
  722. <option value="HMF">GB: Hammersmith and Fulham</option>
  723. <option value="HAM">GB: Hampshire</option>
  724. <option value="HRY">GB: Haringey</option>
  725. <option value="HRW">GB: Harrow</option>
  726. <option value="HPL">GB: Hartlepool</option>
  727. <option value="HAV">GB: Havering</option>
  728. <option value="HEF">GB: Herefordshire</option>
  729. <option value="HRT">GB: Hertfordshire</option>
  730. <option value="HLD">GB: Highland</option>
  731. <option value="HIL">GB: Hillingdon</option>
  732. <option value="HNS">GB: Hounslow</option>
  733. <option value="IVC">GB: Inverclyde</option>
  734. <option value="AGY">GB: Isle of Anglesey</option>
  735. <option value="IOM">GB: Isle of Man</option>
  736. <option value="IOW">GB: Isle of Wight</option>
  737. <option value="IOS">GB: Isles of Scilly</option>
  738. <option value="ISL">GB: Islington</option>
  739. <option value="JSY">GB: Jersey</option>
  740. <option value="KEC">GB: Kensington and Chelsea</option>
  741. <option value="KEN">GB: Kent</option>
  742. <option value="KA">GB: Kilmarnock</option>
  743. <option value="KHL">GB: Kingston upon Hull</option>
  744. <option value="KTT">GB: Kingston upon Thames</option>
  745. <option value="KIR">GB: Kirklees</option>
  746. <option value="KWL">GB: Knowsley</option>
  747. <option value="LBH">GB: Lambeth</option>
  748. <option value="LAN">GB: Lancashire</option>
  749. <option value="LRN">GB: Larne</option>
  750. <option value="LDS">GB: Leeds</option>
  751. <option value="LS">GB: Leeds</option>
  752. <option value="LCE">GB: Leicester</option>
  753. <option value="LEC">GB: Leicestershire</option>
  754. <option value="LEW">GB: Lewisham</option>
  755. <option value="LMV">GB: Limavady</option>
  756. <option value="LIN">GB: Lincolnshire</option>
  757. <option value="LSB">GB: Lisburn</option>
  758. <option value="L">GB: Liverpool</option>
  759. <option value="LIV">GB: Liverpool</option>
  760. <option value="E">GB: London</option>
  761. <option value="LND">GB: London</option>
  762. <option value="LUT">GB: Luton</option>
  763. <option value="MFT">GB: Magherafelt</option>
  764. <option value="MAN">GB: Manchester</option>
  765. <option value="MDW">GB: Medway</option>
  766. <option value="MTY">GB: Merthyr Tydfil</option>
  767. <option value="MRT">GB: Merton</option>
  768. <option value="MDB">GB: Middlesbrough</option>
  769. <option value="MLN">GB: Midlothian</option>
  770. <option value="MIK">GB: Milton Keynes</option>
  771. <option value="MON">GB: Monmouthshire</option>
  772. <option value="MRY">GB: Moray</option>
  773. <option value="MYL">GB: Moyle</option>
  774. <option value="NTL">GB: Neath Port Talbot</option>
  775. <option value="NE">GB: Newcastle upon Tyne</option>
  776. <option value="NET">GB: Newcastle upon Tyne</option>
  777. <option value="NWM">GB: Newham</option>
  778. <option value="NWP">GB: Newport</option>
  779. <option value="NYM">GB: Newry and Mourne</option>
  780. <option value="NTA">GB: Newtownabbey</option>
  781. <option value="NFK">GB: Norfolk</option>
  782. <option value="NAY">GB: North Ayrshire</option>
  783. <option value="NDN">GB: North Down</option>
  784. <option value="NEL">GB: North East Lincolnshire</option>
  785. <option value="NLK">GB: North Lanarkshire</option>
  786. <option value="NLN">GB: North Lincolnshire</option>
  787. <option value="NSM">GB: North Somerset</option>
  788. <option value="NTY">GB: North Tyneside</option>
  789. <option value="NYK">GB: North Yorkshire</option>
  790. <option value="NTH">GB: Northamptonshire</option>
  791. <option value="NBL">GB: Northumberland</option>
  792. <option value="NGM">GB: Nottingham</option>
  793. <option value="NTT">GB: Nottinghamshire</option>
  794. <option value="OLD">GB: Oldham</option>
  795. <option value="OMH">GB: Omagh</option>
  796. <option value="ORK">GB: Orkney Islands</option>
  797. <option value="OXF">GB: Oxfordshire</option>
  798. <option value="PEM">GB: Pembrokeshire</option>
  799. <option value="PKN">GB: Perth and Kinross</option>
  800. <option value="PTE">GB: Peterborough</option>
  801. <option value="PLY">GB: Plymouth</option>
  802. <option value="POL">GB: Poole</option>
  803. <option value="POR">GB: Portsmouth</option>
  804. <option value="POW">GB: Powys</option>
  805. <option value="RDG">GB: Reading</option>
  806. <option value="RDB">GB: Redbridge</option>
  807. <option value="RCC">GB: Redcar and Cleveland</option>
  808. <option value="RFW">GB: Renfrewshire</option>
  809. <option value="RCT">GB: Rhondda Cynon Taf</option>
  810. <option value="RIC">GB: Richmond upon Thames</option>
  811. <option value="RCH">GB: Rochdale</option>
  812. <option value="ROT">GB: Rotherham</option>
  813. <option value="RUT">GB: Rutland</option>
  814. <option value="SLF">GB: Salford</option>
  815. <option value="SAW">GB: Sandwell</option>
  816. <option value="SCB">GB: Scottish Borders</option>
  817. <option value="SFT">GB: Sefton</option>
  818. <option value="SHF">GB: Sheffield</option>
  819. <option value="ZET">GB: Shetland Islands</option>
  820. <option value="SHR">GB: Shropshire</option>
  821. <option value="SLG">GB: Slough</option>
  822. <option value="SOL">GB: Solihull</option>
  823. <option value="SOM">GB: Somerset</option>
  824. <option value="SAY">GB: South Ayrshire</option>
  825. <option value="SGC">GB: South Gloucestershire</option>
  826. <option value="SLK">GB: South Lanarkshire</option>
  827. <option value="STY">GB: South Tyneside</option>
  828. <option value="SY">GB: South Yorkshire</option>
  829. <option value="STH">GB: Southampton</option>
  830. <option value="SOS">GB: Southend-on-Sea</option>
  831. <option value="SWK">GB: Southwark</option>
  832. <option value="SHN">GB: St Helens</option>
  833. <option value="STS">GB: Staffordshire</option>
  834. <option value="STG">GB: Stirling</option>
  835. <option value="SKP">GB: Stockport</option>
  836. <option value="STT">GB: Stockton-on-Tees</option>
  837. <option value="STE">GB: Stoke-on-Trent</option>
  838. <option value="STB">GB: Strabane</option>
  839. <option value="SFK">GB: Suffolk</option>
  840. <option value="SND">GB: Sunderland</option>
  841. <option value="SRY">GB: Surrey</option>
  842. <option value="STN">GB: Sutton</option>
  843. <option value="SWA">GB: Swansea</option>
  844. <option value="SWD">GB: Swindon</option>
  845. <option value="TAM">GB: Tameside</option>
  846. <option value="TFW">GB: Telford and Wrekin</option>
  847. <option value="THR">GB: Thurrock</option>
  848. <option value="TOB">GB: Torbay</option>
  849. <option value="TOF">GB: Torfaen</option>
  850. <option value="TWH">GB: Tower Hamlets</option>
  851. <option value="TRF">GB: Trafford</option>
  852. <option value="VGL">GB: Vale of Glamorgan</option>
  853. <option value="WKF">GB: Wakefield</option>
  854. <option value="WLL">GB: Walsall</option>
  855. <option value="WFT">GB: Waltham Forest</option>
  856. <option value="WND">GB: Wandsworth</option>
  857. <option value="WRT">GB: Warrington</option>
  858. <option value="WAR">GB: Warwickshire</option>
  859. <option value="WBK">GB: West Berkshire</option>
  860. <option value="WDU">GB: West Dunbartonshire</option>
  861. <option value="WLN">GB: West Lothian</option>
  862. <option value="WSX">GB: West Sussex</option>
  863. <option value="WYKS">GB: West Yorkshire</option>
  864. <option value="WSM">GB: Westminster</option>
  865. <option value="WGN">GB: Wigan</option>
  866. <option value="WIL">GB: Wiltshire</option>
  867. <option value="WNM">GB: Windsor and Maidenhead</option>
  868. <option value="WRL">GB: Wirral</option>
  869. <option value="WOK">GB: Wokingham</option>
  870. <option value="WLV">GB: Wolverhampton</option>
  871. <option value="WOR">GB: Worcestershire</option>
  872. <option value="WRX">GB: Wrexham</option>
  873. <option value="YOR">GB: York</option>
  874. <option value="AL">US: Alabama</option>
  875. <option value="AK">US: Alaska</option>
  876. <option value="AZ">US: Arizona</option>
  877. <option value="AR">US: Arkansas</option>
  878. <option value="CA">US: California</option>
  879. <option value="CO">US: Colorado</option>
  880. <option value="CT">US: Connecticut</option>
  881. <option value="DE">US: Delaware</option>
  882. <option value="DC">US: District of Columbia</option>
  883. <option value="FL">US: Florida</option>
  884. <option value="GA">US: Georgia</option>
  885. <option value="GU">US: Guam</option>
  886. <option value="HI">US: Hawaii</option>
  887. <option value="ID">US: Idaho</option>
  888. <option value="IL">US: Illinois</option>
  889. <option value="IN">US: Indiana</option>
  890. <option value="IA">US: Iowa</option>
  891. <option value="KS">US: Kansas</option>
  892. <option value="KY">US: Kentucky</option>
  893. <option value="LA">US: Louisiana</option>
  894. <option value="ME">US: Maine</option>
  895. <option value="MD">US: Maryland</option>
  896. <option value="MA">US: Massachusetts</option>
  897. <option value="MI">US: Michigan</option>
  898. <option value="MN">US: Minnesota</option>
  899. <option value="MS">US: Mississippi</option>
  900. <option value="MO">US: Missouri</option>
  901. <option value="MT">US: Montana</option>
  902. <option value="NE">US: Nebraska</option>
  903. <option value="NV">US: Nevada</option>
  904. <option value="NH">US: New Hampshire</option>
  905. <option value="NJ">US: New Jersey</option>
  906. <option value="NM">US: New Mexico</option>
  907. <option value="NY" selected="selected">US: New York</option>
  908. <option value="NC">US: North Carolina</option>
  909. <option value="ND">US: North Dakota</option>
  910. <option value="OH">US: Ohio</option>
  911. <option value="OK">US: Oklahoma</option>
  912. <option value="OR">US: Oregon</option>
  913. <option value="PA">US: Pennsylvania</option>
  914. <option value="PR">US: Puerto Rico</option>
  915. <option value="RI">US: Rhode Island</option>
  916. <option value="SC">US: South Carolina</option>
  917. <option value="SD">US: South Dakota</option>
  918. <option value="TN">US: Tennessee</option>
  919. <option value="TX">US: Texas</option>
  920. <option value="UT">US: Utah</option>
  921. <option value="VT">US: Vermont</option>
  922. <option value="VI">US: Virgin Islands</option>
  923. <option value="VA">US: Virginia</option>
  924. <option value="WA">US: Washington</option>
  925. <option value="WV">US: West Virginia</option>
  926. <option value="WI">US: Wisconsin</option>
  927. <option value="WY">US: Wyoming</option>
  928. </select>
  929. </td>
  930. </tr>
  931. <tr>
  932. <td class="data-name">Country</td>
  933. <td class="data-required"></td>
  934. <td>
  935. <select name="s_country" id="s_country" size="1" onchange="check_zip_code()">
  936. <option value="AX">Aland Islands</option>
  937. <option value="AQ">Antarctica</option>
  938. <option value="AG">Antigua and Barbuda</option>
  939. <option value="AR">Argentina</option>
  940. <option value="AU">Australia</option>
  941. <option value="AT">Austria</option>
  942. <option value="BS">Bahamas</option>
  943. <option value="BD">Bangladesh</option>
  944. <option value="BB">Barbados</option>
  945. <option value="BE">Belgium</option>
  946. <option value="BZ">Belize</option>
  947. <option value="BM">Bermuda</option>
  948. <option value="BR">Brazil</option>
  949. <option value="IO">British Indian Ocean Territory</option>
  950. <option value="VG">British Virgin Islands</option>
  951. <option value="BG">Bulgaria</option>
  952. <option value="CA">Canada</option>
  953. <option value="KY">Cayman Islands</option>
  954. <option value="CL">Chile</option>
  955. <option value="CX">Christmas Island</option>
  956. <option value="CC">Cocos (Keeling) Islands</option>
  957. <option value="CG">Congo</option>
  958. <option value="CK">Cook Islands</option>
  959. <option value="CR">Costa Rica</option>
  960. <option value="HR">Croatia</option>
  961. <option value="CD">Democratic Republic of the Congo</option>
  962. <option value="DK">Denmark</option>
  963. <option value="DM">Dominica</option>
  964. <option value="DO">Dominican Republic</option>
  965. <option value="EC">Ecuador</option>
  966. <option value="EE">Estonia</option>
  967. <option value="FK">Falkland Islands (Malvinas)</option>
  968. <option value="FJ">Fiji</option>
  969. <option value="FI">Finland</option>
  970. <option value="FR">France</option>
  971. <option value="FX">France, Metropolitan</option>
  972. <option value="GF">French Guiana</option>
  973. <option value="PF">French Polynesia</option>
  974. <option value="TF">French Southern Territories</option>
  975. <option value="DE">Germany</option>
  976. <option value="GR">Greece</option>
  977. <option value="GL">Greenland</option>
  978. <option value="GD">Grenada</option>
  979. <option value="GP">Guadeloupe</option>
  980. <option value="GU">Guam</option>
  981. <option value="GT">Guatemala</option>
  982. <option value="GG">Guernsey</option>
  983. <option value="GN">Guinea</option>
  984. <option value="GW">Guinea-Bissau</option>
  985. <option value="GY">Guyana</option>
  986. <option value="HU">Hungary</option>
  987. <option value="IS">Iceland</option>
  988. <option value="ID">Indonesia</option>
  989. <option value="IE">Ireland</option>
  990. <option value="IM">Isle of Man</option>
  991. <option value="IL">Israel</option>
  992. <option value="IT">Italy</option>
  993. <option value="JM">Jamaica</option>
  994. <option value="JP">Japan</option>
  995. <option value="JE">Jersey</option>
  996. <option value="LU">Luxembourg</option>
  997. <option value="MK">Macedonia</option>
  998. <option value="MG">Madagascar</option>
  999. <option value="ML">Mali</option>
  1000. <option value="MT">Malta</option>
  1001. <option value="MH">Marshall Islands</option>
  1002. <option value="MQ">Martinique</option>
  1003. <option value="MR">Mauritania</option>
  1004. <option value="MU">Mauritius</option>
  1005. <option value="MX">Mexico</option>
  1006. <option value="FM">Micronesia</option>
  1007. <option value="MC">Monaco</option>
  1008. <option value="ME">Montenegro</option>
  1009. <option value="MA">Morocco</option>
  1010. <option value="NL">Netherlands</option>
  1011. <option value="AN">Netherlands Antilles</option>
  1012. <option value="NC">New Caledonia</option>
  1013. <option value="NZ">New Zealand</option>
  1014. <option value="NG">Nigeria</option>
  1015. <option value="NU">Niue</option>
  1016. <option value="NF">Norfolk Island</option>
  1017. <option value="MP">Northern Mariana Islands</option>
  1018. <option value="NO">Norway</option>
  1019. <option value="PS">Palestinian Territory</option>
  1020. <option value="PG">Papua New Guinea</option>
  1021. <option value="PY">Paraguay</option>
  1022. <option value="PE">Peru</option>
  1023. <option value="PH">Philippines</option>
  1024. <option value="PL">Poland</option>
  1025. <option value="PT">Portugal</option>
  1026. <option value="PR">Puerto Rico</option>
  1027. <option value="RO">Romania</option>
  1028. <option value="RW">Rwanda</option>
  1029. <option value="WS">Samoa</option>
  1030. <option value="SM">San Marino</option>
  1031. <option value="RS">Serbia</option>
  1032. <option value="SG">Singapore</option>
  1033. <option value="SI">Slovenia</option>
  1034. <option value="SB">Solomon Islands</option>
  1035. <option value="ZA">South Africa</option>
  1036. <option value="GS">South Georgia and the South Sandwich Islands</option>
  1037. <option value="ES">Spain</option>
  1038. <option value="BL">St. Barthelemy</option>
  1039. <option value="SH">St. Helena</option>
  1040. <option value="KN">St. Kitts and Nevis</option>
  1041. <option value="LC">St. Lucia</option>
  1042. <option value="MF">St. Martin</option>
  1043. <option value="PM">St. Pierre and Miquelon</option>
  1044. <option value="VC">St. Vincent and the Grenadines</option>
  1045. <option value="SR">Suriname</option>
  1046. <option value="SE">Sweden</option>
  1047. <option value="CH">Switzerland</option>
  1048. <option value="TK">Tokelau</option>
  1049. <option value="TO">Tonga</option>
  1050. <option value="TT">Trinidad and Tobago</option>
  1051. <option value="TC">Turks and Caicos Islands</option>
  1052. <option value="TV">Tuvalu</option>
  1053. <option value="GB">United Kingdom (Great Britain)</option>
  1054. <option value="US" selected="selected">United States</option>
  1055. <option value="UM">United States Minor Outlying Islands</option>
  1056. <option value="VI">United States Virgin Islands</option>
  1057. <option value="UY">Uruguay</option>
  1058. <option value="VA">Vatican City State</option>
  1059. <option value="VE">Venezuela</option>
  1060. <option value="WF">Wallis And Futuna Islands</option>
  1061. </select>
  1062. </td>
  1063. </tr>
  1064. <tr style="display: none;">
  1065. <td>
  1066. <span style="display:none;">
  1067. <input id="s_country_state_value" type="text" value='NY' />
  1068. <input id="s_country_county_value" type="text" value='' />
  1069. </span>
  1070. <script type="text/javascript">
  1071. <!--
  1072. init_js_states(document.getElementById('s_country'), 's_state', 's_county', 's_country');
  1073. -->
  1074. </script>
  1075. </td>
  1076. </tr>
  1077. <tr>
  1078. <td class="data-name">Zip code</td>
  1079. <td class="data-required"></td>
  1080. <td>
  1081. <input type="text" id="s_zipcode" name="s_zipcode" size="32" maxlength="32" value="" onchange="javascript: check_zip_code();" />
  1082. </td>
  1083. </tr>
  1084. <tr style="display: none;">
  1085. <td>
  1086. <script type="text/javascript">
  1087. <!--
  1088. if (document.getElementById('ship_box'))
  1089. document.getElementById('ship_box').style.display = 'none';
  1090. -->
  1091. </script>
  1092. </td>
  1093. </tr>
  1094. </tbody>
  1095. <tbody>
  1096. <tr>
  1097. <td class="register-section-title" colspan="3">
  1098. <div>
  1099. <label>Contact information</label>
  1100. </div>
  1101. </td>
  1102. </tr>
  1103. <tr>
  1104. <td class="data-name">Phone</td>
  1105. <td class="data-required">*</td>
  1106. <td>
  1107. <input type="text" id="phone" name="phone" size="32" maxlength="32" value="" />
  1108. </td>
  1109. </tr>
  1110. <tr>
  1111. <td class="data-name">Email</td>
  1112. <td class="data-required">*</td>
  1113. <td>
  1114. <input type="text" id="email" name="email" size="32" maxlength="128" value="" onblur="javascript: $('#email_note').hide();" onfocus="showNote('email_note',this);" />
  1115. <div id="email_note" class="note-box" style="display: none;">Make sure you enter a valid email address because the store will send you notifications to this address.</div>
  1116. </td>
  1117. </tr>
  1118. <tr>
  1119. <td class="data-name">Fax</td>
  1120. <td class="data-required"></td>
  1121. <td>
  1122. <input type="text" id="fax" name="fax" size="32" maxlength="128" value="" />
  1123. </td>
  1124. </tr>
  1125. <tr>
  1126. <td class="data-name">Web site</td>
  1127. <td class="data-required"></td>
  1128. <td>
  1129. <input type="text" id="url" name="url" size="32" maxlength="128" value="" />
  1130. </td>
  1131. </tr>
  1132.  
  1133.  
  1134.  
  1135. <tr>
  1136. <td colspan="3" class="register-section-title">
  1137. <div>
  1138. <label>Username & Password</label>
  1139. </div>
  1140. </td>
  1141. </tr>
  1142. <tr>
  1143. <td class="data-name">Username</td>
  1144. <td class="data-required">*</td>
  1145. <td>
  1146. <input type="text" id="uname" name="uname" size="32" maxlength="32" value="" />
  1147. </td>
  1148. </tr>
  1149. <tr style="display:none;"><td><input type="hidden" name="password_is_modified" value="N" /></td></tr>
  1150. <tr>
  1151. <td class="data-name">Password</td>
  1152. <td class="data-required">*</td>
  1153. <td>
  1154. <input type="password" id="passwd1" name="passwd1" size="32" maxlength="64" value="" onchange="javascript: this.form.elements.namedItem('password_is_modified').value = 'Y';" />
  1155.  
  1156. </td>
  1157. </tr>
  1158. <tr>
  1159. <td class="data-name">Confirm password</td>
  1160. <td class="data-required">*</td>
  1161. <td>
  1162. <input type="password" id="passwd2" name="passwd2" size="32" maxlength="64" value="" onchange="javascript: this.form.elements.namedItem('password_is_modified').value = 'Y';" />
  1163.  
  1164. </td>
  1165. </tr>
  1166.  
  1167.  
  1168. <tr>
  1169. <td colspan="3" class="register-newbie-note">
  1170. Clicking "Submit" you agree with our <a href="pages.php?pageid=3" target="_blank">"Terms & Conditions"</a>
  1171. </td>
  1172. </tr>
  1173. <tr>
  1174.  
  1175. <td colspan="3" class="button-row center">
  1176. <div class="halign-center">
  1177.  
  1178.  
  1179.  
  1180. <button class="button main-button" type="submit" title="Submit">
  1181. <span class="button-right"><span class="button-left">Submit</span></span>
  1182. </button>
  1183. </div>
  1184. </td>
  1185.  
  1186. </tr>
  1187. </tbody>
  1188. </table>
  1189. </form>
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